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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Everglade DriveNiceville Florida Street Address
EMAIL AVAILABLE PHONE NUMBER AVAILABLEAuthorized to work in the US for any employerWork ExperienceCase Management Specialist RN, CCMSedgwick, Tallahassee FL, June 3, 2019-PresentI currently carry a caseload of 60-75 injured workers; assist with coordinating RTW LD, FD and MMI through organization of Primary Treating Providers office visits, diagnostics, therapy visits, etc. Communicate with IW, Providers, Therapist, Vendors, Claims Adjusters, and Employers throughout the injured workers recovery period. I complete utilization review process to determine authorization for recommendations per providers. Submit peer reviews when outside of guidelines. I carry licenses in compact state and multiple non -compact states.HCMRNHumana - Saint Petersburg, FL August 2014 to May 28, 2019I currently carry a caseload of 585 SNP members. I communicate telephonically with members who have chronic conditions and or duel eligible. Complete assessment, complete care plans and ICT per CMS requirements. We educate members and connect them with resources to help them manage chronic conditions. I review medications, make appropriate referrals. Follow up with members pre-post discharge from inpatient acute care, SNF, behavioral health. Communication with PCP, specialist, DME, pharmacy etc. I am point person when coach away, mentor new associates and participate in special pilot programs.Case ManagerHospice of The Bluegrass - Cynthiana, KY November 2008 to August 2014ResponsibilitiesCase manage terminally ill patients. Work collaboratively with interdisciplinary team to ensure quality of life. Oversee meds, complete comprehensive assessments. Complete computerized charting to comply with Medicare requirements.AccomplishmentsCHPN certification. CPR instructor.Skills UsedAssessment, vital signs, lab work obtained. IV fluids, pain management, pain pumps. Excellent phone skills, educatorOwner/OperatorA Step Ahead - Cynthiana, KY February 2004 to November 2008ResponsibilitiesCase manage a group of 40 children and 10 employees. Complied with state regulations to operate daycare center. Participated in national food program. Completed all required paperwork and computer charting required.Skills UsedOrganizational skills, managerial skillsStaff NurseHarrison Memorial Hospital - Cynthiana, KY May 2001 to May 2002ResponsibilitiesStaff nurse med surg and of. Assessment of patient, medication administration. Attended c- sections, newborn care. Float nurse. Completed computer charting.Skills UsedBasic nursing skillsCase ManagerWedco Home Health - Cynthiana, KY March 1997 to May 2001ResponsibilitiesCase manage about 30 patients. Worked collaboratively with physicians, community resources to assist patient back to a healthy lifestyle. Provided education on disease specific.Skills UsedAssessment, communication, v/s, IVs lab work etc.Staff NurseDover Manor - Georgetown, KY May 1995 to March 1997ResponsibilitiesManage geriatric patients daily needs. Administered meds, completed assessments, communicated with physicians families. Completed MDS paperwork, conducted family meetings, completed care plans.Skills UsedBasic nursing skillsEducationAssociates in early childhood ed in Early childhoodAshworth College - Norcross, GA2002 to 2004Associates in applied Science in NursingMaysville Community College - Maysville, KY1992 to 1995 |
