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Title Registered Nurse Case Manager
Target Location US-MA-Charlton
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name , RN,BSNStreet Address  Muggett Hill RoadCharlton, MA Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEFairlawn Rehabilitation Hospital 1/Street Address -currentRN Rehabilitation LiaisonFacilitate safe dischargesKnowledgeable with Prescreen, CRM, Careport and EPICUmass Memorial Harrington 6/2023-11/2023Registered Nurse Case Manager/Utilization Review NurseFacilitate safe dischargesClinical rounding with hospitalists and floor nursesKnowledgeable with Meditech and CareportUp to date with new PASRR approval processEducated on the Utilization Review process with InterQualWorcester Health Center/Vero/Vantage Health and Rehab 6/2020-3/2022Clinical Nurse Liaison, RN, BSNFacilitate admissions into MA nursing homes with DMH, DMR and PASRR approvalProficient in Medicare guidelines including PDPM, MMQ scoring and covered health insurance plansFacilitate substance abuse admissions with Methadone and SuboxoneSkilled in medication management, carve out process with insurances and chart reviewMarketingAthena Healthcare Systems 4/2019-5/2020Clinical Community Liaison, RN,BSNAct as a liaison between facilities and hospitals over MA which includes building professional relationships with case managers and social workersFacilitate admissions into MA nursing homes with DMH, DMR and PASRR approvalExecute marketing strategies to maximize company growthProficient in Medicare guidelines including PDPM, MMQ scoring and most health insurance plansField liaison with bedside screeningDementia trainingSubstance abuse training with Methadone and SuboxoneWound Healing Center at Saint Vincent Hospital, Worcester, MA 6/2013-12/2018Clinical Manager, RN,BSNManagement of staff and physician panel including Vascular, Plastic Surgery, General Surgery, Infectious Disease and PodiatryDelivery of state of the art wound careHyperbaric Oxygen Therapy treatment and certificationUse of advanced wound care modalitiesMarketingPublication at SAWC ConferenceLean Six Sigma White BeltBilling, Coding and Patient Clinical AppealsWorking with a team approach with homecare, primary care physicians, DME supply companies, Lymphedema ClinicSt Vincent Hospital, Worcester, MA 3/2005-7/2013Registered Nurse, BSNWork collaboratively with physicians, nurses, and host of supportive healthcare providers as well as agencies to provide total and comprehensive nursing careAssess individual cases, analyze and interpret data, record pertinent medical information, and ensure safety protocols with the appropriate regulatory complianceExcellent assessment, organizational and administrative skillsProvide a broad range of general nursing care services in the Acute Care SettingParticipated in the Resource RN trial and implementationSkin Wound Assessment TeamPatient callbacks, satisfaction surveys and chart auditsTelemetry, PCU, SICU, MICU, step-down unitCode TeamWhittier Rehabilitation Hospital, Westboro, MA 6/2002-5/2007Registered Nurse, BSN (2004-2007)Provide quality care within the rehabilitation settingAdminister medications, treatments of ventilator dependent patientsProvide post-surgical and cardiopulmonary careChart auditsWound managementPeritoneal DialysisCNA/Unit Secretary (2002-2004)Work collaboratively in a team approach for the management of patient careGlucose MonitoringTranscription of medication ordersChristopher House, Worcester, MA 6/2000-7/2002CNAPatient care within the nursing home/rehabilitation settingAlzheimers TrainingEducation and LicensureWorcester State College, Worcester, MABachelor of Science in Nursing, 2004Massachusetts Registered Nurse License #260271BLS CertifiedREFERENCES AVAILABLE ON REQUEST

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