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Nassau Communities Nurse Consultant

Location:
Lititz, PA
Posted:
January 03, 2023

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Resume:

ALMANDA S. CASIMIR, RN

*** ****** *****, *******, ** 17545

CELL: 516-***-**** E-MAIL: adufch@r.postjobfree.com

PROFESSIONAL PROFILE:

■Nursing professional with diversified clinical and case management experience in Managed Long-Term Home Health Care (MLTC) programs, as well as a background in medical-surgical inpatient services.

Knowledge of UAS-NY; optimize program profitability via diligent monitoring of patient care services.

■Decision making that reflects sound analytic ability with dedication to obtaining and sustaining service excellence.

■Strong interpersonal communication skills with ability to establish interdisciplinary and community relationships.

EDUCATION:

Chamberlain College, Chicago, IL 60661

Bachelor of Science – Nursing Degree -December 2022

Queensborough Community College, Bayside, NY

Associate in Applied Science – Nursing- July 2008

LICENSURE/ CERTIFICATION:

New York state Registered Nurse

Pennsylvania State Registered Professional Nurse

Basic Life Support Certified, American Heart Association

Certificate, (UAS-NY) Uniform Assessment System Documentation

EMPLOYMENT:

Compassus Hospice, Lancaster, PA

Nurse Case Manager - Home Hospice Program 4/18 - Present

Conduct 20-25 weekly visits to patients in homes/ skilled nursing facilities to perform on-going evaluation of status.

Typical diagnoses include end-stage cancer, HIV/AIDS, end-stage cardiac disease, renal failure, advanced Alzheimer’s, COPD and other complex illnesses. Perform a wide range of skilled nursing procedures.

Broad knowledge of analgesic therapies; ensure efficacy of drug choices for pain and symptom management.

Attend treatment meetings with an interdisciplinary team to update plans of care; mobilize adjunct services of social workers, nutritionists, pharmacists, therapists, medical suppliers, clergy, volunteers, etc.

Supervise and augment on-site training of HHA’s; provide caregiver/ family education on pain assessment, comfort, safety and compassionate end-of-life care. Provide grief counseling and bereavement support.

Allied Health Staffing, Brooklyn, NY

Intake Nurse - (MLTC) Managed Long-Term Care Program 6/17 - 8/17

Contracted by Aetna Better Health Plan to assess candidates for their MLTC program; conducted both home and skilled nursing facility visits to meet with patients and family members; identified barriers to initiating care.

Intake included evaluation of functional abilities and cognition, level of performing daily living activities, medical history, current medications, known allergies, home environment concerns and existing support systems.

Completed required scoring documentation and forwarded reports to MLTC personnel.

Guildnet, Melville, NY

Reassessment Nurse - (MLTC) Managed Long-Term Care Program 10/16 - 4/17

Conducted five home field visits daily to complete initial and bi-annual UAS-NY documentation.

Assessed functional abilities every 6 months to determine changes in intensity and frequency of services required.

Collaborated with healthcare providers to establish and update individualized plans of care.

Developed appropriate health teaching plans based on patient and caregiver learning needs and understanding.

Case Manager - (MLTC) Managed Long-Term Care Program 2/15 - 10/16

Followed a caseload of 120 clients; performed on-going assessments to identify status of home care needs.

Maintained monthly contact with families and caregivers to provide support and resolve service issues.

Mobilized services for skilled nursing, social services, mental health care, physical, occupational and speech therapies, Home Health Aides, medical supplies/ equipment and other components of the home care plan.

ALMANDA S. CASIMIR, RN ~ 2 ~

EMPLOYMENT: (cont’d)

AgeWell New York, Lake Success, NY 2/14 - 1/15

Nurse Care Manager - MLTC Program

Followed an average caseload of 75 clients via telephonic contact; duties similar to GuildNet (above).

Insured cost-effective care delivery; verified that documentation justified medical necessity for services provided.

Knowledge of Milliman Care Guidelines and FIDA (Fully Integrated Dual Advantage) managed care model.

Visiting Nurse Service of NY - Choice, Astoria, NY 7/12 - 1/14

Nurse Consultant - MLTC Program

Case manager for a Medicaid Managed Long-Term Care Program; followed an average caseload of 35 clients.

Conducted visits every 1-3 months, depending on an individual’s risk level; maintained phone contact monthly.

Collaborated with discharge planners to promptly initiate the home care plan; obtained doctor orders, mobilized home services and administered direct skilled care during visits. Insured prompt and accurate data submission.

South Nassau Communities Hospital, Oceanside, NY 8/08 - 4/12

Staff Nurse - Medical/ Surgical Unit

Rotated to charge role and functioned as clinical preceptor on a 35-bed unit; supervised 5 RN and 4 CNA staff.

Treated complex conditions that included CHF, advanced COPD, diabetic complications, renal failure and significant infections requiring isolation. Managed patients undergoing a wide range of general surgeries.

Maintained IV’s, central and PICC lines; managed ventilator weaning, tracheostomy care and Bi-Pap/ C-Pap.

Broad experience with wound care, VAC dressings, NG/ PEG feedings, chest tubes, colostomies, J-P and other drains; administered pain management via PCA pumps, blood products and TPN/PPN.

Provided patient education on diabetes management, medications, pulmonary hygiene, tracheostomy self-care, complications and other health issues relevant to rehabilitation. Supported families coping with extended recovery.

References available upon request



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