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Professional Summary

Knowledgeable Registered Nurse with over 7 years of experience in delivering comprehensive patient care. Medsurg ,acute care,rehab,long term care,hospice/home care.

Advanced skill working with diverse patient populations. Demonstrated ability to foster relationships and coordinate with healthcare professionals to advance patient care.

Licenses

Registered Nurse in the State of Florida.

Advanced Cardiac Life Support (ACLS)

Basic Life Support (BLS) Certification

Skill Highlights
  • Medsurg
  • Acute and rehabilitative care
  • IV drug therapy management
  • Wound cleaning/care expertise
  • Diabetes, Hospice and Stroke Patient Care
  • Enthusiastic care giver
Professional Experience
Charge Nurse Dec 2017 to Current
ORCHID COVE OF NAPLES Naples, FL
  • Coordinated support services and optimized communication between healthcare workers and patients.
  • Created physician referral base for wellness, prevention and diagnostic support, enabling patients to effectively find services.
  • Trained and mentored new RNs on best practices, hospital policies and standards of care.
Registered Nurse Jan 2017 to Current
Solaris Senior Living North Naples Naples, FL
  • Monitored and managed various treatment and care interventions, including med pass , IV administration, wound and ostomy care and catheter insertion.
RN Sep 2015 to Jul 2020
LANDMARK HOSPITAL NAPLES, FL

Utilized strong assessment skills to determine necessary patient care.

medication administration,maintained pt safety.

assist with ADL'S

monitor vs.

RN ( Night Supervisor ) Nov 2010 to Oct 2016
Barrington Terrace naples, FL

Managed caseload of 20 clients, providing education.

Education and Training
Bachelor of Science, Register Nurse Oct 2012 Lincoln Technical Institute - Fern Park Casselberry, FL
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Professional Summary

To obtain a position as a Registered Nurse Case Manager, with the purpose of providing patients with optimal treatment through coordination of care. That will ensure the delivery of consistent and quality health care services by providing appropriate resources, effective communication and assistance.

Licenses

Register Nurse in the State of Delaware, L10041833

Adult CPR /AED/Child CPR certified through the American Red Cross

Skill Highlights
  • Skilled in conducting physical examinations
  • Medication administration expert
  • Geriatric treatment knowledge
  • Psych and mental health care proficiency
  • Broad medical terminology knowledge
  • Broad medical terminology
  • IV drug therapy management
  • Colostomy care familiarity
  • Infection control standards expert
  • Familiarity with disease management programs
  • Diabetes, Hospice and Stroke Patient Care
  • Computerized charting specialist
Professional Experience
Clinical Care Coordinator Nov 2017 to Current
Amerihealth Caritas Newark, DE
  • Completion of comprehensive assessment of environmental, Psycho-social, medical, behavioral and support needs to establish individual member goals within plan of care
  • Engagement and coordination of health plan members medical and behavioral health conditions through collaboration with member's providers
  • Facilitation and coordination of care for the members while assuring quality and use of cost-effective resources
Register Nurse Case Manager Sep 2017 to Nov 2017
United Healthcare Newark, DE
  • The development, implementation, evaluation and update of individualized care plans for each member. As well as educating each member on the importance of following their plan of care
  • Provide a complete continuum of quality, cost effective care through close communication with members via in-person or on-phone interaction
  • Support members with condition education, medication reviews and connections to resources as Home Health Aides, Meals on Wheels and Logistic Care
  • Assist members with the transition from a care facility back to their home
Register Nurse Mar 2013 to Mar 2018
Meadowwood Behavioral Hospital Newcastle, DE
  • Coordination of care by completion of physical and mental health assessments upon admission
  • Development, implementation and evaluation of behavioral and medical treatment plans
  • Administration of prescribe medications and monitoring for side effects and behavioral changes
  • Use of nursing process to effectively deliver safe and optimum nursing care concerning physical health and mental diagnosis such as; Depression, Anxiety, Bipolar, Schizophrenia, ADHD, Substance Abuse and etc
  • Overseeing and delegating work responsibilities of LPN, CNA and Mental Health Assistants
Register Nurse Consultant Jun 2016 to Mar 2017
Keystone Human Services Newark, DE
  • Coordination of medical and behavioral healthcare services for individuals with intellectual and developmental disabilities
  • Provided education and support to individuals receiving services as well as their residential community support team
  • Provided Guidance and leadership to the community residential support team
  • Ensured that residential staff were within compliance with all state regulations, policies, and practices regarding clients care
Register Nurse Apr 2012 to Jun 2013
PikeCreek/Harbor Cadia Rehabilatation Longterm Wilmington, DE
  • Use of the nursing process to effectively asses, plan, intervene, implement and evaluate to deliver safe and optimum patient care; regarding health diagnosis such as CHF, diabetes, joint replacement, COPD, post stroke, UTI, Staph infection, Cdiff, Parkinson, palliative care, etc Reviewing patient labs and ensuring that proper physician orders are obtained concerning patient care
  • Knowledge of medications administered via PO, IV, topical, IM, Subcutaneous, sublingual, G-Tube and rectal routes Dressing changes on wounds and skin tears
  • Physical admissions assessments, and proper documentation
  • Overseeing and delegating job responsibilities of Certified Nursing Assistant
Education and Training
Bachelor of Science 2011 Widener University Chester, BSN PA
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Professional Summary
Nurse Case Manager with valid State RN License. Solid clinical, utilization review and case management experience within a managed care environment.
Work History
11/2009 to Current
Registered Nurse Case Manager St Vincent's and St. John's Health Systems Indianapolis, Indiana
  • Collaborate with health care providers to increase quality of in patient outcomes.
  • Coordinate post-operative patient care with rehabilitation facilities and nursing facilitates.
  • Work with physician facilitators to obtain ICD-9 and CPT codes for insurances companies.
  • Conduct pre-certification of treatment setting reviews to ensure compliance with insurance matters.
  • Liaise between patients and physicians to ensure patient comprehension of treatment plans.
  • Ensure HIPAA compliance.
  • Develope patient care plans, including assessments, evaluations and nursing diagnoses.
11/2006 to 11/2009
Registered Nurse Case Manager Well Point Indianapolis, Indiana
  • Self-directed with astute judgment skills. High level of personal accountability.
  • Effective counseling in health maintenance and disease management.
  • Managed care for post-operative patients through discharge.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans.
  • Provided DHS (Department of Health Services) with corrective action plans.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Documented patient information obtained from interviews.
  • Maintained all confidential personnel files, license and CPR compliance records.
08/1998 to 11/2009
School Nurse Lawrence Township School System Indianapolis, Indiana
  • Conducted clinical care for students in middle schools and high schools.
  • Conducted mandated health screenings, physicals and special education assessments. Ensured external follow-up where required.
  • Kept students medical records up to date with required information.
  • Effective counseling in health maintenance and disease management.
  • Dispensed contraceptives and other medications as needed.
  • Counseled and educated patients about reproductive health issues and wellness. 
Education
1995
Associate of Science: Nursing
University of Indianapolis - Indianapolis, IN
1984
Bachelor of Arts: Social Work
Indiana University Bloomington - Bloomington, IN
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Professional Summary

Detail-oriented, Bachelors educated Registered Nurse with 12 years of experience using an electronic medical record system. Electronic Medical Record experience includes Clinicomp (formerly Essentris), Cerner, and Epic. Seeking a health informatics position.

Skills
  • Registered Nurse
  • Teamwork/Collaboration
  • Clinical Documentation
  • Knowledge of Clinical informatics
  • Written Communication
  • Organizational Skills
Additional Information
17 years of military and leadership experience training soldiers and civilians in a team oriented environment.  Worked as a Customer Service Representative for Stream Industries in Carrollton, TX as a hardware support specialist for Dell laptop computers in a busy call-center for 6 months before transferring to software support for Microsoft Office for an additional 3 months.  Experienced with building multiple home desktop computers
Work History
Utilization Review Nurse, 10/2019 to Current
The Judge Group Inc. Wayne, PA
  • Reviewed patient admissions to determine medical necessity as directed by Miliman Care Guidlines criteria
  • Referred cases to secondary review for failure to meet medical necessity criteria
  • Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations
  • Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries
Nurse Medical Management II, 12/2017 to 10/2019
Anthem Blue Cross Walnut Creek, CA
  • Responsible to collaborate with healthcare providers and members to promote effective use of resources for more complex medical issues
  • Ensures medically appropriate, high quality, cost effective care through assessing medial necessity of inpatient admissions
  • Utilizes Medical policy and industry standards
  • Works with medial directors in interpreting appropriateness of care and accurate claims payment
  • Conducts continued stay review and care coordination to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts with 30 cases per day
Utilization And Concurrent Review Nurse, 08/2017 to 12/2017
HealthCare Support Maitland, FL
  • Reviewed 30-40 cases per day
  • Familiar with WMDS and MCG
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs
  • Routinely collaborated with department managers to correct problems and improve services
Clinical RN II Patient Care Resource, 01/2017 to 05/2017
UC Davis Medical Center Sacramento, Ca
  • Performed critical care nursing interventions to complex critically ill patients on six different Intensive Care Units while providing lunch breaks for primary care nurse
  • Monitoring of 2 patients on ventilators during 12-hour shift.
  • Hemodynamic monitoring of patients with arterial lines and Vigileo hemodynamic monitors
Critical Care Transport Nurse, 04/2016 to 07/2016
Rural Metro of Northern Ca San Jose, Ca
  • Provide critical care nursing interventions to critically ill patients during interfacility transports to include: titration of vasoactive drips, titration of IV sedation, and maintenance IV fluids
  • Provided training and mentoring to 6 newly hired EMT's and EMT's assigned to the Critical Care Transport team
  • Endotrachial intubation
  • Monitoring of patients intubated patients on portable Revel portable ventilator•
  • Monitoring of patients on cardiac monitor
Staff RN II, 12/2015 to 03/2016
Dominican Hospital Santa Cruz, CA
  • Provide nursing care to a wide range of critically ill medical and surgical patients in the ICU.
  • Utilizes critical thinking skills to anticipate needs of patients to maximize their prognosis and improve patient outcomes.
  • 1000 hours experience with Cerner EMR
Staff RN-Emergency Dept., 12/2014 to 11/2015
Carondelet St Mary's Hospital Tucson, AZ
  • Provides emergency nursing care to acute and critically ill patients in a 38-bed Emergency Dept.
  • Provides discharge instructions to facilitate outpatient recovery.
  • Trainer for the use of Accucheck glucose monitor, i-Stat blood analyzer, and POC urine pregnancy test.
  • Experienced with Cerner EMR
Staff RN, 09/2014 to 12/2014
Carondelet St Mary's Hospital Tucson, AZ
  • Telemetry Unit.
  • Provided acute care to a patient load of 5 patients.
  • Responsible for electrolyte replacement protocols.
  • Facilitated communication between Social Workers and physicians in the discharging of patients.
  • 1000 hours experience with Cerner EMR.
Nurse Case Manager, 02/2014 to 06/2014
Bayne-Jones Army Community Hospital Leesville, LA
  • Hours per week: 40 Assisted 5 soldiers daily that were medically retiring from the Army with setting up VA treatment referrals while on transitional leave.
  • Handled a caseload of 350 soldiers.
  • Screened over 100 medical problem lists to ensure that soldiers were receiving optimal care while in the Medical Evaluation Board.
  • Coordinated care for Reserve soldiers entering the Medical Evaluation Board from 3 different states including Mississippi, Arkansas.
  • Consulted with PEBLO's and Chief physician on a daily basis regarding continuity of care.
Staff RN, 05/2013 to 12/2013
Bayne-Jones Army Community Hospital Leesville, LA
  • Hours per week: 40 Staff RN.
  • Provided acute care to patients on an 8 bed medical/surgical unit.
  • Provided care to meet patients' needs physically, spiritually and emotionally.
  • Consistently provided care to 3 patients daily.
  • Monitored Patients on telemetry.
Staff RN-PACU, 03/2011 to 12/2012
Madigan Army Medical Center Tacoma, WA
  • Hours per week: 40 Provided post-anesthesia care in accordance with ASPAN guidelines to an average patient census of 55-65 patients per day.
  • Recovered 5 patients per day.
  • Provided leadership to 5 enlisted personnel as a Commissioned Officer.
  • Preceptor to 2 newly graduated LPN's.
  • Fostered team cohesion through Crucial Conversation and TeamSTEPPS communication skills.
  • Participated in unit quality improvement, staff development and continuing education programs.
  • Planned and initiated patient family teaching providing essential information to promote active involvement in the health care process.
Education
Master of Science: Health Informatics, Expected in 2021
University of Scranton - Scranton, PA
Bachelor's Degree: Nursing, 05/2010
Tarleton State University-School of Nursing - Stephenville, TX
Nursing