Resume

Case Management Manager

Location:

Overland Park, KS

Posted:

October 09, 2023

Contact this candidate

Resume:

Deborah Lang

Topeka, KS *****

785-***-**** - adz827@r.postjobfree.com

Professional Summary

Compassionate Nurse Case Manager offering 14 years of experience working with patients and families to facilitate smooth transitions following discharge from medical facilities. Committed to working collaboratively with health plan, leadership, and department coordinators to achieve highest quality of patient satisfaction. Well-versed in developing individualized care plans and advocating patient welfare. Skilled in creating and implementing processes to improve patient care and cultivate support teams. Enthusiastic Utilization and Case management knowledgeable in health screenings and treating patients with Medical and Psychiatric conditions. Well-trained professional with talents in critical thinking and insurance justification skills. Highly experienced in Medical and Psychiatry Medicine.

Accomplishments

Special award as an outstanding nurse, article, Psychiatric Crisis Related to Medical Treatment in Health Care Setting, published 2004, the Kansas State Nurses Association journal.

Achieved financial stability for the department, institution, by completing clinical case reviews with accuracy and efficiency.

Skills

Experienced with excellent documentation skills

Knowledgeable of abnormalities of mental illness and associated nursing care

Proficient as a nurse consultant regarding psychiatric care

Outstanding ability to provide compassionate care

Comfortable with patients in difficult situations

Able to conduct a professional interview.

Provides excellent care coordination care Ability to collect, document and analyze data

Highly knowledgeable of Medicare and Medicaid issues.

Has problem-solving and critical thinking skills

Prepared to complete Insurance claims and government forms

Knowledge of payments and reimbursement systems

High speed cable modem in home office

Work History

01/05/2023 to 03/15/2023 Tonganoxie School Nurse

Tonganoxie High School, 404 E. Highway 25/40, Tonganoxie Kansas,66086

Assisted with physical and psychological care of disabled students.

01/08/2022 to 10/2022 Nurse Case Manager (Triage Department)

University of Kansas Health Systems St Francis Campus-Topeka Kansas

Works closely with attending physicians in the process of admissions to the facility.

Knowledgeable about support of departments of department specific and of health center performance improvement activities, involved in activities as requested. Process broad knowledge of healthcare organization and strong clinical background and knowledge of current patient care practices.

Maintained mandatory competency/education as required participated in Net Learning and Compass training.

04/2022 Private Duty Psychiatry Home Health Nurse- Gainesville Georgia

Employed by David Douglas for care of his mother-in-law, diagnosis of encephalopathy secondary to Wernicke’s Korsakoff syndrome.

Knowledge of nursing care aspects particular to associated disease and related dementia.

09/2021 to 11/2021 Nurse Case Manager

Aya Traveling Nurse Agency –

Effectively communicated with physicians regarding patient needs, performance, medications, and changes.

Completed initial assessments of patients and family to determine and address individual home care needs.

Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.

Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.

12/2007 to 04/2021

Integrated Nurse Case Manager

University Of Kansas Health System – Kansas City, KS

Proactively communicated with insurance payors.

Performs initial, concurrent, and retrospective reviews in association with outlined criteria, protocols, and guidelines.

Arranged for patient transferred to other health facilities; had arranged for continuity of care with referral services.

Effectively communicated with physicians regarding patient needs, performance, and level of care.

Responded promptly and professionally to patient questions and concerns.

Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.

Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.

08/2004 to 05/2008

Adjunct Clinical Nursing Instructor

Washburn University Technical Institute – Topeka, KS

Monitored progress of each student and provided formal evaluation upon completion of clinical placements.

Contributed educational and clinical expertise to help optimize training courses and boost student learning.

Oriented and provided instruction to students during clinical rotations.

Assessed student knowledge levels and abilities with detailed assessments.

Delivered information and valuable instructions to students during clinical rotations.

08/2001 to 08/2004

Practical Nursing Instructor

Kansas City Kansas Community College Academy Of Science – Kansas City, KS

Monitored progress of each student and provided formal evaluation upon completion of clinical placements.

Coached underperforming students to help meet clinical objectives

Developed and created clinical assignments to assess student skills.

Coordinated with clinicians to develop and coordinate student assignments.

Liaised with medical and nursing personnel to evaluate and improve teaching and nursing practices.

07/1995 to 10/2001

Hospital based title as, Physician Clinical Nurse Specialist

Ethan Bickelhaupt MD – Topeka, KS

Met with patients to discuss medical histories and current complaints.

Teamed with other physicians, specialists and health care providers to provide well-rounded care for complex cases.

Interviewed patients concerning physical complaints, discussed symptoms, asked questions, and suggested treatment options.

Developed great rapport with patients, listening closely and empathizing with their situation.

Adherence to strict HIPAA guidelines to protect patient privacy.

02/1991 to 08/1994

Integrated Nurse Case Manager

Stormont Vail Regional Medical Center – Topeka, KS

Effectively communicated with physicians regarding patient needs, performance, medications, and changes.

Completed initial assessments of patients and family to determine and address individual home care needs. ·

Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.

Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.

Provided initial, concurrent, and retrospective reviews to insurers.

03/1987 to 04/1991

Clinical Nurse Manager

Colmery-O'Neil VA Medical Center – Topeka, KS

Supervised, directed, and motivated high-quality performance from nursing staff.

Interacted effectively with department managers to promptly correct problems and improve services.

Supervised team of 22 nurses and 34 clinical nursing assistants.

Investigated and independently resolved complaints from staff, physicians, and patients by leveraging clinical judgment and unit management expertise.

Offered leadership, support, and clinical expertise within care management teams to achieve outcomes.

Maintained knowledge of regularity requirements of nursing standards and Joint Commission guidelines.

Education

05/1997

Bachelor of Science: Nursing Science

Fort Hays State University - Hays, KS

Majored in Nursing Science

05/1973

Associate of Science: Nursing Education

Stormont Vail School of Nursing - Topeka, KS

Majored in Nursing

05/1969

High School Diploma

Topeka West High School - Topeka, KS

Continuing education in Nursing Assistance Program

Boating and Water sports

Enjoyed buying large used boats, 32 to 52 feet, and with my husband completed mechanical repairs and detailed interior updates.

Organized many events with other friends and family who were boat enthusiasts.

Participated in a program to gather and distribute regulation life jackets for infants and children.

Also enjoy sewing, knitting, interior design, and fashion trends.

Certifications

From Kansas State Nursing Association received “2011 Excellence in Writing for Publication”, for the clinical article, Behavioral Response Team: A Strategy to Promote Workplace Safety in an Academic Medical Center, The Kansas Nurse, Volume 85, Number 7, October 2010.

Original Kansas State Nursing License, original date 09/13/1973

Granted Multi-State License, September 27, 2021

Expiration 02/29/2024. Lic # 13-34047-022

CPR certification 6/14/2021, expires 6/2023.

Basic Life Support certification # 00O0C6T

09/02/2021, Expiration 09/02/2023

Nonviolent Crisis Intervention CPI

Certification # NC6E504E, Expiration 04/2024.

REFERENCES

Laura Burch Psychiatry Nursing Supervisor, retired

913-***-****

Address Olate, Kansas