Registered Nurse Care Coordinator
Resume:
MARTINA MUKES
***** ***** ***** ***** *******, IL 60473 · 708-***-****
********@*****.***
To obtain a rewarding career within an organization that will provide continued growth and learning with the opportunity to provide value and enrichment.
EXPERIENCE
2024 – PRESENT
REGISTERED NURSE, UNIVERSITY OF CHICAGO INGALLS
Harvey, IL
•Provided comprehensive nursing care to patients in a rehabilitation setting, focusing on recovery from surgery, injury, or illness.
•Developed and implemented individualized care plans in collaboration with multidisciplinary teams, ensuring optimal patient outcomes.
•Monitored vital signs and assessed patient conditions, promptly addressing any changes or complications.
•Educated patients and families on rehabilitation processes, medication management, and post-discharge care, fostering a supportive environment for recovery.
•Assisted with daily living activities, including mobility training, personal hygiene, and nutritional support, promoting independence and self-care.
•Utilized advanced therapeutic techniques to enhance patient mobility and strength, contributing to a 30% improvement in patient recovery times.
•Documented patient progress and communicated effectively with healthcare professionals to adjust care plans as necessary.
•Participated in quality improvement initiatives, leading to a 15% increase in patient satisfaction scores over one year.
MAY 2021 – FEBRUARY 2025
CARE COORDINATOR II, CENTENE REMOTE
Burr Ridge, IL
•Answered phone queues and faxes within established standards. Screened members by priority for CM assessment. Complete care plans daily. Data entered assessments and authorizations into the system. Maintains database as directed.
•Attended ongoing training and in-services as directed. Perform tasks necessary to promote member compliance such as verifying appointments and obtaining lab results. Assess and monitor inpatient census.
•Provided education to care managers and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits
•Contacted members for compliance with HEDIS measures. Coordinated services with community-based organizations. Attend marketing and outreach meetings as directed to represent the plan.
•Initiate authorization requests for output or input services in keeping with the prior authorization list.
•Maintained integrity of PHI. Maintained a working relationship with other departments. Research claims inquiry specific to the department and responsibility.
•Produced and mails routine CM letters and program educational material. Helps develop marketing and outreach meetings directed to represent the health plan.
•Screened for eligibility and benefits. Trained new Care Coordinators on system and usage. Guided staff regarding benefits, authorization requirements and policy and procedure.
OCTOBER 2020 – APRIL 2021
PATIENT ACCESS REPRESENTATIVE, BC Forward Franciscan Alliance
Hammond, IN
•Answered telephone to assist patients with resolving issues.
•Input ICD 10 coding for billing and claims.
•Input patients’ demographics into epic computer system daily.
•Scheduled patient for appointment, lab test, x-rays and Covid test.
•Verified and ran 271’s for accuracy of patient’s insurance plan.
JUNE 2020 – OCTOBER 2020
CERTIFIED NURSING ASSISTANT, PALOS HEALTH
Palos Heights, IL
•Dressed in proper personal protective equipment to provide care to patients.
•Performed hourly rounding and monitoring for patients.
•Took daily blood pressure, blood glucose readings, temperatures in pulse rates for patients.
•Under the supervision of an RN, performed and delegated patient care activities as directed.
•Worked covid unit to assist patients with ADL’s.
SEPTEMBER 2019 – APRIL 2020
PATIENT CARE TECH BURN UNIT, LOYOLA HOSPITAL
Maywood, IL
•Assisted patients with performing activities of daily living to include bathing, grooming and oral care.
•Assisted the RN with collection of data from patients on admission for processing and assists with patient transfer or discharge preparations as instructed.
•Debrided burns upon patient admission in the clean room.
•Performed daily rounding using AIDET when interacting with patients and answered responds to call lights timely.
•Specimen collection daily with lab draws.
•Wound care rewrapped and unwrapped burns daily as instructed.
SEPTEMBER 2011 – APRIL 2015
REHABILIATION AIDE/ VA SPECIALIST
Downer Grove, IL
•Assisted with the admitting and discharge of residents.
•Assisted with some medical procedures, took vital signs, checked sugar levels.
•Assisted with transition residents to independent living services assessed and reporting changes.
•Assisted veterans with TBI (traumatic brain injuries).
•Documented and reported resident's progress to RN for resident transition program.
•Transported residents to and from doctor's appointments as needed.
NOVEMBER 1998 – JANUARY 2009
ADMINISRTATIVE ASSISTANT/ CLERK II, CITY OF CHICAGO HEALTH DEPARTMENT
•Answered multi-line telephone; screened incoming calls and performed data entry.
•Assisted personnel in the billing department by providing them with all pertinent information that will help ensure the efficiency and accuracy of the billing process and claims.
•Assisted with helping patient obtain rental assistance and housing placement.
•Completed Medicare and Medicaid applications for patients daily.
•Generated numerous documents in a timely manner including correspondence, messages, numerical analysis and monthly reports.
•Obtained information on patients' medical history and ensured the availability of patients' previous hospital and medical records.
•Released medical records by request of the patients and significant others in strict adherence to the rules and regulations set by the medical institution.
•8-10 employees as needed.
EDUCATION
ASSOCIATE DEGREE IN APPLIED SCIENCE IN NURSING, NORTHWESTERN COLLEGE
GPA 3.5, IL IDPH Nursing Scholarship, Dean’s List
BACHELOR’S DEGREE IN HEALTH CARE MANAGEMENT, Robert Morris University.
GPA 3.75, Dean’s List
SKILLS
Medical Terminology
Medical office experience
Insurance Verification
Certified Nursing Assistant
Microsoft Office
Medicare and Medicaid state approved application processors.
Supervisor Experience
EMR systems; Epic, Cerner, Global and TruCare
Medical Billing
BLS/CPR
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