Case Management Nurse Navigator
Resume:
Michele S. Jones RN,BSN
E-mail: *************@*****.***
Flushing, NY 11355
WORK HISTORY
RN Care Coordinator, PCHP CENTRA July 2023-Dec.2024 Managing and directing high-risk, high -cost members to appropriate resources, services, and programs. Evaluates and plans for comprehensive coordination of care and health services to manage members across the continuum. Collaborates with the integrated team and partners to provide seamless exchange of information between providers, members, and caregivers with the ultimate outcome to improve quality, reduce costs and enhance member experience.
RN Case Manager, Centra Home Health Oct 2017-July 2023 Responsibilities includes admission and discharge from home health, administering medications via IV, SQ or IM, pleural drain management, wound vac management, foley catheter insertion/removal, blood specimen collection via venipuncture. Provide education related to patient’s chronic health history, recording and implementing physician’s orders. Other responsibilities include coordinating with patient’s providers and care team for quality of care and establish care plans and goals specific to patient’s needs.
RN Charge Nurse, Psych Department Virginia Baptist Hospital Centra Health Oct.2016-Oct 2017 Responsibilities includes administering oral medications, insulin, IM medications, wound care, IV insertion, urinary catheter placement, and collections of samples. Receiving and implementing physician’s orders. Supervision of RNs, CNAs, and counselors. Direct patient care. Able to conduct admission and discharge from hospital setting.
Nurse Navigator, Central Virginia Family Physicians March 2015-July 2023 Responsibilities includes working with patients and families to help with many different needs associated with health care system. Example of which includes: introduces the navigation services with intent to coordinate care, decrease potential barrier to care, and to assess potential resources to support needs of the patient or family. Initiate contact with newly identified patients via face to face meeting, telephone, e-mail or mail, and completes the patient needs assessment within the required timeframe of initial patient contact. Explaining treatment and care options that patient’s provider recommends, communicating with their health care team, assisting caregivers, working on patient’s Transition of Care from hospital or Nursing Home setting back to their PCP’s care, help in applying for medication assistance, educates patients/families on disease specifics, processes, and treatment options like for example; Diabetes, COPD, Asthma, Tobacco Cessation, Weight loss, and other Chronic problems. Establishes and coordinates a supportive care plan with goals and interventions based upon treatment and individual patient/caregiver needs, preferences, beliefs, and values; and updates the plan as changes occur. Ensures safe care to patients by adhering to established policies, procedures, and accuracy of practice. Remains up to date with advances in the assigned role, and integrates knowledge into on-going practices; attends and participates in meetings, and other meetings deemed pertinent.
RN,BSN, Blue Ridge ENT and Plastic Surgery Aug.2010-March 2015 Responsibilities includes record vital signs, prepare patients for surgeries, assist physicians during surgeries, assist patients during post-op care, enter patients medical history using Allscript EHR,schedule patients for appointments, calling patients regarding laboratory results, administering prescribed medications as required by the physician.
Medical Assistant, Central Virginia Family Physicians June 2005-Aug. 2010 Responsibilities includes greeting patients, taking medical histories, recording vital signs, and assist physician during examination. Other responsibilities include administer prescribed medications as required by the physician, collect and prepare laboratory specimens, and instruct patients on treatments as prescribed by physician.
Phlebotomist, Dr. Brewer’s Office Oct.2001-March 2005 Responsibilities includes performed routine venipuctures, venipunctures via winged collection sets, capillary punctures, blood culture collections, and specimen processing. Other duties included patient registration, clerical duties, calibration of equipment, monitoring vital signs, test order for in-house lab work and specimens sent to reference laboratories.
Phlebotomist, Morgantown Internal Medicine Group June 1999-July 2001 Responsibilities includes performed routine venipunctures, venipunctures via winged collection sets, capillary punctures, blood culture collections, and specimen processing. Other duties include patient registration, order in-house lab work and specimens sent to reference laboratories.
CNA & Restorative Aide, Greene County Memorial Hospital Oct.1998-May 1999 Responsibilities includes taking care of elderly in geriatric unit, monitoring vital signs, helping Physical and Occupational Therapists with exercise therapy and doing craft activities with patient.
EDUCATION BS Nursing 1994 Our Lady of Fatima University (Philippines) Phlebotomy 1998 National Career School (PA) Certification: RN,BSN
References:
Katrina Slagle,MSN PMHNP-BC Manager, Care Coordinator Piedmont Community Health Plan 434-***-****
Laura Campbell MSN,RN,IQCI,CCM Director of Medical Management Centra Health 434-***-****
Deb MCPherson RN,BSN CaseManager Centra Health 434-***-****
Valerie Muncher RN,BSN Nurse Care Manager CVFP New London 434-***-****
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