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Case Manager Management

Location:
Westminster, CO, 80031
Posted:
September 13, 2023

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Resume:

Sheila white, rn, bsn

303-***-**** • adzoi1@r.postjobfree.com

Case Management/ Pediatric Home Care /Utilization Review

Discharge Planning /Wellness Education / Hospital Bill Audits

— Key Qualifications —

Highly talented seasoned RN with extensive experience in case management and nursing capacities. Adept in case management with complex medical cases and disability cases. Firsthand knowledge of disease processes and medication therapies. Outstanding interpersonal, communication and negotiation skills. Strong people skills, work ethic, and high level of integrity.

Sensitive and responsive to patient's needs with a strong commitment to ensuring cost-effective care while optimizing quality.

Technically adept in case management software systems for insurance companies -web based programs- as well as MS Office (Word, Outlook, PowerPoint), WICS, CMS, FaxCom client and Risxfacs.

Professional Experience

Angels of Care – Aurora,CO

RN Pediatric Home Health Care, February 2023 to present

Provide skilled family-centered in-home nursing care to children with complex medical needs.

MGA Home Care – Denver, CO

RN Pediatric Home Health Care, October 2022 to December 2023

Provide skilled family-centered in-home nursing care to children with complex medical needs.

Thrive Skilled Pediatric Care - Greenwood Village, CO

RN Pediatric Home Health Care, June 2022 to October 2022

Provide skilled family-centered in-home nursing care to children with complex medical needs.

Self Employed -Westminster, CO

Field Case Manager, December 2016 to May 2017

Responsible for assessment, planning, and coordinating medical treatment plan of individuals on Workers' Compensation. Working as an intermediary between carriers, attorneys, medical care providers, employers and employees

Genex Services - Anaheim, CA

Telephonic Nurse Case MANAGER, November 2014 to July 2016

Responsible for assessment, planning, coordination, implementation, and evaluation of individuals on Workers' Compensation and Disability /disabled individuals

Provide triage services on cases based on assessment of patient

Pinnacol Assurance – Denver, CO

Nurse Case Manager, August 2005 to April 2014

Handled policies for large employer’s cases. Consulted with patients on injuries and provided advocacy, education, and nurse coaching services as a telephonic nurse case manager. Communicated with employers, medical providers, and allied professionals to create and promote programs to reduce rates of injury and disease at employer’s work sites.

Additional Experience

Staff RN Saint Anthony Hospital Neuro-Trauma Unit

Charge Nurse Mediplex Rehabilitation

Staff RN Charter Hospital Addictions, Detox, and Psychiatric Units

Supervisor of Case Management Department and UR Call Center

Professional Affiliations

International Association of Applied Psychology

Education

Bachelor of Science, Nursing

Grand Canyon University

MAP

Regis University



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