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Click here or scroll down to respond to this candidateCandidate's Name , RN, CCM, MSNOneonta, ALPHONE NUMBER AVAILABLERegistered Nurse with 16 years of experience in clinical settings providing nursing care to diverse populations. Strong clinical knowledge and communication skills. Works well independently with excellent analytical and problem-solving skills. Experience with outpatients as well as acutely/chronically ill inpatients. Work from home case management experience of 5 years.PROFESSIONAL EXPERIENCERN Care Manager07/05/2022 to present Aetna DSNP Telephonic case manager, ensure enhancement of medical appropriateness and qualityof care Application and interpretation of applicable criteria and clinical guidelines, standardized,care management plans, policies, procedures, regulatory standards while assessingbenefits and members needs Demonstrate medical terminology, navigating EMR/HER systems, medical record retrieval,documentation, and clinical processesRN Care Manager04/01/2019 to 07/01/2022 Blue Cross Blue Shield of Alabama Facilitate patient care by assessing patient needs, evaluating treatment options, creating care plans, coordinating care, and educating patients and caregivers Effective oral and written communication. Experienced in collaboration with physicians, patients, caregivers, and service providers Proficient with Microsoft word, Excel, and PowerPoint Maximize member's contract benefits by evaluating needs and developing care plans to provide quality care Analyze clinical situations to make informed decisions Excellent time management and organizational skillsRegistered Nurse09/2013 to 04/2019 Outpatient Services East Birmingham, AL Instructed patients, and family members on proper discharge care Ensured HIPAA compliance Documented patient information obtained from interviews Admit/ recover/ discharge patients for outpatient GI Lab and same day surgery procedures Assist physician in procedure areas as neededRegistered Nurse06/2008 to 2017 St Vincent's East Birmingham, AL Adept at prioritizing/managing deadlines Managed care for post-operative patients through discharge Liaised between patients and physicians Provided discharge education regarding medications and disease processes Treated patients with chronic and acute health problems such as heart attacks, arrhythmias, asthma, COPD, and pneumonia Developed and implemented nursing care plans and documented patient information obtained from interviewsEDUCATION Master of Science Nursing, Leadership and Management, WesternGovernors University, WGU Feb. 2022 Bachelor of Science Nursing, WGU 2021 Associate of Applied Science Registered Nursing, 2008 Jefferson State Community College, Birmingham, AL Associate of Applied Science Radiography, 2003Wallace State Community College, Hanceville, ALCERTIFICATIONS Certified Case Manager (CCM) August 2022 Registered Nurse Alabama, License number 1-117179, 2008-2022 Compact RN License 2022- present Basic Life Support (BLS) certification 2001 Advanced Cardiac Life Support (ACLS) certification 2008 Registered Technologist (Radiography) 2003ADDITIONAL SKILLS High level of autonomy Strong clinical judgment Qualified critical care nurse Professional, positive manner Problem resolution capability Natural leader Willing to volunteer for committees and extra projects Willing to complete any extra training and certificates as required |
