Patient Care Case Manager
Resume:
Summary
Successful Registered Nurse with ** years of experience in healthcare to include case management, nurse educator, direct patient care and managing staff who provide direct patient care. Possess the knowledge, skills, and ability to provide accurate and professional service while providing patient care and interacting with a multidisciplinary healthcare team
Skills
Excellent verbal and written communication skills
Outstanding patient care evaluation skills
Strong decision-making skills and the ability to handle multiple priorities.
Experience in MS Word, Excel, and PowerPoint, Outlook email, EMR software applications
World Class Customer Service
Education
Lynchburg College - Lynchburg, Virginia May 1995 Bachelor of Science, Nursing
Central Virginia Community College - Lynchburg, Virginia May 1990
Associate in arts and science, General Studies
Work Experience
Carilion Roanoke Memorial, Roanoke VA March 25, 2024- Present
Case Manager
Assist patients with care at home post hospital
Direct calls to patient families TO ASSIST with need post hospital
Correct Daily estimated discharge days
Assist with financial applications for patient WITHOUT INSURANCE
Verify medication coverage with Insurance companies
DaVita Dialysis, Lynchburg VA February 2023- March 24
Supervise direct patient care team.
Manage, and provide care of patients with kidney disease.
Assess, and manage patient care based on individual assessment.
Verify that the patient’s prescription is provided by physician orders.
Direct and delegate tasks to direct patient care staff to ensure safe and effective delivery of hemodialysis therapy.
Piedmont Community Health Plan, Centra Health, Inc. – Lynchburg, VA May 2021- October 2022
RN Case Manager
Collaborated with providers and other health care team members to identify appropriate members for case management.
Formulated and implement care management plans agreed upon by the health care team that addresses member’s identified needs.
Effectively engaged members by telephone to conduct screenings, assessments, provide health education, and to perform follow-up calls.
Maintained accurate and timely documentation of care management activities in the EMR software.
Participated in regular meetings with care management team and the team leader to identify issues and strategies for resolution.
Adhered to organization’s policies, procedures, and requirements.
American Renal Associates – Richmond, VA November 2020 – April 2021
Team Leader
Supervised direct patient care staff.
Provided managed patient care to hemodialysis patients based on assessment.
Developed, implement, Monitor and evaluate patient care plans.
Provided customer service to all Internal and external customers.
Directed and delegate tasks to direct patient care staff to ensure safe and effective delivery of hemodialysis therapy.
Provided education to patients and staff regarding renal disease, vascular access, and dialysis therapy
Trustaff Travel – Cincinnati, Ohio June 2019 – January 2020
Travel Nurse (University of Virginia Kidney Center)
Supervised direct patient care staff.
Provided managed patient care to hemodialysis patients based on assessment.
Developed, implement, Monitor, and evaluate patient care plans.
Provided customer service to all Internal and external customers.
Directed and delegate tasks to direct patient care staff to ensure safe and effective delivery of hemodialysis therapy.
Provided education to patients and staff regarding renal disease, vascular access, and dialysis therapy.
Fresenius Kidney Care – Bedford, Virginia March 2017 – January 2019
Team Leader
Supervised direct patient care staff and provided managed patient care to hemodialysis patients based on assessment.
Developed, implemented, monitored, and evaluated patient care plans.
Provided outstanding customer service to all internal and external customers.
Developed and maintained positive relationships through effective and timely communication.
Directed and delegated tasks to direct patient staff to ensure safe and effective delivery of chronic hemodialysis therapy to patients.
Provided education to patients and staff regarding renal disease, vascular access, and dialysis therapy.
Fresenius Kidney Care – Salem, Virginia November 2004 – March 2017 Education Coordinator- Roanoke-Salem Dialysis
Trained new hire Patient Care Technicians and Hemodialysis Nurses to provide high quality direct patient care while performing hemodialysis and peritoneal dialysis.
Provided Annual Regulatory Compliance training, CPR instruction, and teaching techniques to effectively perform hemodialysis and peritoneal dialysis.
Responsible for coordinating new hire training, creating training schedule, maintaining employee training records, providing monthly In-services and preceptor training.
Assisted in the development of updating the East division training program and general orientation for new employees.
Traveled to other area dialysis units to provide chair side training to staff to implement computerized chair side charting of patient records.
Licensure and Certifications
Registered Nurse licensed in the state of Virginia.
Certified Dialysis Nurse
Basic Life Support
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