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Health Educator Case Manager

Location:
Inwood, WV
Salary:
35.00
Posted:
April 02, 2023

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Resume:

Sandra J. Brown

Objective

Professional

‘experience

Registered nurse wth Advanced technical knauledge and Managerial

ski, seaking a chalerging positon with fuse arkented compary,

‘offering oppartnties for growth and advancement

Dec. 201310 present Medical Careers Instute

Health Educator for Practical Nursing Frogram

‘Clinical seting: Resporsible fr clinical supervsion in teaching

Hospitals and Nursing Homes on Med-surg bared uns, clinics, and

‘emergency Rooms,

+ Classroom setting: Responsible for teaching allaspect of Pracical

Nursing, Teaching the ability to set goals and develop aeeessment

sks, izing Creal Thinkingard Nursing process tofermulatecare

Plans to manage the cae of patiens wih aaite and chvenic

nesses

May 201010 Dec. 2013 (Chesapeake Regional Medical Ct.

Med-Surg Nurse

“+ Duties inchide primary cate nursing for MedSurg fartpaced unt,

Prmay foals towads losecal and batavic posto,

management for highst dabetic ard renal ps, requchg insulin

ips andharodiayss.

+ Menitaring via tlemety, liaison wih case managers regarding

<dschage home and rehab fats

‘Apt 1997 topresent ATC Heatncare Services

Case Manager for Medicaid HMO Organization

‘Staff Reef Nurse

(Occupational Health Nurse

Duties incuded pre-hire and anual cty physica, which inate

medial sceenngs, EKGs, visual and audio screenings,

immunizators, uine drug saeers, insurance authotzaiens 1a

PTIOT referals, assisted wit [2b related emergencies, and

workers compersation dans.

‘Provided Pre-Auth for Hospitalized and Home heath patie.

Coordinated Discharge Planing and Homecare with Hospital

Dischage Plannas, Prysidare ard Socal Worters fo heme heath

‘cae. Maintained accurate Documentation to ensure Compliance

\wif Stue Poles and Regdators. Coodinated ard Managed all

Home Healfcare, Provided Authorization for Out of Network cate,

Feb, 2002t0 July 2008 ‘Amerigroup Corporation

Medical Management Nurse

+ Pre-Authorizaions Nurse far patent and Oupatint Stay

+21 Hous Nuse Help Line: revising telephonic wiage for members

needingmedcal assistance

+ Auhoized Referals fox Specialist Diagnostic Procedures and Out ot

Network Care

+ Mainained accurate documentation ensure complance wih State



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