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Click here or scroll down to respond to this candidateCandidate's Name
Street Address - PHONE NUMBER AVAILABLE EMAIL AVAILABLEExecutive SummaryAccomplishments Work well in a high-pressure environment Well-organized and efficient Skilled with computer systems and software Skilled at organizing complex projects, defining project priorities. And delegating tasks. Self-motivated and assertive Quickly learn procedures and methods Proven record of working within a budget Particular areas of expertise include MDS Coordinator, ADON, Clinical Manager, Hospice Case Manager, Med-Surg/Oncology nurse and Palliative nursing. Major strengths in planning, problem solving and communication. Exercise initiative, achievement, and independent judgement Excellent communication, interpersonal and organizational skills Dependable- can work without supervision. Demonstrated effective leadership skills. Demonstrated accuracy, attention to detail and ability to work well in team environment.Experience Transition of Care NurseBCBSTDecember 2023 present Engage and impact members with an extended inpatient stay who have complex diagnosis and care needs with their transition to a lower level of care by explaining and assisting with use of benefits, coordination of care between multiple providers, and network steerage. Work closely as a team, with all other THM case management teams, utilization management, pharmacy, medical directors, and groups to ensure member centric care. Assist with management of TOC subspecialties air ambulance and single case agreements. Assist coworkers with new processes and sharing education or tips via our team chat and by presentationsCase Review ManagerBCBST2 Candidate's Name
148 Rogers Dr. Whitwell TN 37397 PHONE NUMBER AVAILABLE EMAIL AVAILABLE April 2018-December 2023 Review inpatient and concurrent claims for Med Advantage Time management Working with team and able to work independently. Meets goals set by supervisors. Proficient working in CareAdvance, Facets Excellent communication skills with providers OrganizedNHC Sequatchie2020 to present- Wound care nurse on the weekendsRN Clinical ManagerAmedisys HospiceApril 2017-2020 Manage a team of case managers and CNAs. review charts for appropriate diagnosis for admission review orders Run IDT meetings with team members. Review charts to determine recertification. Initiate referrals to complete patients care and contractual eligibility. Communicate with the Medical Director when medical judgment is required. Comprehensive for retrospective chart review certifications and appeals. Provides documentation to support determination as necessary to complete review. Trained /mentored new employees.RN Case ManagerRN Oncology Med-SurgeCHI Memorial HospitalNovember 2017- 2018Hospice of Chattanooga,2007 2017 Provided and arranged for training/instruction of auxiliary personnel and students Maintain accurate, detailed reports and records Monitored, recorded and reported symptoms and changes in patients conditions Recorded patients medical information and vital signs 3 Candidate's Name
148 Rogers Dr. Whitwell TN 37397 PHONE NUMBER AVAILABLE EMAIL AVAILABLE Consulted and coordinated with health care team members to assess, plan, implement and evaluate patient care plans Assessed the needs of individuals home and work environment to identify potential health and safety problems Modified patient treatment plans as indicated by patients responses and conditions Observed nurses and visited patients to ensure that proper nursing care was provided Administered local, inhalation, intravenous and other anesthetics Worked with individuals, groups and families to plan and implement programs designed to improve the overall health of communities Ordered interpreted and evaluated diagnostic tests to identify and assess patients conditions Recommended drugs, medical devices and other forms of treatment such as physical therapy, inhalation therapy, and related therapeutic proceduresRNSouthern Medical Center Winchester TN2013-2015Med Surg worked PRNRNGrandview Medical Center, Jasper TN2004 2009Worked in the ICU, Med-surg Floor and ER. Did fill in interim ER manager for North Valley ERRN/LPNRivermont Nursing Home (South Pittsburg)1993-2004Started as an LPN as Charge nurse then obtain my RN license Was MDS coordinator/PAEs for room and boardADONEducation RN associate degree of May 2004LPN diploma August 1993Chattanooga State Technical Community College |
