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Skills

  • Negotiation with insurance carriers for treatment approval
  • Patient and family education on treatment plans
  • Well visit procedures
  • Coordination of community resources and financial aid
  • CMS (Centers for Medicare & Medicaid Services) guidelines adherence
  • Insurance authorization management
  • Operationalizing new healthcare technologies
  • Tracheostomy care
  • Sanitation
  • Patient consultation

Work Experiences

  • Achieved a PMP certification, which enabled the department to handle more specialized cases of complex treatment requirements.
  • Was in charge of patient care from admission to discharge, including patient assessments, care planning, health education, and discharge support, in order to provide comprehensive care to over 7 patients on a daily basis.
  • Medication and IV administration, catheter insertion, and airway management were among the interventions I implemented.
  • Reported findings to quality departments and collaborated with the team to develop corrective actions for any deficiencies after conducting routine restraint audits.
  • Achieved a CPA certification.
  • Prepared blood, tissue, and other laboratory specimens for testing in the lab.
  • Followed strict safety precautions by calculating the correct dosages before administering medications.
  • Advocated for patients by collaborating with outside services, resulting in access to $9 in community resources and financial aid for low-income families.
  • Achieved a 25% improvement in patient adherence to treatment protocols.
  • Collaborated with physicians and therapists to expedite surgical clearances, leading to a 2-day reduction in average patient wait times before surgery.

Summaries

  • Certified in telehealth technologies, enabling seamless remote patient monitoring and follow-ups, increasing treatment adherence by 46% among patients with chronic conditions.
  • In fast-paced emergency medicine settings, prioritizes clinical and operational tasks.
  • Adept at optimizing ICU discharge processes.
  • Nursing Case Manager is a multi-talented Nursing Case Manager who is consistently rewarded for planning and operational improvements.
  • Achieved 82% reduction in documentation errors.
  • Accomplished leader with experience driving workflow improvements, resulting in 41% reduction in documentation errors and increased efficiency across nursing departments.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the standard business.
  • Expert in all aspects of patient care, with a track record of success in collaborating with multidisciplinary teams to develop care plans aimed at assisting patients in recovering from medical or surgical procedures as well as managing complex mental illnesses.
  • During each shift, an attentive nursing professional provides a high level of care, patient assistance, and team leadership.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.

Accomplishments

  • Created culturally-appropriate patient education materials that boosted health literacy across 12 patient populations and improved medication adherence by 43%.
  • Resolved product issue through consumer testing.
  • Trained a team of 12 new nursing case managers on patient handling procedures, achieving a faster onboarding process and improving employee retention by 28%.
  • Reduced insurance authorization time for specialized treatments by 8 days, enhancing the continuity of care for complex cases.
  • Developed outcome-driven care models that enhanced preventative care for chronic disease patients, reducing hospital admissions by 73%.
  • Negotiated care plans with providers, achieving cost savings of up to 29% while maintaining high standards of patient care.
  • Managed case loads exceeding 11 clients monthly while reducing administration errors by 58% via streamlined electronic health records entry.
  • Conducted patient discharge planning for 3 cases monthly, resulting in a 82% reduction in emergency department re-admissions.
  • Streamlined patient referral processes, decreasing wait times for specialized services by 52%, leading to better overall patient outcomes.
  • Increased the rate of post-discharge follow-up care by 84%, contributing to higher patient recovery rates and reduced rehospitalizations within 14 days.

Affiliations

  • Wound, Ostomy, and Continence Nurses Society (WOCN)
  • Association of Information Technology Professionals
  • Managed Care Nurse Leadership Network
  • Certified Professionals in Healthcare Quality (CPHQ)
  • Rotary International
  • Academy of Certified Case Managers (ACCM)
  • American Marketing Association
  • International Council of Nurses
  • American Public Health Association (APHA)
  • National Association of Case Management (NACM)

Certifications

  • Hospice and Palliative Nurse Certification (CHPN)
  • Trauma Nursing Core Course (TNCC)
  • Certified Managed Care Nurse (CMCN)
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Professional in Healthcare Quality (CPHQ)
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Nurse Life Care Planner (CNLCP)
  • Certified in Care Coordination and Transition Management (CCCTM)
  • Salesforce
  • Google Certified Professional Cloud Architect

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