Case Management Manager

Mary Patricia Hyslop, RN, BSN

Pleasanton, CA 510-***-**** *********@*****.***

Desired Position

Case Manager Assistant, Washington Hospital, Fremont, CA

Clinic Triage Nurse

Dedicated BSN Nurse with 24 years of experience in clinical and patient care management working with chronically ill, acute, work comp injured, geriatric, pediatric and adult special needs populations.

Signature Strengths and Competencies

Medication Management

Medical Terminology

Chart Review

Care Plans

Assessment (ADPIE)

Wound Care

Special Needs Care

Triage Assessment

Case Management

Contract Experience

Nursing Resources Home Health Nurse Union City, CA November 2023 - 2024

Maxim Healthcare Special Needs Pediatric & Adult Care East Bay, CA 2023 - 2024

TinkBird Medical Staffing Emergency Covid Nursing Scranton, PA May 1 – 18, 2020

Experience

Corvel Corporation, Inc – Santa Clara, CA July 2020 – October 2023

Workers Comp Field Nurse Case Management

Assessment of injuries, concurrent medical conditions, and declared functional limitations

Knowledge base of common workplace injuries, anatomy, physiology, and pain response

Use of Treatment Protocols using evidence-based practices for treatment plans, rehabilitation, recovery, and pain management

Nursing Resources – Union City, CA March 2019 – June 2021

Home Health Skilled Nursing Care with Oasis Completion

Use of Physical Assessment Skills head to toe, including functional ability and change of condition

OASIS assessment, Medication Reconciliation and Medication Administration when needed

Use of Standards of Care for Diabetes, Heart Failure, HTN, COPD, Infectious Disease Management

Coordination of Care between Patient, Family, Caregivers, Physicians and Specialty Physicians

Health Net Care Manager II – Oakland, CA November 2002 – August 2013

Utilization Review, Telephonic and On-Site Review at CPMC Pacific Campus, San Francisco

Performed onsite and telephonic concurrent review of Medi-Cal, Medi-Care, HMO, PPO populations

Use of clinical knowledge, problem-solving and decision-making skills to authorize or escalate the use of benefit structures to the Medical Director for secondary review via weekly Catastrophic Rounds

Use of Inter-Qual Review Criteria for correct utilization of plan benefits and hospital resources

Education

Bachelor of Science. Nursing (BSN) Kaplan University

Associate of Science, Nursing (RN) Chabot Las Positas Community College

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