RN Case Manager: Care Coordination & Quality Improvement
Resume:
Bernadette Asari E Ita: Resume
Huntington Station, NY 11746
**********@*****.***
Dynamic RN Case Manager with extensive experience at Optum, excelling in care coordination and chronic disease management.
Proven track record in improving patient outcomes through effective communication and interdisciplinary collaboration.
Committed to quality improvement and HIPAA compliance, leveraging critical thinking to enhance treatment strategies and foster patient advocacy. Proactive and goal-oriented professional with excellent time management and problem- solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills.
Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking a proactive approach to identifying and addressing issues. with a focus on optimizing processes and supporting team objectives. Accomplishments
Collaborated with a team of (six) in developing patient safety for fall prevention. Supervised a team of twenty staff members.
Achieved patient safety through effectively helping with observing, assessing, planning, and implementing, which led to optimizing positive patient outcomes Documented and resolved harmful care which led to positive-oriented outcomes Skills
Quality improvement
HIPAA compliance
Chronic disease management
Care coordination
Clinical assessment
Healthcare regulations
Interdisciplinary collaboration
Patient consultation
Documentation
Effective communication
Critical thinking
Healthcare program planning
Analytical skills
Unit administration
Work History
RN Case Manager
Optum, (United Healthcare) New York, NY
September 2016 - April 2'024
Managed support services and fostered communication among social workers, therapists’ hospital staff, and patients.
Educated patients and caregivers on healthcare protocols and processes. Followed all personal and health data procedures, to effectively comply with HIPAA laws, and prevent information breaches.
Communicated with healthcare team members to plan, implement, and enhance treatment strategies.
Facilitated therapeutic communication, conflict resolution, and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities. Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
Conveyed treatment options, diagnosis information, and home care techniques to patients and caregivers to continue care consistency.
Delivered a high level of quality care to a diverse population while overseeing patient admission and triaging based on acuity and appropriate department admission. Implemented care plans for patients’ treatment after assessing physician medical regimens.
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention, and morale.
Educated family members and caregivers on patient care instructions. Equipped patients with tools and knowledge needed for speedy sustained recovery. Participated in evidence-based practice project implementation, nursing competency development, and nursing simulation activities.
Transition of Care Case Manager
Emblem Health, NYC, NY May 2016-
September 2016
Received caseload of patients for length of stay, care, and services to perform outcomes monitoring and variance analysis.
Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
Assisted clients with daily living need to maintain self-esteem and general wellness. Arranged transportation and documented details of discharged transition plans. Developed and implemented individualized care plans and coordinated necessary services to avail quality care for clients.
Educated clients and families on community resources, treatment options, and healthcare services to better manage conditions.
Assessed clients and developed plans to meet their needs. Participated in team meetings and training to stay updated on best practices and new developments in care management.
Evaluated patient’s progress and adjusted service plan to address areas of concern. Established and maintained relationships with clients, families, and community partners to coordinate services to meet clients’ needs.
Communicated with healthcare providers to facilitate continuity of care. Responded to emergencies and provided support to promote client safety and well-being. RN Case Manager
Wellpoint, Anthem Blue Cross
Melville, NY
November 2012-December 2015
Evaluated patient’s histories, complaints, and current symptoms. Explained the course of care and medication side effects to patients, caregivers, and families in easy-to-understand terms.
Participated in evidence-based practice project implementation, nursing competency development, and nursing simulation activities.
Provided high-quality safe patient care via telephone and contacted Medicare and Medicaid members to complete HRA assessment.
Observed and documented patient factors such as diets, physical -activity levels, and behaviors to understand conditions and effectively modify treatment plans. Developed and implemented individualized care plans and coordinated necessary services to ensure quality for clients.
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices
Conveyed treatment options, diagnosis information, and home care techniques to patients and caregivers to continue care consistency.
Facilitated therapeutic communication, conflict resolution, and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities. Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Per-Diem Nursing Supervisor
Far Rockaway Nursing Home
Far Rockaway, NY
March 2011- December 2012
Planned coordinated and assessed residents’ care in the unit assigned. Floated to the psych unit, assessed and documented residents’ behavior. And reports accordingly.
Trained new Nurses in proper techniques, care standards, operational procedures, and safety protocols.
Maximized staff and patient protection by enforcing optimal disease prevention protocols Discussed patient care and treatment with the care team members to optimize intervention plans and care delivery.
Developed and implemented new nursing protocols to improve patient outcomes while minimizing medical errors.
Confidently directed the overall operation of the nursing services and patient care Provided direct nursing care to patients when personnel were short-staffed. Educated patients and families on treatment procedures and answered questions for thorough home care plans.
Organized department following administrative guidelines to provide specified nursing services to meet legal, organizational, and medical staff guidelines. Improved teamwork and collaboration, resulting in a decrease in turnover rate Delegated tasks and provided leadership for eight nurses and support personnel. Vaccinated patients to protect them from illnesses of concern Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
Supervised staff of eight Registered Nurses, ten Licensed Practical Nurses, and ten Certified Nursing Assistants.
Coordinated and implemented in-service educational programs focusing on safety and adherence to protocols.
Investigated and independently resolved complaints from Staff, physicians, and patients by leveraging clinical judgment and unit management expertise Promoted. Professional development opportunities to encourage nurses to pursue continuous training
Supervised, directed, and motivated high-quality performance from nursing staff. Led staff meetings to keep the team informed of departmental changes and provide opportunities for nurses to share ideas and concerns. Answered questions and addressed concerns, from employees via email, phone, and in person.
Coordinated nursing care for patients and participated in patient and family education. Managed staff scheduling and time off to adequately staff nursing floors and allow nurses to earn time off.
Oversaw infection control procedures to protect patients from infections and keep nursing departments compliant with State regulations.
Developed and implemented quality improvement initiatives to provide the best possible patient care, and to identify and address areas of concern. Per-Diem Home Health Field Registered Nurse
North Shore Long Island Jewish Health System (NSLIJHS) New Hyde Park NY. July 2011-
September 2012
Determined and addressed individual home care needs by completing detailed assessments and reviewing documentation.
Provided physical assessments, medications, and chronic disease management to home healthcare patients
Administered different therapies and medications in line with physician orders and treatment plans.
Coordinated with other healthcare team members to support patient needs. Documented patient vitals, behaviors, and conditions to communicate concerns to the supervising nurse.
Evaluated patients’ histories, complaints, and current symptoms Managed patients recovering from medical or surgical procedures. implemented care plans for patient treatment after assessing physician medical regimens. Provided skilled, timely, and level-headed emergency response to critically ill patients. Monitored patient reactions after administering medications and IV therapies. Explained the course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Followed all personal and health data procedures, to effectively comply with all HIPAA laws and prevent information breach.
Equipped patients with the tools and knowledge needed for speedy and sustained recovery.
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance issues.
Worked with the healthcare team to develop a new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability. Observed and documented patient factors such as diet, physical activity levels, and behaviors to understand conditions and effectively modify treatments Assessed patients’ health status and developed individualized care plans to suit their needs.
Registered Nurse School Nursing
Horizon Nursing Agency
Hicksville, NY September
2010-September 2012
Worked collaboratively and cross-functionally with the school and school community. Created an inclusive and welcoming clinic to reflect the overall school community Served as liaison between families, school personnel, and other healthcare providers on behalf of students.
Cultivated positive relationships between community members, school students, and teachers
Delivered treatments and direct nursing care according to physician’s orders in the school environment.
Organized, adapted, and implemented nursing skills related to mobility, personal care, and comfort
Developed and implemented new nursing protocols to improve patient outcomes while minimizing medical errors.
Developed strategies to improve student behavior school-wide and helped teachers imagine classroom environments.
Assisted school personnel in the identification and understanding of students with disabilities
Administered medications and treatments as prescribed by physicians. Assessed students’ health status and developed individualized care plans to suit their needs.
Identified at-risk students, created detailed plans for specialized education and behavioral skills, and communicated plans with parents and teachers. Updated and developed care plans to establish goals based on the patient’s nursing diagnosis.
Supervised afterschool program to promote student growth and maintain safety for all students.
Dialysis Registered Nurse (Charge Nurse)
Davita Healthcare Company
Utica Avenue, Brooklyn NY January
2010-March 2011
Advocated for and strived to protect the health, safety, and patient rights. Administered medications and treatment to patients and monitored responses. Conducted ongoing monitoring and evaluations of behaviors and conditions and updated clinical supervisors with current information.
Followed all personal and health data procedures to comply with HIPAA laws and prevent information breaches.
Documented treatments delivered, medications, and IVs administered, discharge instructions, and follow-up care.
Collaborated with leadership to develop nursing satisfaction, retention, and morale initiatives.
Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
Provided skilled, timely, and level-headed emergency response to critically ill patients. Communicated with healthcare team members to plan, implement, and enhance treatment strategies.
Implemented care plans for patients’ treatment after assessing physicians’ medical regimens
Observed and documented patients’ factors, such as diet, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans. Delivered a high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission. Quickly responded to situations impacting the safety and security of the unit, actualizing crisis prevention interventions to control and de-escalate situations. Participated in evidence-based practice project implementation, nursing competency development, and nursing simulation activities
Reported findings to quality departments after conducting routine restraint audits and worked with the team to devise corrective actions for deficiencies. Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Evaluated patient histories, complaints, and current symptoms. Per-Diem Medical/Surgical RN
New York Presbyterian Brooklyn-Methodist
Hospital, Brooklyn, NY October
2009-January 2010
Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques
Managed a caseload of (ten) patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
Managed pains pain by implementing pharmacological and non-pharmacological pain management interventions.
Started intravenous fluids, administered medications, and documented patient charts by recording food and fluid output and intake.
Monitored and managed pain levels of post-surgical patients to reduce unnecessary opiate usage.
Administered IV medication monitoring documenting patient responses to address complications.
Provided inpatient care to a diverse population of adult medical-surgical patients Performed nursing assessments and developed patient-specific treatment plans to deliver comprehensive care.
Provided patient-centered discharge planning and education to reduce complications and readmissions.
Educated patients and families on disease diagnosis, prognosis, and post-operative care Administered medications and treatments to patients and monitored responses. Advocated for and strived to protect patients' health, safety, and rights. Performed emergency medical procedures such as BLS, ACLS, and other conditions- stabilizing interventions.
Monitored the patients’ vital signs to perform thorough condition assessments Performed intravenous therapy procedures and monitored chest tubes Monitored hemodynamic variances to identify signs of life-threatening complications. Provided health education to patients and families regarding discharge instructions and care plans.
Administered blood products and monitored vital signs to address immediate concerns Monitored patients before, during, and after surgical operations to evaluate to evaluate patient care.
Collaborated with interdisciplinary team members to facilitate comprehensive patient- centered care.
Per-Diem Medical/Surgical Registered Nurse
Beth-Israel Hospital
New York, NY July 2009-December
2009
Managed a caseload of (twelve) patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
Educated patients and families on medical/surgical procedures, therapeutic regimens, and pain management techniques.
Administered IV medications and monitored and documented patient responses to address complications.
Monitored patients before and after surgical operations to evaluate patient care. Educated patients and families on the disease process, diagnosis, prognosis, and outcomes.
Administered blood products and monitored vital signs to address immediate concerns. Provided inpatient care to a diverse population of adult medical and surgical patients. Monitored and managed pain levels of post-surgical patients to reduce unnecessary opiate usage.
Collaborated with interdisciplinary team members to facilitate comprehensive patient- centered care.
Performed nursing assessments and developed patient-specific treatment plans to deliver comprehensive care.
Performed emergency medical procedures, BLS, ACLS, and other condition-stabilizing interventions.
Administered medications and treatment to patients and monitor response. Provided health education to patients and families on discharge instructions and care plans
Monitored hemodynamic variances to identify signs of life-threatening complications. Performed intravenous therapy procedures and monitored chest tubes. Managed patient pain relief and sedation by providing non-pharmacological and pharmacological interventions.
Rehabilitation Registered Nurse (Charged Nurse)
National Rehabilitation Hospital
Washington, DC
April 20004-June 2009
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Performed triage on incoming patients and determined the severity of injuries and illnesses.
Quickly responded to situations impacting the safety and security of the unit, actualizing crisis prevention interventions to control and de-escalate situations. Implemented care plans for patients’ treatment after assessing physician medical regimens.
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Evaluated patient histories, complaints, and current symptoms. Participated in evidence-based practice project implementation, nursing competency development, and nursing simulation activities.
Followed all personal and health data procedures to comply with HIPAA laws and prevent information breaches.
delivered high-level quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission. Monitored patient reactions after administering medications and IV therapies. Facilitated therapeutic communication, conflict resolution, and crisis interventions by redirecting negative behaviors and helping patients regain or improve coping abilities. Observed and documented patient factors, diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans. Collaborated care with other healthcare professionals to obtain optimal patient outcomes. Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
Explained the course of care and medication side effects to patients and caregivers in easy-to-understand terms
Reported findings to quality departments after conducting routine restraint audits and worked with the team to devise corrective actions for deficiencies. Documented treatment delivered, medications, and IVs administered, discharge instructions, and follow-up care.
Equipped patients with the tools and knowledge needed for speedy and sustained recovery.
Communicated with healthcare team members to plan, implement, and enhance treatment strategies.
Per-Diem Registered Nurse Supervisor
Army Distaff Foundation
Washington, DC August 2007-
May 2009
Created and implemented nursing policies to foster a positive and organized work environment while planning, prioritizing, and assigning healthcare tasks to clinical support team members.
Performed triage on incoming patients and determined the severity of injuries and illnesses.
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Managed medication schedules and ensured communication with the medical team to avoid medication errors.
Encouraged all staff to the highest standards in patient care and conducted regular staff reviews.
Communicated with patients and their family members as needed and offered emotional and compassionate care to patients and families in distress. Assessed, processed, and discharged patients
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention, and morale.
Provided skilled, timely, and level-headed emergency response to critically ill patients Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
Managed patient and employee records with a focus on following HIPAA regulations and quality standards
Provided a direct line of communication between patients, nursing staff, and physicians Per-Diem Registered Nurse
Capital Hospice
Washington, DC August
2005-November 2008
Provided compassionate, individualized end-of-life care to terminally ill patients in the comfort of their homes/facilities
Participated in evidence-based practice project implementation, nursing competency development, and nursing simulation activities
Conveyed treatment options, diagnosis information, and home care techniques to patients and caregivers to continue care consistency.
Observed and documented patient factors, diets, physical activity levels, and behaviors to understand conditions and modify treatment plans
Explained medication side effects to patients and caregivers in easy-to-understand terms Performed pain management
Performed symptom management, nausea, vomiting, constipation, shortness of breath, etc.
Assessed the need for and obtained medical equipment Performed thorough health assessments, including assessing for pressure ulcers Monitored vital signs and documented findings
Provided end-of-life care, including comfort care, when indicated Coordinated care with other healthcare professionals Updated family and caregivers on changes in the patient’s health condition Educated family members and caregivers about the patient’s diagnosis, treatment plan, and what to expect
Educated the family and caregivers on what to care for the patient, including bathing, toileting, and medication management.
Education:
Currently a student at Grand Canyon University, Phoenix, AZ Course of Study: PhD Student
Grand Canyon University, Phoenix, AZ
Master of Science Nursing Informatics. September 2015- April 2017-
Grand Canyon University Phoenix AZ
Bachelor of Science Nursing November 2011-May 2014 Awards:
New Value Ambassador-National Rehabilitation Hospital Washington DC 2007-2009 References: available upon request
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