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Rn Case Manager Resume Batavia, OH
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Title RN Case Manager
Target Location US-OH-Batavia
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Kimberly J Isaacs BSN RNProfessional SummaryHands on experience with utilization and concurrent review, direct communication with insurance companies regarding UR and discharge planning, palliative care audits/screens, HF Risk chart audit/screens and follow up calls for high risk HF patients.Presentation of DRG information to patients/families, education on Medicare rights, direct communication with social work for discharge needs, documentation review and patient status assignment, discharge planning, meetings with practitioners, MD orientation, daily use with InterQual and Milliman, daily discharge huddle, annual competency committee, and preceptor to new employees Coordinated care with interdisciplinary team to meet admission goals.Provided patient and family education and made referrals to internal and community resources. Initiated care and completed certification/recertification orders and discharge summaries.Coordinated with interdisciplinary team to holistically manage disease and symptoms of patients at end-of-life.Provided extensive patient/family education.Completed initial/ongoing comprehensive assessments and discharge planning of patient and families.Supervised home health aides. Administered medications and performed wound care in skilled nursing and rehab unit.Supervised nursing assistants; provided discharge planning and skilled care of post-surgical/rehab patients, diabetes management, post stroke rehabilitation, dementia, and ostomy care.Education:Colorado Christian University, December 2016Bachelor of NursingGood Samaritan Hospital School of Nursing Aug 1989  Dec 1996Diploma in NursingUniversity of Cincinnati Clermont College Sep 1986 - Jun 1995Major-Business Administration/Information SystemsSkills:Team Leadership Active Listening Research Telehealth/Remote Work EMR Systems ICD 10 CPTDischarge Planning Compliance Assessments CMS/Milliman Care Guidelines Chart/Billing AuditsMS Office ICUE Oxlink/Pulse NICE Staff/Conflict Management Patient/Family Education QARegistered Nurse license in Ohio, Kentucky and FloridaMember of National and Ohio School Nurse AssociationUse and application of computers-Microsoft Word5+ years of case management skillsBLS Health Care Providers CPR Program certificationUse of Mc Kesson's Horizon Home Care softwareHome Care Home Based Computer SoftwareEpic Hospital and Homecare SoftwareProfessional Experience:Bethesda North Hospital, Cincinnati, OH Sept 2019-presentRN Case Manager, BT3-Oncology/SurgeryMy responsibilities include discharge planning for oncology and surgical patients. It includes setting up home care, arranging needed equipment on discharge and referring patients to the social worker if the clients needs are for skilled nursing facility on discharge. The duties of the care manager include communication with patients, families, nurses, doctors, other care managers, physicians, durable medical equipment companies and home care companies. The duties also include prior authorizations, assisting with drugs and drug cards.Mercy Anderson Hospital, Cincinnati, OH Dec 2018-Sept 2019RN Staff-B3 Telemetry Short StayMy responsibilities include admissions, discharges, education on chronic illnesses to patients, medication administration, lab draws, iv starts, iv fluids and medications, communication to patients, families and other staff including doctors.American Traveler, Boca Raton, FL April 2018-presentRN Travel Home HealthMy responsibilities include visiting patients in their homes on daily or weekly basis.Visits include assessments, education of chronic illnesses, vital signs, lab draws, iv antibiotics, urine samples, and communication with patients, families, physicians and other team members including supervisors.Option Care, Milford, OH Sept 2017-Jan 2018RN Infusion NurseMy responsibilities include administering home infusions such as IVIG, Entyvio, Remicade, TPN, IV fluids, antibiotics and any other intravenous medications that can be administered in the home or in the treatment center.Also draw lab work and change picc line dressings.Blood and medications are given peripherally, through picc line or port.Care Connections, Cincinnati, OH Jan 2015-Sept 2017RN Home Care Case ManagerMy responsibilities include visiting patients in their homes on a weekly or bi-monthly basis.Visits to patients include management of diseases such as diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disease, asthma and other chronic health problems.We as nurses monitor vital signs, draw labs, and urine samples as ordered by physicians, refer to physical therapy when needed, teaching and supervising patients in their chronic health problems.Also included in the duties are keeping notes and communicating with other team members as well as physician offices, hospitals, therapists and families when needed.Ohio First Home Healthcare, Cincinnati, OH Oct 2014-Jan 2015RN Case ManagerMy responsibilities include visiting patients in their homes on a weekly or bimonthly basis.Visits to patients include management of diseases such as diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disease, asthma and other chronic health problems.We as nurses monitor vital signs, draw labs and urine samples as ordered by physicians, refer to physical therapy when needed, teaching and supervising patients in their chronic health problems.Also included in the duties are keeping notes and communicating with other team members as well as physician offices, hospitals, therapists and families when needed.Clermont County Educational Service Center, Batavia, OH Aug 2012- Oct 2014School Nurse/Secretary/Educational AideMy responsibilities include school nurse duties including giving and maintaining daily medications, administering tube feeds, being available in an emergency situation such as child having a seizure, injury or any other needed situation.The nurse is also responsible for planning, writing and implementing the individual health plans for each child in the program.My duties also including any needed secretarial duties for the office at our school including answering phones, taking and giving messages, maintaining schedule for the administrator and any other office duties assigned.My duties as an educational aide include helping out in the classroom when needed such as lifting, changing diapers, cleaning messes and spills as needed and helping out during group and individual activities as needed.Nurses Care, Inc., Cincinnati, OH Dec 2010- Aug 2012Homecare RNMy responsibilities include management of a case load of patients in Hamilton County for weekly visits. Visits to patients include management of diseases such as diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disease, asthma and other chronic health problems.We as nurses monitor vital signs, draw labs as ordered by physicians, refer to physical therapy when needed, teaching and supervising patients in their chronic health problems.Also included in the duties are keeping notes and communicating with other team members as well as physician offices, hospitals, therapists and families when needed.Deaconess Homecare Services, Cincinnati, OH July 2009-Dec 2009Homecare RN Case ManagerMy responsibilities include managing a caseload of a various number of patients weekly.Visits to patients included post-op surgical patients, chronically ill patients who need consistent teaching and monitoring for medications and physical abnormalities.The nurses also provide wound care, vital sign assessment; lab draws as ordered and needed by the patients physicians.Also included in duties is keeping notes in computer using McKesson's Horizon Homecare software, communicating with other team members including the director, other nurses, and supervising aides as patients have assigned them.We also precept student nurses at various times.Maxim Pediatric Health Care Services, Cincinnati, OH Feb 2009-July 2009Pediatric Home Care NurseMy responsibilities include taking care of a five-month-old infant withmultiple health problems that include the need for oxygen administration and monitoring his oxygen saturation level throughout the day.Duties also include assessment, feeding, monitoring his well-being and may include any change in condition to the parents, doctors and office staff.My duties may also include skilled care visits for other ill children in the Cincinnati area.Mercy Anderson Hospital, Cincinnati, OH July 2007-Dec 2008Staff Nurse B3 OncologyMy responsibilities include taking care of 3-5 patients during a12-hour shift.They include checking IV fluids, giving chemotherapy, blood products, IV medications, regular medications and other various duties as indicated.It also includes communicating with the patients, their physicians, other nurses and various other team members in the hospital.United Health Care, West Chester, OH May 2004  July 2007High Risk RN Case ManagerMy responsibilities in my previous job included speaking with patients on the phone after they've been in the hospital, going over the treatment they received, medicines given to take home and whether they have had a follow up appointment with their physician.It also includes speaking with other team members about questions and issues.Also taking any questions or patient cases that have more than six medicine or questions about treatments to our medical director (physician) for answers or help.Good Samaritan Hospital, Cincinnati, OH June 2001 - Feb 2002Staff RN-OR departmentMy responsibilities in the operating room include interviewing patients prior to surgery, taking them to operating room and prepping them.It also included making sure the appropriate instruments were available for the physicians, getting an extra needed instrument, taking the patients back to post-op after surgery, documentation and helping to clean up the room after a surgical procedure.Sheakley Unicomp, Cincinnati, OH Jun 2000 - Jun 2001RN Case ManagerMy duties included speaking with worker's compensation patients on the phone going over their treatments and how long they will be off work due to injury.It also included speaking with their employers, the physicians, the Ohio Bureau of Worker's Compensation and sometimes lawyers.Unknown temporary agency Jan 1999 - June 2000PRN RNI worked as a private duty nurse and home care nurse.Mercy Hospital Fairfield, Fairfield, OH Aug 1997 - Jan 1999Staff RN-4AMy duties included working on an oncology/urology floor at night.It included taking care of post-operative urology patients, oncology patients and overflow of medical-surgical patients from other floors of the hospital.It included starting IV's, assessment, medicines, treatments, documentation, prepping patients for tests the next day and calling physician if there was any change in treatment for the patients

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