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Click here or scroll down to respond to this candidateCandidate's Name , RNStreet Address
Phone: PHONE NUMBER AVAILABLEEMAIL AVAILABLEOBJECTIVE: To obtain a Medical Case Manager position that will utilize my 20+ years experience as a Registered Nurse handling clinical, home health, and hospice care. EDUCATION & LICENSURE:Bachelor of Science Degree in Nursing 1985Bloomfield College, Bloomfield, NJState of Florida Registered Nurse License Valid License #: RN9204796PROFESSIONAL EXPERIENCE:4/2014 Present WellCare Health Plans, St. Petersburg, FL 10/1/2021 Present Centene, (Integration from WellCare) St. Petersburg, FL Registered Nurse Case ManagerAssess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomesPerform duties independently, demonstrating advanced understanding of complex care management principles.Monitor referrals made to community based organizations, medical care and other services to support the members overall care management planEnter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems2/2004 1/2011 Suncoast Hospice, St. Petersburg, FL Registered Nurse Staff NurseProvide case management to hospice patients.Handle and assist the Nursing Supervisors caseload as needed.Responsible for chart audits to ensure medical efficiency and quality of medical care.Perform nursing assessments and discharge planning of hospice patients.Attend hospital visits to provide medical care to patients.Educate families and support members on issues such as in-home care and patient self- sufficiency.7/2003 2/2004 Gentiva Health Services, St. Petersburg, FL Registered Nurse Case ManagerProvide daily care of patients requiring wound care, pain management, cardiac, and neurological assessments.Oversee Oasis Assessments and JACHO Surveys.Sort and review medical and other records to ascertain history of patient's illness or injury diagnosis(s) and treatment.Maintain activity reports outlining services performed and recommended further treatment. 8/1998 6/2003 Jersey Care Home Health, West Orange, NJ Registered Nurse Case ManagerConducts home care admissions and visits for patients.Perform Oasis, neurological and cardiac assessments, as well asProvide wound care and pain management evaluations.Maintain JACHO surveys and activity reports outlining services/recommendations of treatment. 2/1995 8/1998 St. Barnabas Hospice & Palliative Care Center, Glen Ridge, NJ Registered Nurse Case ManagerResponsible for adult medical chart review, and provide home care/long-term care evaluations.Conduct adult patient care admissions and visits and oversee the pediatric admissions and visits. 9/1990 1/1995 Medical Center Health Care Services, Livingston, NJ Registered Nurse Private Duty & Medical/Surgical Nurse Provide general nursing duties and participation within the Oncology Unit. 8/1990 9/1993 Clara Maas Medical Center, Belleville, NJ Registered Nurse Staff NurseProvide general nursing duties within the Oncology Unit. REFERENCES: Available upon request. |
