Jill Mathews Anderle

Salt Lake City, UT ***** cell: 801-***-**** adurs8@r.postjobfree.com

WORK EXPERIENCE:

MAGELLAN Rx MANAGEMENT of Magellan Health

Position: RN Care Manager Feb 2019 – Dec 2022 (remote) Responsible for the assessment, reassessment, care planning and coordination of care and services. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care management. Regularly communicates with the member’s PCP and other providers, and integrates the member, caregiver and other provider feedback into the assessment and planning.

ESSENTIAL FUNCTIONS:

• Ensures continuity of care for newly enrolled members.

• Identifies and prioritizes the member’s needs and preferences. Develops quantifiable goals and desired outcomes, and promotes the member’s ability to self-manage to the greatest extent possible.

• Develops, implements and monitors the Person Centered Service Plan, assisting members in obtaining reasonable accommodations when appropriate.

• Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings.

• Serves as the primary point of member contact. Assesses member needs, manages care and services, and ensures effective communication among members, caregivers, providers and community supports.

• As the lead of the interdisciplinary team, facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings.

• Maintains timely, complete and accurate documentation using both hard copy and technology based solutions in compliance with regulatory policies and procedures.

• Gathers and summarizes data for reports.

• Supports initiatives of the Quality Assessment and Performance Improvement Committee.

• All other duties as assigned.

• Understands and is able to apply principals of Care Management and Person Centered Service Planning.

• Ability to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines.

• Ability to understand and apply coverage guidelines and benefit limitations.

• Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses (depression, challenging behaviors, Alzheimer’s disease and other disease- related dementias). Understands and adapts appropriately to issues related to communication, cognitive or other barriers.

• Ability to lead an interdisciplinary care team. Strong organizational skills and the ability to prioritize and follow through on multiple projects in a timely manner. Comfortable with commuting within the service area.

PAST WORK EXPERIENCE:

HEALTH ADVOCATE Salt Lake City UT

Position: Health Education/ Immunizations Nurse Aug 2017- Mar 2019

• Provide Biometric screenings. Flag "at risk" clients and make referrals for health services as needed. Provide interpretation of screening results and education as appropriate to assist clients in improving their overall health and wellness.

• Administer needed immunizations.

• Advise clients on self-care and health risks such as hypertension, high cholesterol, obesity and diabetes.

• Advise clients to ensure parental understanding of the importance of childhood immunizations and how to access immunization services.

• Advocate for individual health needs with government agencies and local employers.

• Attend health fairs to provide vaccines and to build relationships with community members.

• Maintain updated client records with notes, appropriate forms, or related information. COMMUNITY NURSING SERVICES West Valley City, UT

Position: Immunizations Nurse Aug. 2017 - Mar 2019

• Administer and provide proper documentation of immunizations and influenza vaccine to clients throughout Utah.

• Assist with set up and take down of clinics in schools, businesses and government offices.

• Assure quality control of vaccine is maintained by checking and recording temperature hourly.

Intermountain Med. Center Palliative Care Team RN & PT Hospice RN CM

July 2011 - Mar 2014

• Perform physical assessments to inpatients and in-home hospice patients.

• Provide support, education and ensure delivery of exceptional end of life care.

• Inform physician of patient's changes ie: unmanaged pain, anxiety, dyspnea and confusion.

• Collaborate with other health care professionals and service providers to ensure optimal patient care is provided to terminally ill patients in the hospital, SNFs and home.

• Ensure that proper communication between family, MD, pharmacy and DME company takes place so that equipment, meds. or supplies arrive home and that adequate stock of supplies is maintained.

• Provide specialized education to patients and their families re: end of life care and symptom management including care of the actively dying patient in the hospital, SNF or their home.

• Observe, interview, and assess hospice patients and their caregivers to identify unique needs.

• Attend daily rounds, team meetings. Evaluate and monitor medical conditions of patients in collaboration with other health care professionals.

• Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in palliative care and hospice nursing.

UNIVERSITY OF UTAH HOSPITAL Salt Lake City, UT Dec 2008 - Apr 2010 Position: Rehabilitation Clinic - Baclofen Pump Nurse Consultant

• Assess urgent and emergent health conditions using both physiologically and technologically derived data related to Intrathecal Baclofen Implanted Pump devices in pediatric patients.

• Perform and interpret results of diagnostic tests and screening procedures based on assessment, differential diagnoses and knowledge about age and health status of pediatric patients.

• Set up, operate, and monitor invasive equipment and devices such as Intrathecal Baclofen Pumps, colostomy or tracheostomy equipment, mechanical ventilators, catheters, gastrointestinal tubes, and central lines.

• Identify acute or chronic conditions that could result in rapid physiological deterioration or life- threatening instability.

• Discuss illnesses and treatments with pediatric patients and family members.

• Collaborate with members of multidisciplinary health care teams to plan, manage, or assess patient Intrathecal Baclofen pump regimens.

• Collaborate with patients to plan for ITB pump refills and dosing adjustments as well as future health care needs. Also or to coordinate transitions and referrals.

• Analyze the indications, contraindications, risk complications, and cost-benefit trade- offs of therapeutic interventions.

• Assess the impact of illnesses or injuries on patients' health, function, growth, development, nutrition, sleep, rest, quality of life, or family, social and educational relationships.

• Maintain knowledge of current literature, consult with colleagues and participate in professional organizations or conferences to keep abreast of developments in acute care.

• Provide formal and informal education to other staff members. Participate in the development of practice protocols.

• Refer patients for specialty consultations or treatments.

• Adjust settings on patients' Intrathecal Baclofen Implanted Pumps immediately post implantation in the OR as well as perform monthly medication refills and dose adjustments based on assessment of patients' muscle spasticity and pain.

• Perform emergency medical procedures, such as basic cardiac life support (BLS), advanced cardiac life support (ACLS), and other condition stabilizing interventions.

• Manage pediatric patients' pain relief and sedation by providing pharmacologic and non pharmacologic interventions and monitoring patients' responses. Notifying NP and MD when appropriate.

Intermountain Homehealth Salt Lake City, UT May 1991- Oct 1995 (Concurrent with NICU – part-time)

Position: Private Duty RN of Technology/ventilator Dependent Peds and adult VIPs in community.This was in- home extended shift work to provide necessary support to patients with fragile health needs.

• Monitor, record, and report symptoms or changes in patients' conditions.• Order DME, meds and other needed supplies. Maintain accurate, detailed reports and records. • Record patients' medical information and vital signs.

• Modify patient treatment plans as indicated by patients' responses and conditions.

• Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.

• Monitor all aspects of patient care, including diet and physical activity.

• Prepare in-home patients for and assist with examinations or treatments as well as changing out ventilator tubing, changing tracheostomy tubes as needed.

• Assess the needs of individuals, families, or communities, including assessment of individuals' home or work environments, to identify potential health or safety problems.

•Administer rx'd drugs,aerosolized resp. treatments,know use of medical devices, or other forms of treatment, such as physical therapy, inhalation therapy, or related therapeutic procedures.

• Provide teaching to family/caregivers of rehab. patients including ventilator dependent quadriplegics, paraplegics, traumatic brain injury patients, amputees and stroke victims.

• Plan, evaluate, or modify treatment programs based on information gathered by observing and interviewing patients, or by analyzing patient records.

INTERMOUNTAIN HEALTHCARE NICU Salt Lake City, UT

Position: Primary Children’s Neonatal ICU RN Feb. 1990 - Feb. 2000

• Assessment of neonatal patients including pain levels and sedation requirements.

• Evaluate patients' vital signs and laboratory data to determine emergency intervention needs.

• Prioritize nursing care for assigned critically ill patients based on assessment data and identified needs. Document patients' medical histories and assessment findings.

• Advocate for patients' and families' needs, or provide emotional support for patients and their families.

• Instruct parents on Neonatal Resuscitation and lactation education where applicable.

• Conduct pulmonary assessments to identify abnormal respiratory patterns or breathing sounds that indicate problems.

• Administer medications intravenously, by injection, orally, through gastric tubes, or by other methods.

• Administer blood and blood products, monitoring patients for signs and symptoms related to transfusion reactions.

• Monitor patients' fluid intake and output to detect emerging problems such as fluid and electrolyte imbalances.

• Compile and analyze data obtained from monitoring or diagnostic tests. Document patients' treatment plans, interventions, outcomes, or plan revisions.

• Collaborate with other health care professionals to develop and revise treatment plans based on identified needs and assessment data.

• Perform approved therapeutic or diagnostic procedures based upon patients' clinical status. Identify patients who are at risk of complications due to nutritional status.

• Collect specimens for laboratory tests.

• Identify patients' age-specific needs and alter care plans as necessary to meet those needs.

• Coordinate patient care conferences. Assist physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion. Assess family adaptation levels and coping skills to determine whether intervention is needed. Identify malfunctioning equipment or devices. Participate in professional organizations and continuing education to improve practice knowledge and skills. Ensure that equipment or devices are properly stored after use. Plan, provide, or evaluate educational programs for nursing staff, interdisciplinary health care team members, and community members.

• Provide post-mortem care.

UNIVERSITY OF UTAH MEDICAL CENTER, Salt Lake City UT Position: Phys. Med. & Rehab. 35 bed Unit: Charge Nurse - April 1986 - January 1990 Primary Care Nurse of rehabilitation patients responsibilities include: attending weekly multidisciplinary team meetings with PT, OT, Speech, Pharmacist, Psych, Dietician and MDs to do collaborative goal setting, problem solving and discharge planning. Monitor, record, and report symptoms or changes in patients' conditions, writing individualized care plans, attending weekly multidisciplinary team meetings to do collaborative goal setting, problem solving and discharge planning.

• Direct or supervise less-skilled nursing or healthcare personnel or supervise a particular unit.

• Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.

• Modify patient treatment plans as indicated by patients' responses and conditions. Document accurate assessments every 2-4 hours when providing direct nursing care.

• Charge Nurse duties: Give meds for non-RN staff on unit.

• Coordinate with Rehab. team members to assess, plan, implement and evaluate care plans.

• Modify patient treatment plans as indicated by patients' responses and conditions.

• Provide discharge teaching to family/caregivers of rehab. patients including ventilator dependent quadriplegics, paraplegics, traumatic brain injury patients and stroke victims. Record patients' medical information and vital signs every 2-4 hours.

• Plan, evaluate, or modify treatment programs based on information gathered by observing and interviewing patients, or by analyzing patient records.

• Make clinical recommendations to physicians, other health care providers, patients, or health care facilities including SNFs.

• Maintain all policies, procedures, objectives and infection control standards. Participated in published research study that showed a marked decrease in urinary tract infections in SCI’s using a low % bleach solution to disinfect urinary down drain bags which led to reduction of re-admissions and cost avoidance for patients and insurances.

EDUCATION

Brigham Young University, Provo, Utah - Bachelor's of Science Degree in Nursing, April 1986

ADDITIONAL SKILLS:Provider BLS Certification

National Certification: Certified Rehabilitation Registered Nurse CRRN) I enjoy playing the flute, piano as well as singing and traveling. Moderately fluent in French. Salt Lake City, Utah 84108 801-***-****

adurs8@r.postjobfree.com

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