Case Manager Utilization Review
Resume:
Joyce Humphreys
RN/Case Manager - Regional One Health
Memphis, TN 38118
*******************@***********.***
A dedicated licensed registered nurse with sixteen years experience in case management, twelve years bedside nursing. I have a very strong interpersonal relationship with physicians I have worked with. My analytical skills allow me to develop a positive list of resources within the community and established a positive rapport with the resources.
• 28 years of registered nursing experience • 16 years of case management experience
• Proven ability to maintain critical thinking skills essential to providing competent and dignified patient care
• Dependable, self-starter, minimal supervision needed
• Personable and positive attitude
• Strong patient skills working within a large hospital setting • Hard-working, energetic, able to multi- task
#readytowork
Work Experience
RN/Case Manager
Regional One Health - Memphis, TN
January 2015 to Present
Sickle Cell, Hematology and Infusion Center
RN/Case Manager
VA Hospital - Memphis, TN
February 2013 to Present
Spinal Cord Case Manager
RN/Case Manager
Nightingale Nursing Agency
May 2012 to Present
Traveling case manager at various locations.
RN/Case Manager
Nightingale Nursing Agency - Cheverly, MD
May 2012 to November 2012
40 hrs/wk
Case Manager for inpatient thirty bed psych unit and work Closely with Dr. Memunatu Bangura, MD
RN/Case Manager
Lebonheur Children Hospital
July 2004 to May 2012
40 hrs/wk
Covered: PICU, IMU, Med /surgical, infant care, CVICU and neurology. Staff Nurse
Regional One Health - Memphis, TN
October 2003 to April 2004
40hrs./wk
Covered: Psych assessment center and police holding. Agency Nurse
Intelastaff - Memphis, TN
April 2000 to May 2003
PRN
Staff nurse at Memphis Mental Health Institute
RN Case Manager/Bed side nurse
Methodist Healthcare - Memphis, TN
October 1998 to June 2002
PRN
Case Manager in psych assessment center at Methodist University and LeBonheur ER department and telemetry floor. Bed side nurse at LeBonheur
acute inpatient adolescent psych unit and CCU.
Case Manager/Bedside Nurse
Delta Medical Center - Memphis, TN
May 2001 to October 2001
40hra/wk
Case management, covered four inpatient psych units and functioned as bed side nurse in psych units. Case Manager/Utilization Review/ Bedside Nurse
Delta Medical Center - Memphis, TN
August 1998 to December 1998
Delta Medical Center: Case management in psych units and bed side nurse on inpatient adolescent psych unit
St. Joseph Hospital: Bed side nurse in acute adult inpatient psych unit and bed side nurse on medical surgical floor.
Staff Nurse
St. Joseph Hospital - Memphis, TN
June 1984 to October 1998
40hrs/wk
Bed side nurse on medical surgical floor and inpatient acute adult psych unit
METHODIST HEALTHCARE
• Assisted patients with obtaining DME through a local vendor
• 100% of DME obtained for patients with no insurance by local vendors
• Provided education for DME and maintenance at no cost to the patients LEBONHEUR
• Negotiated with primary payor to provide payment to DME Company while transitioning to Medicaid
• Drafted letters to primary payors for payment keeping costs Education
Diploma of Nursing in Surgery
St. Joseph Hospital School of Nursing - Memphis, TN 1998
Skills
• Case management (Less than 1 year)
• ICU (Less than 1 year)
• medical terminology (Less than 1 year)
• OFFICE MEDICAL (Less than 1 year)
• pediatric (Less than 1 year)
• RN
• Utilization Review
• Interqual
• Care Management
Certifications and Licenses
BLS, ACLS
Additional Information
RELEVANT SKILLS
• Expertise knowledge of adult ICU, Intermediate care, adolescent and adult psyche, A&D and pediatric case management.
• Proficient in working with a wide range of hospital equipment and materials; understanding of medical terminology and hospital protocols.
• Performed clinical hospital assessments of patients for referrals; assuring appropriate level of care for each patient and maintaining constant communication with the family and treatment staff.
• Extensive knowledge of various treatment plans; identify psychosocial aspects and patient needs, provided evaluation and identify barriers to patients' maximum level of health.
• Supervised the medical-surgical and psyche units with a staff of 6 per shift. Joyce Humphreys
3332 Spring Shadow Drive
Memphis, TN 38118
901-***-**** home
901-***-**** cell
*********.*****@*****.***
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