Case Manager Management
Resume:
Claire Mariano-Sergus
Work History.
Michigan Education Special Services Association (MESSA)
Certified Case Manager – Nurse Coordinator
East Lansing
• Developed and maintained NCQA Accredited Asthma and Certified Case Management Programs
• Reviewed short and long-term disability charts, medical claims, appeals, and grievances for approval or denial of benefits
• Managed clients and facilitated services through the healthcare continuum from home to healthcare facility and back home/residential setting
• Partnered and negotiated payments with vendors on behalf of clients to secure coverage for necessary treatments, services, and medical equipment.
• Increased access to healthcare services for underserved populations by collaborating with community organizations to address gaps in care delivery systems.
• Substantially reduced hospital readmissions and ER visits by providing asthma clients guidance/counseling/education Grow Therapy Telehealth Counseling (remote telehealth) Saginaw Psychological Counseling Inc (remote telehealth) End Violent Encounters (EVE) Lansing, MI (face to face)
• Provided Individual Telehealth Counseling in the Greater Tri-county Bay Area to men, women, and children experiencing homelessness, domestic violence, and in need of immediate community resources.
• Provided crisis intervention - individual and group sessions
• Facilitated weekly women's support group
• Supported/counseled/guided clients to meet their goals who experienced simple to complex disorders: stress, depression, anxiety, mood disorders, chronic pain, adjustment disorders, and co- dependency
• Performed comprehensive assessments using the agency's screening tools to assess biological, psychological, social, environmental, spiritual, cultural, and functional systems
• Utilized major scientific theories of practice in counseling including psychodynamic therapy, dialectical behavioral therapy, and Cognitive Behavioral Therapy
• Adhered to HIPAA rules/regulations and provided concise and accurate documentation of client's assessments, goals, interventions, progress, and outcomes in compliance with NASW regulatory standards
******@*****.***
DeWitt, MI 48820
Degrees
• Master Social Work (MSW)
• Bachelor Science in Nursing (BSN)
Licenses & Certifications
• Active Michigan Nursing License
• Active Michigan License in Social
Work – Clinical
• National Certification - Medical Case
Management
Education
Michigan State University
East Lansing, MI
Master's Social Work (Clinical)
Saginaw Valley State University
Saginaw, MI
Secondary Education:
MJR Biology & MNR General Science
Oakland University
Rochester, MI
Bachelor of Science, Nursing
Affiliations
• Case Management Society of America
• Member of the Association of Asthma
Educators
Visiting Nurse Services (VNS) of Lansing, Michigan - Discharge Planner/Medical Case Manager
• Developed, marketed, and implemented the role of the Discharge Planner - growing this position from one to three full-time positions at McLaren Lansing Hospital
• Coordinated care for discharged patients and their families - collaborating with case managers, staff nurses, therapists, social workers, home care agencies, pharmacies, vendors, outpatient infusion companies, wound care clinics
• Educated patients on disease management, self-care techniques, and wellness strategies to improve long-term health outcomes. Sparrow Home Care Agency - Lansing, MI - Medical Case Manager
• Coordinated and provided medical care and education to patients/families in variety of settings - sub-acute rehab facilities, nursing homes, residential homes, and hotels.
• Treated complicated wound vac dressing changes; intravenous infusions; PICC line care; tube feedings and trach care
• Collaborated with Protective Service Agency and Tri-County Office of Aging
St. Mary's Hospital – Saginaw, Michigan - Pre and Post Procedural Care Unit
• Worked on fast-paced same-day invasive procedure unit
• Educated patients and families regarding pre and post procedural care
• Collaborated with surgeons and anesthesiologists and other members of the patient's care
• Administered medications and changed dressings as needed St. Joseph Mercy Hospital, Ann Arbor, Michigan - Charge Nurse/Staff Nurse/Utilization Reviewer
• Utilized strong clinical judgment in prioritizing patient needs during high-stress situations, ensuring optimal outcomes.
• Administered medications / treatments to patients ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
• Served as a liaison between nursing staff, physicians, and management, fostering open communication with parties involved in patient care.
• Managed operations on the surgical unit, triaging and prioritizing patient needs, creating nursing assignments based on acuity
• Past Member of the Asthma Coalition
for Michigan
Experience Skills
• Critical thinking and decision making
• Leadership development
• Education
• Program development
• Client interfacing
• Effective communication
• Streamlining
• Time management
Volunteer Experience
• Michigan Department of Health &
Human Services, member of the
Asthma Task Force
• Not One More Life
• Lansing's Carefree Clinic
• American Lung Association
• Member of MESSA's Clinical Practice
Committee and Quality Management
Improvement Committee
• Chairman of the Education Council
Committee, Shared Governance
Committee, and Quality Assurance
.
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