Case Manager Registered Nurse
Resume:
MARIANNE CIULLO PERKINS
Clarks Summit, Pennsylvania 184 1 t
***********@*******.***
EDUCATION
UNIVERSITY OF THE INCARNATE WORD San Antonio, Texas B. S. Nursing
May 2021
CERTIFIED REGISTERED NURSE CASE MANAGER (CCM)
MAY 2020
PROFESSIONAL EXPERIENCE
GEISINGER HEALTH PLAN Jan 2012- current
• Integrates evidence based clinical guidelines, preventative guidelines, protocols, and other metrics in the development of treatment plans that are patient centered, promoting quality and affect efficiency in the delivery of healthcare for the identified population.
• Develop systems of care that monitor progress and promote early intervention in acute care situations.
• Assist with the design, implementation, and evaluation of the advanced patient care center model.
• Assist with the design, implementation, and evaluation of the advanced patient centered care model.
• Assist the healthcare, education, and social psychosocial needs of patient
• Designs and individual care plan and fosters a team approach by working collaboratively with the patient, family, primary care, provider, and other members of the healthcare team to ensure coordination of service.
• Continuously evaluate laboratory results, diagnostic test, utilization patterns, and other metrics to monitor quality and efficiency results for assigned population.
• Works to appropriately apply benefits and utilization management serving as a resource to the patient and the healthcare team.
• Maintains required documentation for all case management activities.
• Collects required data and utilizes this data to adjust. The treatment plan went in indicated. PHYSICIAN HEALTH ALLIANCE
Care Manager Supervisor Nov 2010 – Jan 2012
Care Manager May 2010-Nov 2010
• Supervisor of Care Management Department
• Serves in an expanded nursing role to collaborate with patients and their Primary Care Providers to provide a model of care {hat ensures the delivery of' quality, and cost-effective healthcare services.
• Assesses, plans, implements, coordinates, monitors and evaluates all options and services with the goal of optimizing the patient's health status.
• Ievidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment that are patient-centric, promote quality and efficiency and the delivery of healthcare for the patient population MEKESSON HEALTH SOLUTIONS April 3006-May 2010
Disease Management Level Ill Registered Nurse
• Provides care to individuals or defined patient populations using telecommunications computer-based algorithms, protocols, or guidelines. Nurse case manager in Disease Management Department providing education, counseling, and care coordination telephonically to members in the following conditions: Asthma, COPD, Heart Failure, Coronary Artery Disease and Diabetes.
• Using the Nursing Process, providing nursing care within the standards of the state Nurse Practice Act. Adhered to nursing standards, company policies and shared principles when providing clinical assessments and health education.
• Uses the nursing process to identify patient care needs, risk and safety issues, educational opportunities, and proper health care referrals
• Processes calls based on Quality Management guidelines.
• Demonstrates compliance with all products specific performance metrics.
• Utilized computer and telephone on a daily basis. Preceptor, Lead Preceptor ALLIED SERVICES HOME HEALTH, Clarke Summit, Pennsylvania 1994-2006 Patient Care Supervisor (February 1999 — 2006)
• Responsible for ensuring high quality, comprehensive. and cost-effective health care services to a designated group of patients.
• Responsible for managing utilization, cost documentation, professional coordination, quality, and outcomes for this group of patients that includes all disciplines including Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Worker* and Home Health Aides.
• Responsible for selecting, orienting, administering, evaluating, and supervising ski lied nursing staff.
• Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's status.
• Interpret the proper information needed to identify each patient's requirements related to their age- specific needs and provide appropriate care.
• Utilize computer system for all aspects of nursing care. Discharge planning Staff Nurse 1994 - February 1999
• Visited patients in the home setting performing such skills as physical assessment, patient education, infusion therapy, and phlebotomy.
• Implement physician orders utilizing nursing judgment, as well as coordinate care with other disciplines such as Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Worker, and Home Health Aides.
SOUTH TEXAS METHODIST HOSPITAL,San Antonio, Texas May 1 991- 1993 Staff Nurse
Staff Nurse in the Bone Marrow Transplant/Critical Care Unit. Responsibilities included: chemotherapy and blood product administration, central venous catheter care, IV drug infusions, and coordinating care with ancillary staff Utilized nursing judgment to implement physician and standing orders based on assessed data.
Performed in-services for nursing personnel as well as for patient education. Utilized computer system to order tests, obtain patient information, labs, test results,, and for patient classification.
AUDIE L. MURPHY
MEMORIAL VETERANS AFFAIRS HOSPITAL, San Antonio, Texas 1990_ 1991 Student Nurse
Student nurse in the VALOR Program where I performed nursing skills under supervision of a registered nurse. Training included rotations through a variety of nursing units as well as didactic instruction.
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