Post Job Free

Resume

Sign in

Case Manager Worker

Location:
Elkhorn, NE
Posted:
June 13, 2023

Contact this candidate

Resume:

Shumedha Acharya

402-***-**** (c)

adxo37@r.postjobfree.com

Career Objective:

An experienced nurse with an associated in nursing and well-versed with the practices and procedures diagnosis and treatment seeks to work as a MDS nurse and a Case Manager with a leading health care organization.

Summary of Skills:

Strong ability to cope with emotional and mental stress of this position

Good reading, writing, and speaking skills in English

Extensive knowledge about medical and nursing practices and their procedures

Detailed knowledge of restorative and rehabilitation nursing practices

Vast knowledge about nursing and compassion towards helping residents

Strong MDS experience with long-term care facilities

Communicate with case worker from Medicare replacement plan such as UHC, Humana and Medicaid to make sure reviews are done on time

Work Experience:

MDS Coorinator, Brookestone Meadows Elkhorn NE Jan 2019 – current

Helping in the assessment and development of written care plan for every resident, revising and reviewing the same

Coordinating professional nursing care with the care team

Ensuring total availability of resources and quality care for patients

Updating and reporting regular status of the patient to the respective doctors as well as insurances

Documenting and conducting assessment of every individual’s medical status after their admission and conduct clinical chart assessments

Gather clinical information to assess and expedite care needs

Facilitate timely and appropriate care and effective discharge planning

Participate in team meetings, education discussions along with family meetings within the first 72 hours of the admission to plan discharge

Participate in telephonic and in-person staff meetings

Giving direct resident care by ensuring adherence of well-established plans

Adhered to established center, departmental and corporate policies, quality improvement program, objectives along with safety environment

Communicated with the nurses, physicians, coworkers, CNAs, interdisciplinary team along with family members regarding conditions of resident

Maintained and developed on-going MDS schedules for every resident

Checked the assignments of the which were associated with the schedules of MDS

Collected and assessed patients' record and completed OBRA, RAI Medicare insurance requirements

MDS/Case Manager, Maple Crest Health Care Center, Omaha NE May 2012 – Jan 2019

Helping in the assessment and development of written care plan for every resident, revising and reviewing the same

Coordinating professional nursing care with the care team

Ensuring total availability of resources and quality care for patients

Taking care of reimbursement from all sources and completing paper works

Updating and reporting regular status of the patient to the respective doctors as well as insurances

Documenting and conducting assessment of every individual’s medical status after their admission and conduct clinical chart assessments

Initiate a discharge planning and readmission prevention plan with social worker and community case worker

Gather clinical information to assess and expedite care needs

Facilitate timely and appropriate care and effective discharge planning

Participate in team meetings, education discussions along with family meetings within the first 72 hours of the admission to plan discharge

Participate in telephonic and in-person staff meetings

Giving direct resident care by ensuring adherence of well-established plans

Adhered to established center, departmental and corporate policies, quality improvement program, objectives along with safety environment

Communicated with the nurses, physicians, coworkers, CNAs, interdisciplinary team along with family members regarding conditions of resident

Maintained and developed on-going MDS schedules for every resident

Maintain appropriate documentation and fax required information to respective insurances.

Checked the assignments of the residents from Resource Utilization Groups (RUGs) and checked the payment periods, which were associated with the schedules of MDS

Collected and assessed patients' record and completed OBRA, RAI Medicare insurance requirements

Charge Nurse, Skyline Retirement Center Sept 2006 – May 2012

Assess head to toe on Medicare residents daily

Communicate with resident’s doctor, family member and interdisciplinary team on change in status

Assess wounds and do daily dressing changes

Assist doctors with rounds

Assure the privacy and personal dignity of patients

Process new admission/physician orders

Prepare and administer medications by; oral, sublingual, intramuscularly, subcutaneous, topical, dermal and inhalation routes.

Education:

Associated Degree in Nursing, College of St. Mary, Omaha NE July 2009

Licensed Practical Nurse, College of St Mary, Omaha NE May 2006



Contact this candidate