Registered Nurse Care Management

LINDA HINDERKS, RN, BSN

Littleton, CO • *************@*****.*** • 720-***-****

Care Coordination Disease Management Health Education

Registered Nurse with 20+ years of experience, specializing in holistic, patient-centered, cost-effective care. Skilled in managing chronic cases and developing personalized care plans to improve patient health outcomes and quality of life. Expert in disease management, health education, and care coordination. Proficient in motivational interviewing, collaborating with multidisciplinary teams, and utilizing electronic medical records to enhance care delivery and operational efficiency. Seeking a remote RN Care Management, Disease Management, Quality Assurance, or Patient Advocate position to provide exceptional patient-centered care.

Technical Skills: Guiding Care CRISP HIE CareFirst Direct Portal Five9 Phone and Dialer System 8 x 8 Work Phone System Epic System Arcadia Population Health CORHIO HIE Qualitrac Microsoft Teams Outlook Excel Word InterQual Milliman Care Guidelines Telehealth Technology Scheduling Software EMR Risk Stratification Tools

Care Coordination

Disease Management

Case Management

Wellness Coaching

Healthwise

Medication Reconciliation

Motivational Interviewing

Preventative Care

Comprehensive Assessment

Patient Advocacy

Complex Problem Solving

Critical Thinking

RECENT PROFESSIONAL EXPERIENCE

RN Care Manager Sharecare – Atlanta, GA 3/2025 – 9/2025

Provide care management services for CareFirst BCBS members in MD, VA, and Washington, DC.

Engage telephonically with member, caregiver/family, and providers to develop a comprehensive care plan with the goal of improved health and well-being, member stabilization, decreased ER utilization and hospital admissions, medication compliance, behavior changes, and ability to self-manage.

Conduct comprehensive health assessment, address member needs, identify key strategic interventions, set SMART goals, and adjust care plan based on progress or lack of progress, preference changes, change in condition, and transitions in care setting.

Provide member education and digital information on specific conditions and treatments.

Reconcile medications, provide teaching about medications, and emphasize compliance.

Identify gaps in care and assist member in taking measures to close them.

Evaluate social determinants of health, identify relevant benefits and community resources, and facilitate referrals based on member needs.

Oversee transition of care involving member moving from one level of care to another as healthcare needs change. Implement and oversee the agreed upon plan of care and discharge instructions, as well as coordinate member follow-up post discharge.

Handle incoming member calls and make member outreach calls through the dialer system.

RN Care Manager Mountain Pacific Quality Health - Helena, MT 2/2023 – 11/2024

Provided care coordination services and advocacy for Wyoming Medicaid members

Broad knowledge of Wyoming Medicaid programs and related state and federal guidelines.

Conducted comprehensive health assessment and developed individualized care plan, resulting in improved intervention effectiveness and goal achievement.

Reconciled medications, provided teaching about medications, and emphasized compliance.

Identified gaps in care and assisted member in taking measures to close them.

Assessed social determinants of health and connected member with community resources.

Provided targeted teaching about disease management, overall wellness, and preventative health practices, leading to improved outcomes and reduced future risks.

Assisted leadership in developing and reviewing educational materials, contributing to improved care delivery.

RN Commercial Account Care Coordinator Physician Health Partners - Denver, CO 3/2016 – 2/2021

Provided telephonic care coordination for commercial insurance members to ensure cost-effective and timely care, resulting in improved understanding of medical conditions, treatments, self-care, decision-making skills, and attaining highest level of functioning and quality of life.

Conducted comprehensive health assessment with emphasis on member-focused needs and goals.

Developed personalized care plan, interventions, and SMART goals resulting in positive outcomes and goal attainment.

Coordinated care efforts with PCP, multidisciplinary team, and insurance provider, enhancing overall care delivery and reducing ER utilization and hospital readmissions.

Reconciled medications, provided teaching about medications, and emphasized compliance.

Educated member and caregiver/family on disease management processes, treatments, and prevention.

Identified gaps in care and assisted member in taking measures to close them.

Assessed social determinants of health and connected member to community resources and services.

Identified and outreached high-risk members including those with recent hospitalizations, high ER utilization, and Covid-19.

Partnered monthly with insurance plan account manager to review provided services, shared pertinent information, and assessed impact and effectiveness of care coordination which resulted in improved member outcomes, cost containment, and optimized resource utilization.

Enhanced systems and processes utilizing LEAN methodology.

RN Care Manager/Health Coach Active Health Management - Denver, CO 2/2009 – 1/2016

Provided care management services for employees of the State of Mississippi.

Conducted comprehensive health assessment and developed individualized care plan, monitored member progress, and made necessary adjustments to the care plan resulting in improved member compliance and satisfaction.

Successfully implemented interventions and SMART goals based on assessment findings, resulting in positive health outcomes and goal attainment.

Identified social determinants of health and facilitated member access to necessary resources and support services.

Identified gaps in care and assisted member in taking measures to close them.

Reconciled medications, provided teaching about medications, and emphasized compliance.

Identified and managed high-risk members which improved engagement, outcomes, and reduced ER utilization and hospitalizations.

EARLIER EXPERIENCE

General Proofreader

Staff Development Coordinator/Infection Control Practitioner

Utilization Management/Case Management Nurse

Chemical Dependency Nurse

Home Health Nurse

General Surgery Nurse

General Medicine-Neurology Nurse

Medical Transcriptionist

EDUCATION

Bachelor of Science in Nursing Mount Mercy College - Cedar Rapids, IA

Certificate of Excellence in General Proofreading: Theory and Practice Proofread Anywhere LLC

LICENSURE

Colorado Multi-State Registered Nurse License #RN.0170285 Valid Through 9/30/2026

Contact this candidate