Skill Index

I am skilled in...

Initiate care plans
143
Health Risk Assessments
92
Fiscal stewardship
92
Interpersonal Communication
81
Interdisciplinary team
69
Telephonic Case Manager
63
Team Supervision
52
Electronic Health Record
42
Face to Face assessments
35
Develop care plans
43

Industry Density

Top 5 Industry Experience, Expressed in Percentages

Insurance

68%

Hospital & Health Care

30%

Health, Wellness and Fitness

2%

Career History

2018

Contract/Travel RN-Corrections @ (HIDDEN)

March 01, 2018 - April 30, 2018

Role Description

400 bed County Correctional Facility Maintain safety/security standards including suicide assessment and prevention measures Conduct health assessments/screenings/inmate sick call as dictated by unit standard operating procedures. Use approved Nursing Protocols to treat minor injuries and illnesses which do not require a physicians attention for inmates and corrections staff. Administer detox monitoring/protocol/medications/treatments as per physician order Refer inmates/staff to physicians clinics, or hospitals as appropriate Prepare medical records for transferring inmates, following the policy and procedure for medication transfer. Provide inmates access to quality healthcare provided by competent healthcare professionals in a fiscally responsible manner. Ensure that all treatments and medications are fully documented in the patients health record.

Responsibilities:

  • * Maintain safety/security standards including suicide assessment and prevention measures
    * Conduct health assessments/screenings/inmate sick call as dictated by unit standard operating
    procedures.
    * Use approved Nursing Protocols to treat minor injuries and illnesses which do not require a
    physician's attention for inmates and corrections staff.
    * Administer detox monitoring/protocol/medications/treatments as per physician order
    * Refer inmates/staff to physician's clinics, or hospitals as appropriate
    * Prepare medical records for transferring inmates, following the policy and procedure for
    medication transfer.
    * Provide inmates access to quality healthcare provided by competent healthcare professionals in a
    fiscally responsible manner.
    * Ensure that all treatments and medications are fully documented in the patient's health record.

Skill Strengths (Breakdown in Percentages)

  • Physical assessment (25%)

  • Medication administration (20%)

  • Documentation (15%)

  • Assist medical providers (10%)

  • Patient triage (10%)

  • medication reconciliation (10%)

  • treatment nurse (5%)

  • Quality Improvement Projects (5%)


Travel Case Manager @ (HIDDEN)

January 22, 2018 - February 23, 2018

Role Description

Fortune 1000 company based in Atlanta that is the largest provider of home healthcare, hospice and related service in the U.S.

Responsibilities:

  • Fortune 1000 company based in Atlanta that is the largest provider of home healthcare, hospice and
    related service in the U.S. Contract/Travel Case Manager-Home Health
    * Observed and monitored patient conditions. Updated all doctor orders in patient chart accordingly.
    * Notified doctor of any significant changes in the patient's condition.
    * Provided skilled nursing care in a patient's home as ordered by the attending physician.
    * Performed OASIS assessments to develop an individualized plan of care and makes adjustments as
    needs change.
    * Helped decrease re-hospitalizations by front loading visits for high risk patients and provide
    education on preventative measures.
    * Promoted continuity of care with appropriate admissions, transfers and discharges.
    * Counseled patient and family on the disease/injury processes and how to manage.
    * Oversaw/supervised total care of patient provided by nurse aides and LPNs.
    * Completed all clinical documentation in accordance with agency protocol and Medicare/Federal
    guidelines.

Skill Strengths (Breakdown in Percentages)

  • Initiate care plans (30%)

  • Counsel-educate patient (30%)

  • Electronic Medical Records (20%)

  • Skilled Nursing/Mental Health (20%)

2014

CM II (Case Manager II/Sr. Case Man @ (HIDDEN)

July 14, 2014 - November 21, 2017

Role Description

Fortune 500 company (156) providing managed care to special needs populations receiving government assistance serving over 3 million members in 15 states, Puerto Rico and the U.S. Virgin Islands.

Responsibilities:

  • Fortune 500 company (156) providing managed care to special needs populations receiving government
    assistance serving over 3 million members in 15 states, Puerto Rico and the U.S. Virgin Islands.
    CM II (Case Manager II/Sr. Case Manager-Remote/Telecommute)
    Analyzed and integrated Case Management activities for Special Needs/Dual Eligible
    (Medicare/Medicaid) chronic and/or complex conditions population to address unique, individual
    challenges to coordinate high quality healthcare, ensuring essential services, affordable care,
    increasing preventative services and providing seamless transitions to facilitate desired outcomes
    that are in the best interest of member with a case load of 120-150.
    Iglehart p.3

    * Focus on member engagement through development of professional/therapeutic relationships through
    therapeutic use of self to improve understanding of conditions and plan benefits to facilitate paths
    to maximize health potential while maintaining fiscal stewardship of available resources with
    validity. * Engaged over 100 previously unable to contact members in case management
    activities, actualizing risk scores and HEIDIS completions, which increased revenues and STARS
    ratings.

Skill Strengths (Breakdown in Percentages)

  • Initiate care plans (30%)

  • Health Risk Assessments (20%)

  • Fiscal stewardship (20%)

  • Interpersonal Communication (15%)

  • Interdisciplinary team (15%)

2012

Care Manager @ (HIDDEN)

November 05, 2012 - May 15, 2014

Role Description

Start- up company providing case management to Managed Long Term Care population with chronic and/or complex conditions for several companies including Fortune 500 companies. Care Manager (Telecommute)

Responsibilities:

  • Startup company providing case management to Managed Long Term Care population with chronic and/or
    complex conditions for several companies including Fortune 500 companies. Care Manager
    (Telecommute)
    Provided telephonic case management for culturally diverse Medicaid population at a start -up
    company with a case load of 55-70 providing accurate documentation via electronic medical record in
    accordance with applicable State guidelines, rules and regulations. * Increased knowledge and
    skills of co-workers through ongoing mentoring/coaching to employ evidenced based practice
    guidelines/standards. * Developed policy/procedures to meet contractual obligations and State
    requirements and standards. * Created multiple templets to standardize documentation and
    improve workflow process increasing efficiency. * Devised a step by step procedures to meet CMS
    guidelines to obtain authorization for members, providers and colleagues.

Skill Strengths (Breakdown in Percentages)

  • Telephonic Case Manager (30%)

  • Electronic Health Record (20%)

  • developed policy and procedure (15%)

  • Prepare assessments (15%)

  • Quality/Process improvements (10%)

  • mentoring and coaching (10%)

2011

RN Supervisor @ (HIDDEN)

July 18, 2011 - October 24, 2012

Role Description

Private Home Health Agency on Long Island, serving Queens, Nassau and Suffolk Counties, assisting homebound geriatric and disabled populations to remain in their homes and communities.

Responsibilities:

  • Private Home Health Agency on Long Island, serving Queens, Nassau and Suffolk Counties, assisting
    homebound geriatric and disabled populations to remain in their homes and communities. RN
    Supervisor
    Delivered home health case management from intake through discharge with a case load of 60-80 with
    full accountability including direct supervision and education of staff in accordance with governing
    and accrediting agencies. * Conduct face to face assessments to determine patient needs and
    eligibility for services based on medical necessity, available resources and eligibility of
    benefits. * Develop, initiate and monitor care plans with coordination from Physicians for
    required orders. * Educate, train, mentor, guide and evaluate clinical staff in execution of
    orders and care plans ensuring compliance with guidelines and standards. * Participated and led
    in all accrediting audits and evaluations.

Skill Strengths (Breakdown in Percentages)

  • Team Supervision (30%)

  • Develop care plans (25%)

  • Face to Face assessments (20%)

  • Direct Staff Education (15%)

  • Documentation (10%)

2010

Substance Abuse Clinic RN @ (HIDDEN)

November 08, 2010 - May 31, 2011

Role Description

Mental Health Division on Long Island providing methadone maintenance for those suffering from opioid addiction with an annual operating budget of $22 million.

Responsibilities:

  • Mental Health Division on Long Island providing methadone maintenance for those suffering from
    opioid addiction with an annual operating budget of $22 million. Substance Abuse Clinic RN
    Plan, direct and evaluate nursing care and functions in a methadone maintenance outpatient clinic of
    270 patients. * Developed, initiated, monitored, and evaluated care plans following Physician
    orders. * Performed a variety of tasks with a certain degree of creativity and latitude.
    * Assessed, monitored, evaluated and educated clients utilizing standards, concepts, practices and
    procedures.

Skill Strengths (Breakdown in Percentages)

  • patient monitoring (25%)

  • Medication administration (20%)

  • Patient Education (15%)

  • Patient Assessments (15%)

  • Interpersonal Communication (15%)

  • Documentation (10%)


Contract/Travel Psychiatric RN @ (HIDDEN)

July 22, 2010 - October 25, 2010

Role Description

519-bed Magnet Hospital that is a receiving facility for involuntary treatment (Baker Act).

Responsibilities:

  • 519 bed Magnet Hospital that is a receiving facility for involuntary treatment (Baker Act).
    Contract/Travel Psychiatric RN Provide direct/indirect nursing care on 30 bed locked acute
    adult inpatient unit. * Medication administration through Admin Rx, an electronic, scanning system
    utilized for enhanced patient safety. * Frequently engaged in Crisis Prevention Intervention
    techniques, Rapid Tranquilization to maintain therapeutic milieu.

Skill Strengths (Breakdown in Percentages)

  • Patient admission (20%)

  • Maintain calm atmosphere (20%)

  • Crisis Intervent (15%)

  • Documentation (15%)

  • Patient Education (15%)

  • Medication administration (10%)

  • medication reconciliation (5%)

Education History

Awards & Certificates