Case Management Practical Nurse

SUMMARY

I am a healthcare professional with over 15 years of clinical experience and case management experience working in specialty departments ranging from emergent care, pediatrics and labor delivery to general surgery where I was the lead team member navigating care from the point of admission, treatment and discharge planning.

TRICARE PRIME: AUSTIN TEXAS FROM 5/2023 TO PRESENT

UTILIZATION RESOURCE NURSE/ RETIREE VETERANS

Review precertification requests for medical necessity.

Refer requests to the Appeals Specialist nurse when additional expertise is required.

Review clinical information for concurrent reviews, extending the length of stay as appropriate.

Use effective relationship management, coordination of services, resource management, education, patient advocacy, and related interventions to:

Promote improved quality of care and/or life.

Promote cost effective medical outcomes.

Prevent unnecessary hospitalization.

Promote efficient lengths of hospital stays.

Provide for continuity of care.

Ensure patients receive appropriate levels of care.

Provide appropriate consultation to consultation to various clinical and non-clinical staff.

Provide support and maintain cooperative working relationships with all Innovative Care Management departments.

Provide appropriate referral to Case Management, Disease Management and Healthy Mother Baby programs.

Accurately document all communications and patient-related interventions using ICM software.

DOCTOR COMMUNITY HOSPITAL: LANHAM, MARYLAND * APRIL 2022 TO PRESENT

License Practical Nurse: Emergency/Trauma Room

In a fast-paced environment, responsible for triage incoming patient based on their acuity of illness and or injury.

Stabilization of patient by way collection and comprehension of vitals, labs, radiological testing performed.

Starting of PIV line and assisting with tracheotomy, cut down and intubation procedures.

Administering ordered medication, engaged in suturing, chest tube placement and various bedside emergent care.

Participating in all codes and when assigned the Rapid Response Team member during after-hours emergency.

FORT BELVOIR ARMY HOSPITAL: FT. BELVOIR, VIRGINA * 4/ 2020 TO 6/2022

Licensed Practical Nurse: Labor and Delivery

Provided cardiac monitoring and neonatal monitoring of laboring patients via ultrasound during the birthing process

Assessing changes in patient status with the appropriate medical interventions as per proven pass practice measures.

Administering of prescribed medications, starting and monitoring patient’s with PCA for pain management.

Proficient in sterile and OR procedures during surgery and phase II recovery.

DOD- WALTER REED HOSPITAL- BETHESDA, MARYLAND *2015 to 4/ 2020

Licensed Practical Nurse (Medical- Surgical Wounded Warrior/Surgical Stepdown Unit)

Providing pre- and post-surgical nursing treatments to active-duty members and their family, from the onset of a surgically associated illness or injury until the point of restoration and or amputation.

Proficient in the care of highest acuity patient associated with the trauma team, specialty nursing duties in administering care to newly Amputees, TBI (Traumatic Brain Injury), Vascular illness/injury, Neurosurgical patient and Pre/Post Transplantation patient population.

Expert in surgical gastric bypass and gastric sleeve patient caring for the fresh lap sites, observation of new lap sites, bowel sounds pitch/tone and frequency, abdominal size, tenderness coverage with derma bond.

DOD- US AIR FORCE • ANDREWS JOINT AFB • 2014 to 5/2016

Licensed Practical Nurse (Air Force Civilian)

Expert in assisting and performing complex clinical nursing procedures within general surgery, management of illnesses and disease processes in order to provide complete and total care for pre and postoperative patients.

Skilled in administering all variety of injection, IV certified, certified diabetic wound care nurse, proficient in cauterization, irrigation, suctioning and medication administration within a hospital and ambulatory care setting.

Serves as the department Master User for Relay Health system that links provider, patients and outside resources to the lab results, diagnostic testing, and case management.

POC (Point of Contact) for risk management duties, patient advocacy and resource liaison.

EDUCATION

UNIVERSITY OF MARYLAND UNIVERSITY COLLEGE

B.S. Degree Major: Human Resource Management,

Double Minor in Legal Studies and Health Administration

ULTIMATE HEALTH SCHOOL • FAIRFAX, VA

A.A. Degree: In Nursing

ADDITIONAL SKILLS

BLS/ and ACLS

Licensed Life and Health Agent

Skin/Venipuncture- with and w/o blood draw.

LVAD Care and Maintenance

Telephone Consult

ESRD CARE Patient Care, Dietary Teaching and administration of hemodialysis via AV shunt and port.

NRP Certified- Neonatal Resuscitation

Diabetes Management, wound care, testing and prevention.

STABLE Certified

LICENSES

LICENSED PRACTICAL NURSE, MD BOARD OF NURSING, 2000 to CURRENT.

TRAINING

MILITARY FACILITATOR 2015. GRADUATE SCHOOL, 2015

ACLS, AMERICAN HEART ASS, UPPER MARLBORO, 2000 TO CURRENT

PMP: PROJECT MANAGEMENT PROFESSIONAL 2014 TO CURRENT

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