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R.N Case Manager

Location:
Des Moines, IA, 50309
Posted:
April 18, 2023

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Resume:

Teresa Ann Gilliam - R.N.

adwmc5@r.postjobfree.com

515-***-****

Objective:

To obtain a position in a health care facility where I can utilize my twenty five plus years' worth of nursing skills, knowledge and experience to provide quality health care.

Education:

Mercy Hospital Medical Center School of Nursing, Diploma in Nursing, 1993-1995

Des Moines Area Community College, Associate in General Studies, 1992-1995

Professional Experience:

United Health Care - WellMed

November 2021 - Present

Case Manager

•Telephonic case management for discharge planning.

•Perform TOC (transition of care), HRA (Health Risk Assessment) and offer CCM (Complex Care Management).

•Complete detailed Assessments, which trigger care plans.

•Provide patient with medication reconciliation forms

•Provide members with ADAMS Education material

•Make Social worker referrals as needed

•Work closely with PCP

•Provide Meals on Wheels, Moms Meals, Transportation needs.

Maggie’s Place at Kennybrook Village

June 2020 – November 2021

Hospice RN

•Assist patients with end-of-life care, providing comfort and compassion, allowing them to pass with dignity.

•Provide emotional support to patients and their families.

•Work one on one with dementia and Alzheimer's patients.

Taylor House

December 2018 – June 2020

Hospice RN

•Assist patients with end-of-life care, providing comfort and compassion, allowing them to pass with dignity.

•Provide emotional support to patients and their families.

Kavanagh House

February 6, 2018 – December 2018

Hospice RN

•Assist patients with end-of-life care, providing comfort and compassion, allowing them to pass with dignity.

•Provide emotional support to patients and their families.

Private Nurse

July 2017 – November 2017

•Providing care for a stage 4 COPD patient with diabetes.

•Medication management.

•Transporting to doctor appointments.

•Administering insulin injections and scheduled nebulizer treatments.

Hospice of the Midwest

December 27, 2016 – June 9th, 2017

Hospice Case Manager

•Assist patients with end-of-life care, providing comfort and allowing them to pass with dignity.

•Provided emotional support to patients and their families.

•In contact with physicians to provide the best plan of action for patient care.

•Traveled to several facilities and homes to treat patients.

•Detailed charting on a tablet.

Wellmark Blue Cross Blue Shield

June 30, 2014 – November 5, 2014 (Palmer Group)

November 5, 2014- November 2016

Advance Care Case Manager/ Pregnancy Support Case Manager

•Telephonic case management for Advanced Care, Pregnancy Support and NICU members.

•Complete detailed Assessments, which trigger care plans and monthly medication reviews

•Monthly follow up calls for Advanced care members

•Follow up calls to pregnancy members depending on their risk factors. High risk, At Risk and low risk members.

•Postpartum follow up calls which include a depression screen.

Mercy Hospital Medical Center

June 2003 – June 27, 2014

Health Resource Nurse

•Ability to demonstrate a high level of nursing process including assessment, planning, implementing and evaluating the client’s needs.

•Answer telephone for physician referrals and class scheduling, enter client data into the computer database.

•Disseminate health information to clients and enter data into a computer database.

•Generate confirmation letters to clients following telephone contact, send class rosters to instructors, send follow-up letters to referral physicians and take pertinent reports from the computer.

•Prepare monthly management reports based on computer data.

•Enter new physician data and update new material.

•Maintain confidentiality of all client health information and referral information.

•Orient new staff with training.

•Have the ability to work independently with limited supervision using the Nurse Triage protocols, the Nurse Practice Act, Mercy Medical Center policies, nursing standards and professional judgement.

Community Neuro Rehab

October 19, 2012 – August 15, 2013

Brain Injury Specialist/Health Educator Coordinator

•Serve as an active participant in the interdisciplinary team of program staff and rehabilitation professionals. Participants and their family members.

•Develop individualized program plans that promote the reacquisition of daily living skills and the use of strategies that will maximize access to community living options including vocational and educational opportunities.

•Utilize behavioral analysis and management strategies in the development of personal intervention plans to assist program participants in meeting their individual behavioral goals.

•Establish and maintain reinforcing relationships with participants and their family members, program staff and rehabilitation professionals by demonstrating and upholding PEARL, strategies from proactive treatment interactions.

•Utilize community resources and programs to facilitate active involvement of the participant within the community and work with employers and educators to ensure necessary accommodations are provided.

•Monitor all programs and scripts, including medications, making sure they are current.

•Prepare meals in accordance with established menus and maintain household cleanliness in accordance with Iowa Code.

CBS Staffing, LLC

May 5, 2010 –November 21, 2011

Supervising R.N.

•Case manager of Medicaid patients, making sure they followed the Physician plan of care and addressed any unmet needs.

•Develop and update plan of treatments, medication records etc. for special needs clients.

•Go to Dr. Appointments if necessary.

•Review all nursing documentation for errors.

•Supervisory visits planned and unplanned for Nurses providing the skilled and respite care.

Healthy Connections, Inc.

January 13, 2006- February 1, 2010

Supervising R.N.

•Case manager of Medicaid patients, making sure they followed the Physician plan of care and addressed any unmet needs.

•Develop and update plan of treatments, medication records, etc. for special needs clients.

•Go to Dr. Appointments if necessary.

•Review all nursing documentation for errors.

•Supervisory visits planned and unplanned for Nurses providing the skilled and respite care.

Johnston Pediatric Clinic

January 2, 2006-February 1, 2008

Primary R.N.

•Working directly under Dr. Beetler; administering immunizations, blood draws, obtaining histories, setting up referrals, other tasks as needed.

Renaissance Center for Women’s Health

February 2004 – December 2005

R.N.

•Provide care for ante partum and post-partum women.

•Assist with Gynecological procedures.

West Des Moines OB/GYN Associates, P.C.

2003 – January 2005 (PRN status)

R.N.

•Provide care for ante partum and post-partum women.

•Assist with Gynecological procedures.

Mercy Hospital Medical Center

April 1995-July 12, 2003

Charge Nurse

•I served as a breastfeeding educator.

•Provided direct patient care to maternal child, gynecological, and emergency room patients.

•Recognize patient needs and provided resources and referrals for optimal function at discharge.

•Provided extensive teaching to patients and family members on procedures and care of their newborn.

•Worked in the NICU as needed.

•Assigned duties and coordinated nursing services.

•Supervised nursing activities within the Mother/Baby unit.

The Principal Financial Group

1982-1995

PC Service and Support

•Code and prepare reports for the Pension Administrators.

Professional references available upon request.



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