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HCM Humana Cares - Case Manager Resume Example

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Addison Kelly
XXXX XXXXXXXX XXX, Wesley Chapel, FL 33544
XXXXXXXXXXXXXXXXXXXXXXX
Ph: XXXXXXXXXXXX
Professional Summary

Highly dedicated and compassionate NICU Nurse with 34 years of exceptional quality
health care service. Skilled at responding quickly to emergent situations, managing daily care, and maintaining productive relationships with parents, physicians, and staff. Strong team player with excellent communication, interpersonal, and time management abilities.Especially
skilled at educating patient families on treatments, conditions, and at-home care. 
Skills
  • Twenty four years of  strong acute care facility nursing experience
  • Proven ability to prioritize, analyze, organize, and multitask in a fast paced environment 
  • Excellent motivational interviewing and communication skills 
  • Delivers outstanding family-centered, culturally sensitive care. 
  • Skilled at working with central lines, starting and maintaining IV's, administering medications. 
  • Preceptor and resource person for nursing staff
  • Proven leadership and conflict resolution skills by serving as relief charge nurse for unit.
  • Adept at developing and implementing individualized care plans
  • Proficient at using high tech equipment such as cardiac monitors, oscillators, ventilators, radiant warmers,and isolettes
  • Flexible professional with positive attitude
Experience
HCM Humana Cares Tampa, FL Case Manager Aug 2009Present
  • Assumed a leadership role as part of a team that developed and implemented a mentorship program for new associates.
  • Currently participating as active mentor for the program.
  • Assumed a leadership role within the interdisciplinary team to achieve optimal clinical and resource outcomes by assisting in the development of a Disease Management program Proactive telephonic outreach to eligible Humana members and engage participation in Humana Cares Complex Care Management program.
  • Complete physical, psychological, emotional and environmental assessments, for the purpose of providing appropriate, timely interventions to ensure provision of optimal care.
  •  Collaborates community care with Physicians,nurses,social work,and home health to plan or coordinate treatment  and services based on patient needs.
  • Works Collaboratively with other members of the Humana Cares Interdisciplinary team-to include; Humana Cares Managers-Social Services, Field Care Managers and Community Health Educators.
Wellcare Tampa, FL Disease Manager Jan 2008Aug 2009
  • Conducted in depth telephonic assessments to evaluate members' health, functional and educational needs, based on physical, psychosocial, and environmental vulnerabilities in order to identify and provide educational information and resources to maximize member outcomes.
  • Assumed a leadership role within the interdisciplinary team to achieve optimal clinical and resource outcomes by assisting in the development of Disease Management protocols.
  • Acted as a liaison and member advocate to assist the member and their family toward achieving improved health outcomes.
  • Develop and maintain health education libraries to provide resources for staff and community agencies.
NICU St. Joseph's Hospital Tampa, FL Staff Nurse Nov 2005Nov 2007
  • Utilized the nursing process to assess, plan, implement, and evaluate patient needs upon admission to the hospital and provide exceptional care throughout their hospital stay in a Level III NICU.
  • Collaborated with other team members and ancillary service providers to coordinate patient care.
  • Developed daily schedules and prioritized care based on patient needs and acuity.
  • Assisted in the coordination and discharge planning of patients to home environment.
  • Educated family members on ongoing medical treatments on their high-risk infant.
  • Experienced user of a variety of high-tech, life-saving and monitoring equipment.
  • Monitor, record, and report symptoms or changes in patients' conditions.
NICU Forsyth Medical Center Winston-Salem, NC Staff Nurse Aug 1983Jun 2005
  • See duties and responsibilities above.
  • Served in leadership role as relief charge nurse for 48 bed unit in a large 924 bed medical center.
  • Charge responsibilities included making assignments for staff,giving report to oncoming charge nurse, liason and support person for physcians, nursing staff, and families,troubleshooting and responding quickly to emergent situations.
  • Provided assistance to physicians in treatment administration and in performing diagnostic tests, medical examinations and surgical operations.
  • Served as preceptor to orient new nurses. 
  • Managed caseload of 1to 4 patients depending on acuity, providing education, treatments, IV therapy, venipuncture and wound care. 
  • Member of hospital pediatric and neonatal resuscitation team,as well as  Served as instructor in Neonatal Resuscitation (NRP). 
Charge Nurse Horizon Residential & Care Center Rural Hall, NC Staff and Charge Nurse Sep 1982Aug 1983
  • Provided on-site care for severely and profoundly mentally disabled children.
  • Re-designed charting system.
  • Served as charge nurse.
  • Transported patients to medical appointments.
  • Resource and support person for families and staff.
Pediatric ICU Memorial Hospital Chapel Hill, NC Staff Nurse Jul 1981Jul 1982
  • Delivered high-quality and compassionate treatment and education to critical pediatric patients and parents. 
  • Maintain accurate, detailed reports and records.
  • Worked with various types of hi-tech equiptment such as ventillators,intra-cranial pressure moniters.
  • Maintained and worked with IV and central lines.
Education
University of North Carolina at Charlotte Charlotte, NC Bachelor of Science: Nursing May 1981
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Resume Details

This is a real resume for a Case Manager in Wesley Chapel, Florida with experience working for such companies as Hcm Humana Cares, Wellcare, Nicu St Josephs Hospital. This is one of the hundreds of Case Manager resumes available on our site for free. Use these resumes as templates to get help creating the best Case Manager resume.

Previous Companies:

  • HCM Humana Cares
  • Wellcare
  • NICU St Josephs Hospital

Previous Job Positions:

  • Case Manager
  • Disease Manager
  • Staff Nurse
  • Staff and Charge Nurse

Schools:

  • University of North Carolina at Charlotte

Level of Education:

  • Bachelor of Science

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