Summary
Dedicated Case Manager with 10+ years of experience delivering high-quality care and case-management services to diverse patient groups. Instrumental in collaborating with cross-functional teams to meet the needs of patients. Adept at developing and implementing nursing care plans for patients and families.
Professional Experience
MILWAUKEE VA MEDICAL CENTER, Milwaukee, VA
RN Case Manager, September 2015–Present
- Manage a heavy caseload of 60-70 patients and their families to ensure proper delivery of services and to assist clients with meeting their psychosocial needs
- Direct a cross-functional team of 20+ healthcare professionals, including MDs, RNs, LPNs, and patient service associates
- Attended a 2-week long teach-the-teacher training on the PACT care model, and delivered training to 6 newly hired RN’s on PACT and its implementation
- Serve as a PACT leader to coordinate all aspects of care for a panel of 1000+ patients while delivering chronic disease management and preventative education
- Administer patient care for 15+ patients, completing RN physical and psychosocial assessments, adjusting care plans, and treating change of conditions
SOUTHPOINTE CARE AND REHAB CENTER, Milwaukee, WI
RN Case Manager, June 2009–August 2015
- Conducted case management and utilization review of 40+ patients to determine medical necessity and level of care according to Milliman and InterQual criteria
- Created, reviewed, and revised robust care plans for 30+ patients, focusing on patient needs, disease management, and treatment alternatives
- Oversaw a team of 15+ clinical and support staff to direct and coordinate patient care activities, maintaining a high degree of professionalism while keeping morale high
- Managed all aspects of patient assessment, care planning and implementation, and evaluation to provide them with appropriate care and facilitate their timely recovery
- Prepared and entered documentation into care management applications to ensure compliance with documentation requirements, maintaining an audit score of 95%+
Education
RIVER BROOK UNIVERSITY, Chicago, IL
Bachelor of Science in Nursing, May 2009
- Honors: cum laude (GPA: 3.8/4.0)
Additional Skills
- Expert in Microsoft Office (Word, Excel, and PowerPoint), Title 22 and Oasis documentation, and computerized charting (Matrix & Bright Tree)