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Case Manager Nurse

Location:
Hudson, FL
Salary:
95000
Posted:
January 13, 2023

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Resume:

Rose Smith

Hudson, Florida

865-***-****

adunqh@r.postjobfree.com

Work Experience

DON

Patient Portal Group

July 2020-present

RN Case Manager

Genex

March 2019-May2020

RN Case Manager

Bcbst

Full time 4/29/2018-12/15/2018

RN Nurse Case Manager

Physicians Homecare

Full time 12/2017-5/2018

RN Case Manager

Telephonic Case Manager

Health Integrated

5/2017-9-2017

RN Utilization Management

Communicare

9/2017-13/2017

RN Nurse Case Manager

Blue Cross Blue Shield

Full-Time/4/2011to 5/2017

RN Home Health

NHC

Full-Time/2010-2011

RN

Home Health-Team Leader/Case Manager/2006-2009

LHC

Full-Time/2006-2009

RN

OB Department, 2004-3/2006

Blount Mem. Hospital

LPN II/Scrub Tech

OB Department, 1999-2004

Blount Mem. Hospital

LPN II

Med-Surgical Unit/ Float Pool, 1995-1999

Blount Mem. Hospital

LPN II/Charge Nurse

Assisted Living Facility, 1995-1996

Williamsburg Villas

Education

RN Associate of Science Degree in Nursing, 2004

Lincoln Memorial University-Blount County Campus

LPN Certificate,

Tennessee Tech. Center-Knoxville, TN

High School Diploma,

Maryville High School-Maryville TN

Qualifications

·22 years total nursing experience

·Case Management Experience

Assessment/Plan –Collect in-depth information about a person’s situation and functioning to identify individual needs in order to identify members at risk with complex clinical and social issues and develop a comprehensive plan of care that will address those needs.

Stratifying Risk –Determine the appropriate level of intervention by classifying the patient as low medium or high risk.

Implementation –Facilitating and executing specific interventions that will lead to accomplishing the goals established in the plan of care to ensure the member’s health, safety, and welfare, and as applicable. Coordination -Organize, integrate, and modify the resources necessary to accomplish the goals established in the plan of care. Evaluation–Gather sufficient information from all relevant sources in order to determine the effectiveness of the plan of care, including regular prescribed contacts with member and perform updates to the assessment and plan of care as needed.

·Home Health Experience-3 years’ experience in Home Health. Case Manager experience-Chart audits, Medicare oasis,scheduling of pts and employees, pt assessments, medication review and reconciliation, pt and family education, pt care coordination, d/c planning, coordinating with MD’s, PT, OT, Speech Therapy, Staff education, Staff training, Case Coordination with staff, Wound care, IV therapy.

·OB Department-7 years’ experience in OB department. Labor and delivery experience, Postpartum experience, Circulator for C-sections, Scrub Tech for C-sections, MD assists for C-sections, Newborn assessments and Care, and Patient Triage experience. Also care of Gyn-surgical patient.

·Med-Surgical Experience-5 year’s total experience in Med Surgical nursing. Medication administration, Wound care, Treatments, IV and Venipunctures, and Parenteral fluids. Diabetic monitoring, Insulin administration, and Trach suctioning and care.

·Alzheimer’s Nursing Home Experience- Charge nurse-Daily assessments, ear exams, and foot exams. Communicated with doctors for any problems, and oversaw work of LPN’s and CNA’s. Performed all areas of nursing care; Administer all meds, Dressing Changes and treatments. Diabetic monitoring, chemsticks, and Insulin administration.

·IV certification course.

·CPR certified.

·NRP certified.

·Ability to work as a part of an interdisciplinary team.

·Award for closing most HEDIS Gaps at BCBST for last part of 2016.



Contact this candidate