Versatile Virtual Assistant Candidate with Healthcare Experience
Resume:
V I N U M A L A V E
********@*****.***
Staten Island, NY 10301
PROFESSIONAL SUMMARY
Highly experienced and well-trained nursing professional with sound clinical knowledge and judgment honed over 13-year career. Offering the knowledge and abilities necessary to deliver exceptional care to every patient. Valid New York Registered Nurse License and Case Management certifications.
SKILLS
HIPAA compliance Utilization review
Compliance procedures Discharge planning coordination Patient care plans
EXPERIENCE
Utilization Review Nurse, Village Care Max, Nov 2023 Current, New York, NY Coordinated service of highly complex cases by collaborating with case managers, behavioral health systems, early intervention and Medicaid. Adhered to strict HIPAA regulations, maintaining confidentiality in data and patient matters.
Consulted with healthcare team to plan and implement patient treatment protocols. Consulted and coordinated with healthcare team members to assess, plan, implement and evaluate patient care plans.
Maintained accurate, detailed reports and records. Registered Nurse, part time, On Your Mark, Nov 2022 Dec 2023, Staten Island, NY Perform nursing assessments on residents of home for persons with developmental disabilities.
Maintain compliance with all applicable regulations and company policy and procedure, including OPWDD.
Meet documentation requirements, i.e., obtaining and transcribing physician orders, semi-annual nursing summaries, health charts, medication regimen reviews and case review summaries.
Provide periodic staff training in the areas of first aid, detecting signs of illness, infection control and other topics as assigned.
Provide supervision to the Direct Care staff on clinical issues, in person and through telehealth.
Certify and recertify agency staff in AMAP. Provide open and professional communication with parents and family, as needed.
Registered Nurse Care Manager, Extended MLTC, Mar 2018 Nov 2023, Staten Island, NY VM
Jun 2016
May 2011
Plan, implement, manage and evaluate the provision of services to ensure that all members' needs are met and quality care is provided in accordance with Federal, State and Agency guidelines.
Assign administrative task to Member Care Associates, provide instructions and oversee completion of assigned tasks.
Using the UAS assessments and interviews done by the Enrollment Nurses, identifies the risk factors, strengths and challenges, service needs of the member to keep him/her in their community setting.
Establish and update the care plan with input from the member, caregiver(s), physician and other multidisciplinary health team members.
Assist Member Services, and QA/UM departments by providing records and materials needed for timely resolution of grievances.
Educated patients, family members and caregivers on conditions and treatment protocols to aid in compliance and improve outcomes. Registered Nurse, Seaview Rehabilitation Center and Nursing Home, Aug 2015 Feb 2018, Staten Island, NY
Assessment, planning, implementing, monitoring and evaluating nursing care plans, treatments and medication.
Provide daily care for long term patients with multiple conditions including stroke, MS, Alzheimer/dementia, TBI, palliative care and more. Provide daily care for short term rehabilitation patients recovering from various procedures such as hip or knee replacement, open heart surgery, traumatic brain injury, stroke and more.
Implemented infection control procedures to protect patients and staff. Trained student and newly-registered nurses in the correct nursing procedures and performance strategies.
Registered Nurse, Eger Rehabilitation Center and Nursing Home, Jul 2012 Aug 2015, Staten Island, NY
Administered prescribed medications and monitored patients for side effects and adverse reactions.
Completed detailed patient intakes, including documenting patient histories and current vitals.
Consulted and coordinated with healthcare team members to assess, plan, implement and evaluate patient care plans.
Maintained accurate, detailed reports and records. EDUCATION
Bachelor of Science, Nursing
Chamberlain College of Nursing Chicago, IL
Associate of Applied Science, Nursing
College of Staten Island Staten Island, NY
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