Care Coordinator Nursing
Resume:
Categorization Private
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MARY MARGARET WELLMAN
******.******@*****.***
CARE NATIONAL
CONTRACTOR FOR CARESOURCE HAP
COMMUNITY WELL RN Care Coordinator Waiver Program
• Provide support/education to clients with complicated social/behavioral/environmental issues
• Conducts home visits
• Utilize clinical judgment and critical thinking skills to facilitate appropriate client physical and behavioral healthcare and coordinate psychosocial and medical wraparound services to promote effective utilization of available resources
• Develop, assess and adjust as necessary the patient centered care plan and promote desired outcomes along with monitoring the effectiveness of the plan along with establishing measurable goals and outcomes
• Provide coaching, information and support to empower clients to make ongoing independent lifestyle choices
• Report specific health and social information back to the integrated team to assist in development of care/service plan
• Advanced care planning with client and others involved with client care
• Utilize Service Guidelines when developing service plans/care plans with clients and caregivers to promote understanding of service rationale.
• Authorize services in the most efficient means possible to meet identified client needs
• Efficiently manages caseload of 77 members.
• Returns calls members to attend to needs and issues promptly
• Attends all weekly meetings to maintain current and ongoing education
• Excellence attendance
• Adheres to HIPPA always
• Advocate for Members
• Works Autonomous however will reach out to manager for assist
• Very proficient with WORD EXCEL OUTLOOK Computer applications Express scripts care port and Guiding Care.
BRIGHTSTAR HOME INFUSION SERVICES 11-11-23-Current
• Provide the delivery of culturally sensitive, age-specific team-based care models in delivering nursing care prior to and following hospital discharge
• Perform phone triage and care coordination, including assessment, screening, clinical advice, lab follow up, and other duties assigned
• Accurate and efficient documentation of nursing care
• Knowledge of total parenteral nutrition
• Collaborate with pharmacy colleagues, other disciplines, and health care/community services to promote continuity of care
STAFF RN 8-14-23 -10-4-23
MEDILODGE OF ST. CLAIR
• The Inpatient and Skilled Nursing Facility Nurse (RN) are responsible for assessing, planning, providing and documenting direct and indirect nursing care for a designated group of hospital patients or skilled nursing facility residents in accordance with the physician's plan of care. Categorization Private
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• All nursing practice is based on the legal scope of practice, national and specialty nursing standards, HSC Policies and Procedures, and in accordance with all applicable laws and regulations
• The RN also provides nursing care interventions, preventing complications and promoting improvement in the patients'/residents' comfort and wellness, informing the interdisciplinary team of their condition as appropriate.
• All efforts are directed towards continuous quality improvement and family-centered care. RN Cap 1-12-202*-*-****
FRESENIUS KIDNEY CARE NORTH AMERICA
• Provided kidney dialysis End stage renal patients start to finish
• Provided education to patients and families regarding current illness
• Provided therapeutic supportive environment
• Attention to detail
• Medication administration oral and Iv medications as ordered
• Weekly, monthly and PRN lab draws
• Reported critical values
• Teamwork approach with nephrologist, NP, Dietician and SW Performed monthly DM foot check
Care plans Monthly update
RN VACCINATER
PRO LINK STAFFING
04-18-2021 -07-2021
• Recording patient vital signs
• Administration of the COVID-19 vaccine
• Monitoring patients for adverse reactions
• Assisting as needed with patient registration other duties as assigned. Identifies proper anatomical sites appropriate for safe injection RN VACCINATER 01-14-2021-04-09-20
INSIGHT GLOBAL
• Recording patient vital signs
• Administration of the COVID-19 vaccine
• Monitoring patients for adverse reactions
• Assisting as needed with patient registration
• Other duties as assigned
• Identifies proper anatomical sites appropriate for safe injection RN COVID 19 TESTING 0-/14-202*-**-**-****
TUSK MEDICAL
• Explained procedure prior to administering testing Oral and nasal
• Provided emotional support
• Explained when testing results would be available
• Explained quarantine process in event of positive results RN CASE MANAGER 01-14-2020-05-14-2020
Sinai Grace Hospital DMC
Categorization Private
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• Responsible to facilitate care along a continuum through effective resource coordination to help achieve optimal health, access care and appropriate utilization of resources, balanced with the patient resource
• effective resource coordination to help patients achieve optimal health access
• Provides appropriate utilization of resources, balanced with the patient's resources and right to self-determination. ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for timely safe discharge and prevent avoidable readmissions
Promotes appropriate length of stay, readmission prevention and patient satisfaction Completes comprehensive assessment within 24 hours of patient admission to identify and document the anticipated transition plan for patients.
• Identifies patients at risk for readmission and applies appropriate intervention including risk assessment and referral to Social Work services and/or Complex Case Review
• Coordinates clinical care medical necessity, appropriateness of care and resource • Utilization for admission, continued stay, discharge and post- acute care compared
• Evidence-based practice, internal and external requirements.
• Integrates key elements of patient assessment, patient choice and available resources to develop and implement a successful transition plan.
• Screens patients for factors that may affect the progression of care and intervenes to promote timely outcome
• Conducts assessments and stratifies patients as risk for admission or in need of ancillary services
• Healthcare team is mutually accountable to achieve the patient plan of care RN CARE MANAGER
VIBRUS LLC Care Manager, duel eligible Program 08-201*-**-****
• Medicaid/Medicare population. DSNP.
• Created yearly health risk assessments and care plans
• Follow up care inpatient and emergency room visits.
• Arranged ICT for participants and providers to implement collaborative support
• Caseload of 180 patients
• Provided resources to afford transportation services.
• Provided resources for food banks
Provided resources for utility bills/shelter
Care manager responsible to educate current chronic illnesses and current medications Full social work assessment
WORKMAN COMPENSATION MEDICAL CASE MANAGER
GENEX Services, LLC Troy MI 08-201*-**-****
• Nurse case manager attended all worker appointments and reported all findings found at provider visit
• Wrote monthly reports regarding current inured worker's status
• Caseload of 24 injured workers
• Worked with insurance company adjusters to ensure worker was healthy to return to work
• Provided clinical updates after each provide visit.
• Case manager provides weekly follow up calls with injured worker to ensure injured worker compliant with follow-up visits
• Case Manager concurred with disciplines: OT/PT/home health agencies Categorization Private
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HOMECARE RN 05-201*-**-****
• Prevent readmission to hospital
• Teaching/Educating chronic disease management
Hypertension, Diabetes Mellitus, Chronic Obstructive Pulmonary Disease, CAD CKD 1-5
• Structured Homecare visits prevention for re hospitalization
• Well versed with Medicare/Medicaid Insurance
• Durable Medical Equipment Liaison
• Phlebotomy
RN -FIELD REVIEW CONSULTANT 03-201*-**-****
Inovalon Analytics, Bowie MD
• ICD 9 and ICD 10 Chart review for insurance companies.
• Reviewed thousands of medical records onsite and remotely.
• Created current problem list for major insurance companies BCBS, HUMANA AETNA
• Identified gaps in care
• Attended Boot Camp twice yearly to maintain 95% testing percentile RN - CASE MANAGER
CENTRIA Home Health Care BRIGHTON MI 03-201*-**-****
• Keeping patients from returning to the hospital
Durable Medical Equipment Liaison
Teaching/Educating disease management
• Hypertension, Diabetes Mellitus, Chronic Obstructive Pulmonary Disease, CAD
• Structured homecare visits Pediatric Patients Vent support RN Charge Nurse, Cardiac Specialty Unit
McLaren Regional Medical Center, Mount Clemens, MI 02-200*-**-****
• Utilized Nursing Process
• Care of open post open heart
• Cardiac catheterization, chest tubes, Jackson Pratt drains
• Performed assessments
• Patient centered care plans
• Passed medications (oral, IV, SQ, Intramuscular)
• Educated patients on current disease process DM HTN, COPD, CAD, RENAL FAILURE Education: ASSOCIATE NURSING DEGREE
Macomb Community College, Warren M I Graduate
05/1992
Member of the American Red Cross Disaster Relief Staff since 2005
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