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Title Case Manager Registered Nurse
Target Location US-NY-Elmont
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name , BSN, RN, CCMStreet Address
Tel: PHONE NUMBER AVAILABLE; Email: EMAIL AVAILABLEEDUCATIONColumbia University School of Nursing, New York, NYBachelor of Science in NursingLICENSE & CERTIFICATIONRegistered Nurse: New York State LicenseNew Jersey State LicenseCertified Case ManagerEXPERIENCEFidelis Care, Rego Park, NYRN Case Manager II, September 2019  January 2024Performed care coordination and cost-effective management of healthcare resources to meet the needs of individuals to improve outcomes, lower cost, and improve the patient experienceManaged a monthly caseload of 150-200 average-risk members/patients, providing care coordination, medication management, and appropriate referral across the continuum of careDeveloped care plans and presented patient education materials to improve patient and team outcomes (decreasing hospitalizations, increasing adherence to treatment regimens)Northwell Health, Long Island, NYField Nurse, February 2001  May 2019Managed adult and senior patients with complex conditionsPerformed patient-centric care collaboration with clinical teams across the continuumManage Medicare and commercial insurance populations in promoting quality outcomes in high-risk populationsMaintain proficiency with CMS and homecare regulatory documentation toolsContinuum Home Care, New York, NYCommunity Health Nurse, Maternal Child Health, Home Health Aide Field Supervisor Positions, June 1991  January 2001Managed pediatric, adult, and senior patients with complex conditionsMade referrals to other disciplines as needed; coordinating servicesBeth Israel Medical Center [Mt. Sinai Beth Israel], New York, NYStaff Nurse, Maternal and Child Float Team, June 1989  June 1998Managed patients in various outpatient clinics, including labor, delivery, high-risk, neonatal, and pediatricsParticipated in monthly informational sessions for new mothersConducted educational sessions on post-childbirth expectationsPROFESSIONAL SKILLS & DEVELOPMENTMaintained all requirements for New York and New Jersey State licensureProficient in: ICD-10-CM Coding for Guidelines, Home Health, and Disease Systems, Healthcare Guidelines, Milliman Care Guidelines, OASISSKILLS & INTERESTSData Systems: McKesson Health Records; case manager dashboards, EMR/EHRsComputer Skills: MS Word, Excel, Outlook; videoconferencing

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