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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Golfview DriveSterling Heights, MI Street Address PHONE NUMBER AVAILABLEObjective: Seeking a challenging and rewarding position as a Registered Nurse in Care Management.Experience:Oct 2020to present Henry Ford Macomb Hospital: Integrated Case Manager: Responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet individuals and families comprehensive health care needs throughcommunication and available resources to promote patient safety, quality of care, and cost effective outcomes. Jan 2020to Oct 2020 Emerging Markets-Senior Health Services-Medicare Advantage Population:R.N. Care ManagerAssess, plan, implement, coordinate, monitor, evaluate and advocate healthcare options and services for specified members. Liaison between member/authorized representative and facility, provider, and/or Emergent Markets through contact and collaboration with the member and provider(s)Maintain communication and collaborate with member, family, physicians, health team-SWs, RD, pharmacist and payer representatives.Establish measurable goals and evaluation of the quality and cost outcomes of the care provider.Compare the members disease course to established pathways to determine variances and intervene as indicated.Report quantifiable impact, quality of care and/or quality of life improvements as measured against the case management goals. April, 2017to Oct 2020 Seasons Hospice and Palliative Care Madison Heights, MI Call Center Triage NurseCall center triage Nurse for Seasons Hospice. Seasons Hospice provides services 24 hours a day in multiple locations across the US. After hours, week-ends and holiday calls go to a central location. As a call center nurse, all calls are triaged and assistance including education and support is provided to patients, families, and caregivers. Local nurses and support staff are dispatched for follow-up and visits as needed. Med teaching and end of life teaching is provided to promote comfort of patients. Oct, 2011 Blue Cross Blue Shield of MI Detroit, MI to 12/2019 R.N. Case ManagerAssess, plan, implement, coordinate, monitor, evaluate and advocate healthcare options and services for specified members. Liaison between member/authorized representative and facility, provider, and/or BCBSM through contact and collaboration with the member and provider(s)Maintain communication and collaborate with member, family, physicians, health team and payer representativesEstablish measurable goals and evaluation of the quality and cost outcomes of the care provider.Compare the members disease course to established pathways to determine variances and intervene as indicated.Report quantifiable impact, quality of care and/or quality of life improvements as measured against the case management goals. June 2007 Northwest Home Health Services Farmington Hills, MI to Oct. 2011 Director of NursingClinical Supervisor for a JCAHO accredited home care agency. Responsible for overseeing field staff, implementing necessary in-services for all staff, and managing the day to day clinical needs of the agency. Knowledgeable of ICD-9 coding, JCAHO and Medicare guidelines and requirements, and customer satisfaction.Nov. 2006 Personal Home Care Services New Baltimore, MI to June 2007 RN, Case Manager, Field StaffHome care nurse. Provided home visits which included assessment and instruction on disease process and management with emphasis on hospital prevention.Dec. 2005 U.S. Home Care Detroit, MIto Nov. 2006 RN, Case Manager, Field StaffHome care nurse/case manager. Provided home visits which included assessment and instruction on disease process and management with emphasis on hospital prevention.Dec. 2004 Allegiance Home Care Sterling Heights, MI to Dec. 2005 RN, Case Manager, Field StaffHome care nurse/case manager. Worked primarily with patients that received services from Veterans Hospital. These were patients that had multiple, complex medical conditions that required on-going assessment and care.May 2000 Kindred Hospital Detroit, MIto August 2002 Case Manager/Discharge PlannerAssisted patients and caregivers at a ventilator facility with discharge planning when appropriate. Provided resources and support to families during the ventilator weaning process. Assisted with coordination of community resources for patients to transition into the community setting.Sept. 1989 Calvary Senior Center/Lutheran Social Services of Michigan Detroit, MIto June., 1997 Adult Day Care Director, Social Worker Social Worker for a non-profit organization. Duties included: Field work- Connected homebound seniors with services to help them remain in the community; Grant writing; Director of the Calvary Adult Day Care Program- Duties included supervising staff, developing andimplementing appropriate activities for the adult day care program, providing caregivers with community resources, and facilitating a support group for family/caregivers of patients with Alzheimer's Disease.Education: Wayne State University Detroit, MIBachelor's Degree Nursing 2004Oakland University Rochester, MIBA Sociology with concentrations in Social Services and Gerontology 1988Holy Cross High School Marine City, MIDiploma 1983Certification: CCMReferences: Available upon request |
