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Registered Nurse Case Manager

Location:
West Columbia, SC, 29169
Salary:
Negotiable
Posted:
September 16, 2023

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Resume:

CT

CAROL TRAYNOR

adzqy4@r.postjobfree.com 180-***-***** West Columbia, SC 29169

Efficient Registered Nurse with 30 years of experience. Successful at providing fast and accurate assessments and working calmly under pressure. Collaborate well with doctors to maintain top-notch healthcare practices. Medical screening

Patient monitoring

Unit administration

Hematology testing aptitude

Family and patient support

Tracheostomy care

Coordinating referrals

Inpatient and outpatient care

Disease management programs

Direct and Indirect Patient Care

Patient Management

Blue Cross and Blue Shield South Carolina

Columbia, SC

RN Managed Care Coordinator 1-UM

06/2020 - Current

Performs medical reviews. Ensure coverage for appropriate services within benefits and medical necessity guidelines. Provides appropriate communication regarding services to health care members. Telephone assessments for members receiving pre and post op services. Health coaching for members with appropriate benefits .

Amedisys Home Health Columbia, SC

Home Health Registered Nurse

02/2020 - 04/2020

Notified physicians of changes in patients' conditions. Utilized learned nursing skills for wound care, vital sign checking and medication assistance.

Developed care plans, covering goals based on nursing diagnosis and incorporating therapeutic, preventive and rehabilitative nursing actions. Completed initial assessments of patients and family to determine and address individual home care needs.

Three Rivers Behavioral Health Hospital

West Columbia, SC

RN Staff Nurse

08/2015 - 01/2020

Reviewed physician orders and administered therapies, treatments and medications.

Explained treatment procedures, medication risks, special diets and physician instructions to patients.

Reviewed physician orders and participated in medication management to optimize patient safety.

Collaborated with interdisciplinary healthcare professionals to create, implement and adapt individualized care plans.

Prioritized patient care assignments based on patient conditions to achieve optimal outcomes.

Mentored new nurses on practices and procedures to drive patient outcome goals.

Gentiva Home Health Columbia, SC

Home Health Registered Nurse

05/2014 - 06/2015

Utilized learned nursing skills for wound care, vital sign checking and medication assistance.

Summary

Skills

Experience

Developed care plans, covering goals based on nursing diagnosis and incorporating therapeutic, preventive and rehabilitative nursing actions. Notified physicians of changes in patients' conditions. NHC Home Care West Columbia, SC

Home Health RN Case Manager

04/2011 - 01/2014

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

Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans. Charted changes in patient conditions and discussed concerns with supervising healthcare provider.

Agape Home Health West Columbia, SC

Hospice Registered Nurse Case Manager

04/2007 - 12/2009

Listened to patients and loved ones, offering emotional support and kindness to help with end-of-life transition.

Guided patients' loved ones and caregivers in pain management, wound care and medication dosing.

Created and applied tailored care plans that would meet each patient's individualized needs.

Midlands Technical College West Columbia, SC

Associate of Applied Science in Nursing Science

06/1991

Education and Training



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