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Skills

  • Insulin medication assistance
  • Insurance coverage negotiation
  • Coordinating patient referrals and follow-ups
  • Patient and family advocacy
  • Strong clinical judgment
  • Interdisciplinary team leadership
  • Improvement in patient compliance with treatment plans
  • Chronic illness patient care
  • Intravenous therapy
  • Electronic Medical Record (EMR) integration

Work Experiences

  • Collaborated with insurance companies to negotiate patient care coverage, securing $16 in additional funding for critical treatments.
  • Achieved PMP in chronic disease management.
  • Audited charts and reviewed clinical documents to ensure accuracy.
  • Was in charge of providing direct care to up to 8 patients on a 5-bed medical-surgical unit, delegating nursing assignments, and supervising a team of nurses, LPNs, technicians, and unit clerks.
  • Oversaw and managed 2 clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.
  • Provided excellent care to patients with a variety of diagnoses and oversaw their treatment from start to finish.
  • Oversaw nursing activities for 8 departments at a 6-bed hospital with 12+ employees, advising nurses on how to provide excellent patient care and satisfaction.
  • Achieved a 30% decrease in medication errors.
  • Gave patients, families, and caregivers information on diagnosis and prognosis, treatment options, disease process and management, and lifestyle choices.
  • Maintained quality standards by conducting routine medication audits and adhering to internal and industry best practices.

Summaries

  • Registered Nurse, Colorado Board-Certified, with 12 years of experience providing high-quality care to patients in initiative and program care units.
  • Case Disease Manager is a multi-talented Case Disease Manager who is consistently rewarded for planning and operational improvements.
  • Flexible and adaptable to changing patient needs and conditions.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the program business.
  • Certified Case Disease Manager with over 2 years of experience.
  • Certified Case Disease Manager with over 11 years of experience leading interdisciplinary teams to develop personalized care plans for chronic disease patients, achieving a 20% reduction in hospital readmission rates.
  • Achieved a 16% boost in patient engagement with care plans.
  • Achieved 76% improvement through performance planning.
  • Achieved a 44% improvement in patient compliance.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.

Accomplishments

  • Developed patient communication protocols that improved overall patient satisfaction by 49% within 2023.
  • Led early identification strategies for method complications, reducing preventable emergency room admissions by 45% for high-risk patients.
  • Collaborated with the IT department to integrate EMR systems across multiple facilities, ensuring continuity of care and reducing administrative lag by 25%.
  • Spearheaded insurance coverage reviews, successfully negotiating cost-effective care solutions for 16 patients.
  • Conducted statewide staff training sessions on the importance of early intervention, boosting detection rates for category diseases by 60% within 2020.
  • Co-chaired the telehealth advisory committee, expanding patient access by establishing virtual follow-up protocols, resulting in 75% participation increase.
  • Lead quarterly interdisciplinary reviews to assess patient care plans, achieving a 48% reduction in adverse events related to process diseases.
  • Helped integrate comprehensive disease management software for category cases, ensuring real-time EMR updates, reducing administrative delays by 79%.
  • Resolved product issue through consumer testing.
  • Applied data-driven insights to refine patient care strategies, resulting in a 61% drop in disease relapse rates among high-risk groups.

Affiliations

  • National Association of Social Workers
  • Society for Healthcare Epidemiology of America (SHEA)
  • Alliance of Professional Health Advocates (APHA)
  • American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
  • Informatics Nurses Association
  • American Association of Managed Care Nurses (AAMCN)
  • Academy of Certified Case Managers (ACCM)
  • National Association of Healthcare Advocacy Consultants (NAHAC)
  • American Public Health Association (APHA)
  • National Academy of Medicine (NAM)

Certifications

  • Strategic Case Management Certification (SCM) - initiative
  • Certified Public Accountant (CPA)
  • Certified Chronic Care Professional (CCCP) - process
  • Behavioral Health Case Management Certification - metric
  • ServSafe
  • Care Coordination and Transition Management Certification (CCTM) - metric
  • Advanced Telehealth Certification - standard
  • Certified Oncology Nurse (OCN) – Oncology Nursing Certification Corporation
  • Certified Telemedicine Case Manager - program
  • CompTIA Security+

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