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Candidate's Name , MSN, BSN, RNCompassionate Nurse Dedicated to Optimizing Patient Health & WellnessAngier, NC Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEProfile of QualificationsAccomplished Case Manager & Registered Nurse eager to contribute 20+ years of experience in Utilization Review, Patient Needs Assessment, and Healthcare Administration toward maximizing an employers successExpertise in implementing assessments to determine patient care needs for improving, promoting, and restoring health and wellness in various unitsHighly effective in performing case reviews, analyzing medical records, and communicating treatment and care plans with patients and care providersStrategically prioritize, coordinate, and manage process improvements aimed at increasing the efficiency and quality of health care servicesDynamic communication and interpersonal relation skills with a continual commitment to educating patients, families, and other healthcare professionals about care and treatment plansHigh level of professional integrity instrumental for maintaining confidential records, files, and documentsEducation & Professional DevelopmentMaster of Science in Nursing: Healthcare Administration, Colorado Technical University; Sept 2023Bachelor of Science in Nursing, University of Michigan; Jan 2017Associate of Science in Nursing, Washtenaw Community College; Jan 2003Registered Nurse, North Carolina Licensed (Expires 08/31/2024) & Michigan Licensed (Expires 02/23/2024)GCP Research Certification: Phlebotomy, Regulations Related to Human Subject ProtectionBLS, AED & CPR CertifiedProfessional ExperienceDuke Health Hospital  Durah, NC 2023  PresentPopulation Health Case ManagerConduct thorough assessments of patient conditions to evaluate their needs for carePerform appropriate interventions based on issues involving patient health, social situations, physical environment, mental health, substance use, expressed trauma, economic status, and educationConsistently ensure daily operations are in compliance with established procedures, policies, and regulationsSkillfully develop and implement individualized treatment plans for facilitating patient wellnessMaintain accurate and updated records of patient medical information, claims, and program metricsClosely monitor patient progress and review statistical data (InterQual, Milliman) to prevent re-hospitalizationsWakeMed Hospital  Raleigh, NC 2023  PresentWeekend Nurse Case Manager (Per Diem)Strategically coordinate, plan, and manage the safe and efficient care, treatment, and support of patients in accordance with goals for wellness and autonomyRemain in constant contact with cross-functional medical teams and social / governmental agencies to communicate client case updates, service plans, and care aspectsPrevent re-hospitalization by reviewing statistical data, engaging with patients, monitoring progress, and providing additional support as neededIcon & Accellacare Clinical Research 2020  2023Clinical Research Nurse & Case ManagementDelivered high-quality nursing care to clinical research patients while complying with protocolsRecruited and selected study participants by conducting interviews, reviewing medical histories, and ensuring appropriate eligibilityMonitored participant vital signs, imaging studies, and electrocardiograms and assessed side effects while administering investigational medicationsEducated study participants about medication dosage, administration procedures, and disease treatmentAccurately entered medical data into patient charts based on protocol requirementsCandidate's Name  PHONE NUMBER AVAILABLE Page 2Detroit Medical Center Sinai-Grace Hospital  Detroit, MI 2019  2020Discharge Planner / Case ManagerLeveraged a client-centered approach to provide safe, timely, effective, and efficient patient careOversaw various case management tasks including the creation of service plans, monitoring of case progress, and determination of when cases should be closedServed an integral role as patient advocate with the responsibility of informing patients about clinical status and best possible treatment optionsProductively managed strong relationships with medical teams, social services, and governmental agencies to ensure optimal patient support, wellbeing, and autonomyConifer Health Solutions  Annapolis, MD 2018  2019Nurse Case ManagerApplied a 4-Prong approach and Conifer Value-Based Care tools (CCOO) to manage cases, meet billable hour expectations, and maintain compliance with standard protocolsMaintained the accuracy of patient information and data including Status, Sub-Status, Patient Severity, and Medical Management AcuityPrioritized daily workflow to achieve on-time and high-quality care objectivesCoordinated Personal Health Management assessments to evaluate patient needs for individualized care, treatment timeframes, and intervention requirementsActively assisted PCPs and physicians with managing interventions, documenting care outcomes, and evaluating episodes for case closureMolina Healthcare  Troy, MI 2017  2018Registered Nurse: Case Management / Care CoordinatorImplemented state-mandated assessments to evaluate the care needs of new Medicare / Medicaid membersReferred patients to Senior Alliance for additional supportKept lines of communication open with patients, families, and healthcare providers to discuss patient needs, provide education, and offer additional resourcesHenry Ford Health System  Novi, MI 2007  2017Registered Nurse: Case Management / Clinical Nurse Manager K7 Unit & Floor; 2010  2017Documented nursing assessments, treatments, medications, discharge instructions, and follow-up careEnforced infection control procedures and budgetary requirements on a daily basisPromptly diagnosed, managed, and oversaw the discharge of post-operative patientsPerformed triage during after-hours and weekends to assess the urgency of patient careRegistered Nurse: Medical Surgical; 2007  2010Played a vital role in ensuring the seamless operations of patient care including vital sign (temperature, pulse, blood pressure) management, discharge education, inpatient surgical procedure assistance, wound care, and infection control complianceExecuted changes based on staffing needs and floor assignmentsEstablished process improvements for optimizing patient care quality and efficiencyMagnum Home Health Care  Southfield, MI 2010  2013Registered Nurse: Case Management & Clinical Nurse ManagerProactively identified and addressed patient needs by performing various state-mandated assessments, coordinating home visits, and delivering personal care servicesActed as a liaison between patients, families, and health care providers to advocate for patient welfareCommunicated community resources, referrals, and plans of care with patients and familiesAdditional Work ExperienceClinical Nurse II: Cardio-Thoracic Vascular Step Down, University of Michigan Health System (5 Years)Patient Care Technician, St. Josephs Health (3 Years)Technical EfficienciesEMR Systems (EPIC, Allscripts, Cerner)