Compassionate Nurse Case Manager experienced in developing and implementing strategies to enhance patient care and coordinate interdisciplinary support teams. Achieved optimal patient outcomes through effective advocacy, care coordination, and resource management. Delivered high productivity and efficient task completion while navigating complex healthcare systems and earning recognition for 100% on audits.
Overview
2
2
years of post-secondary education
21
21
years of professional experience
Work History
Nurse Case Manager
Aetna Medicaid
Mount Airy
09.2023 - Current
Assessed patient needs and developed personalized intervention strategies for optimal outcomes.
Monitored patient progress and adjusted care plans based on evolving health conditions.
Coordinated care plans for diverse patient populations in collaboration with healthcare teams.
Facilitated communication between patients, families, and healthcare providers to ensure transparency.
Collaborated with multidisciplinary teams to streamline service delivery and improve efficiency.
Conducted home visits to assess patient's condition in the home environment.
Analyzed data from various sources including claims information, laboratory results and medication histories to identify potential risks or gaps in care.
Documented patient interactions and care plans in compliance with organizational policies.
Provided training and support to new staff on case management best practices and protocols.
Hospice Registered Nurse Case Manager
Mountain Valley hospice
08.2017 - 09.2023
Coordinated patient care plans with interdisciplinary teams at Mountain Valley Hospice.
Conducted comprehensive assessments to determine patient needs and preferences.
Provided education and support to families regarding end-of-life care options.
Managed medication administration and monitored patient responses effectively.
Facilitated communication between patients, families, and healthcare providers regularly.
Documented patient progress and care interventions accurately in electronic systems.
Implemented pain management strategies tailored to individual patient conditions.
Advocated for patient rights and wishes within the healthcare framework consistently.
Collaborated closely with physicians and other healthcare providers to coordinate comprehensive patient care.
Monitored medication regimens to ensure safe administration of medications in accordance with physician orders and nursing standards of practice.
Transitions to working remote.
Completed into delicate care team meetings for 56 to 60 patients.
Team supervisor and support
Charge Registered Nurse
Chatham Memorial Hospital
Elkin
10.2014 - 08.2017
Supervised nursing staff and coordinated patient care activities.
Administered medications and monitored patient responses to treatments.
Developed and implemented nursing care plans based on patient needs.
Trained new nurses on hospital protocols and procedures.
Collaborated with physicians to ensure optimal patient outcomes.
Conducted patient assessments and documented medical histories accurately.
Led quality improvement initiatives to enhance nursing practices.
Facilitated communication between departments for effective patient management.
Acted as a preceptor for new nurses transitioning into specialty areas of practice.
Care Coordinator
Hugh Chatham Family Medicine. Proud Associate Of Hugh Chatham Memorial Hospital
Elkin
10.2012 - 10.2014
Coordinated patient appointments and maintained scheduling for healthcare providers.
Assisted patients with insurance verification and benefits explanation.
Managed patient records and ensured compliance with privacy regulations.
Streamlined communication between patients and healthcare staff for improved service.
Supported quality improvement initiatives within the care coordination team.
Maintained accurate client records in accordance with agency policies and procedures.
Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
Facilitated referrals to community resources such as housing, transportation, employment opportunities.
Ensured compliance with state regulations related to healthcare service provision.
Participated in clinical reviews and audits as required by funding sources or regulatory agencies.
Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
Directed, supervised and evaluated medical, clerical or maintenance personnel.
Recruited, hired and trained new medical and facility staff.
RN float nurse
Hugh Chatham Memorial Hospital
Elkin
09.2007 - 10.2012
Administered medications and treatments per physician orders.
Monitored patient vital signs and reported changes to healthcare team.
Educated patients and families on health management and care plans.
Collaborated with multidisciplinary teams to ensure comprehensive patient care.
Assisted in developing nursing care plans based on patient needs.
Documented patient progress and care in electronic health records systems.
Provided emotional support to patients and families during challenging situations.
Participated in quality improvement initiatives to enhance patient safety standards.
Utilized critical thinking skills to assess clinical situations quickly and accurately.
Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
Assessed, planned, implemented and evaluated nursing care for assigned patients
Floated across multiple departments ( Med-surgical, ICU, ED, Stroke Units, OB and Cardiac Stress Lab.
ICU Nurse
Northern Regional hospital
Mount Airy
07.2005 - 09.2007
Provided direct patient care in high-acuity settings.
Monitored vital signs and responded to changes in patient conditions.
Assisted with advanced life support procedures and interventions.
Collaborated with interdisciplinary teams for comprehensive patient management.
Established and implemented nursing care plans for each patient using protocols of assessment, development, activation and evaluation.
Educated patients and families on care plans and health management.
Facilitated admission and discharge processes for ICU patients.
Ensured compliance with hospital policies and procedures related to ICU operations.
Utilized electronic health records for patient data tracking and reporting.
Successfully managed multiple tasks while maintaining focus on providing safe, high-quality patient care.
Education
Associate of Science - Nursing
Surry Community College
Dobson, NC
08.2003 - 07.2005
Skills
Care coordination
Case management
Patient assessment
Utilization management
Discharge management
Medication management
Risk assessment
Referral generation
Electronic health records
Electronic recordkeeping
Technology proficiency
Quality improvement
Interdisciplinary collaboration
Multidisciplinary collaboration
Health education
Patient education
Community resources
Resource referrals
HIPAA compliance
Certified in CPR/AE
Chart audits
Critical thinking
Conflict resolution
Effective communication
Leadership skills
Time management
Certified in CPR/AE
Chart audits
Accomplishments
2010 nurse excellent
2015 Daisy award
Timeline
Nurse Case Manager
Aetna Medicaid
09.2023 - Current
Hospice Registered Nurse Case Manager
Mountain Valley hospice
08.2017 - 09.2023
Charge Registered Nurse
Chatham Memorial Hospital
10.2014 - 08.2017
Care Coordinator
Hugh Chatham Family Medicine. Proud Associate Of Hugh Chatham Memorial Hospital