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The University Of Kansas Hospital - Ed Nurse Case Manager Resume Example

Leah Long
XXXX XX XXXXXXXX XX, Kansas City, MO 64157
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Ph: XXXXXXXXXXXX
Professional Summary

 


Highly trained Case Manager with strong clinical abilities and a successful career in both Acute Care Settings and Payor Source facilities. Proactive and organized with passionate commitment to first-rate patient care. Expertise in Emergency Department Case Management.

Skills
  • Customer and Personal Service Active Listening Education and Training Critical Thinking Coordination Time Management Administration and Management Management of Personnel Resources
Experience
The University of Kansas Hospital Kansas City, KS ED Nurse Case Manager Jul 2006Present
  • Utilize ED position as port of entry and reviewing all admissions and potential admissions with Interqual Criteria
  • Collaborate with Physicians and staff on appropriateness of an admission and provide resources
  • Plan with patient discharge needs and arrange services such as Home Health, DME, and infusion therapy
  • Determine staffing requirements, and interview and train new employees
  • Establish and implement departmental policies, goals, objectives, and procedures, conferring with the Director of Case Management, Manager of ED Case Managers, and staff members as necessary
  • Track ED admission numbers and the impact of ED Case Managers for throughput
  • Use of Allscripts and designated SuperUser
  • Reduce readmissions
North Kansas City School District Kansas City, MO Elementary School Nurse Jul 2005Feb 2007
  • Oversee medical attention related to the care of 440 students
  • Manage each students medical file including immunization requirements
  • Allergy precautions and medication administration for field trips
  • Routine medication administration
  • Phoning and collaborating with parents for direct care of their child
Providence Medical Center Kansas City, KS ED Nurse Case Manager Nov 2002Jul 2005
  • Review every admission and potential admission from the ED for medical necessity
  • Collaborated with staff for appropriate level of care
  • Arranged Home Health, DME, infusion therapy from the ED
  • Transitioned to an Inpatient Case Manager to provide Utilization Review to third party payers and discharge planning for patients
  • Assisted in Denial/Appeal Process
Mid America Health Kansas City, MO Telephonic Review Nurse Aug 2002Nov 2002

    Coordinate approval or denial of services via telephonic review

  • Refer providers to appropriate health care in-network services or resources
  • Collaborate with Medical Director for appropriateness of level of care and admission status
  • Retrieved medical necessity from InterQual and Robertson-Milliman criteria standards
Education
Northeastern University Boston, MA Bachelor of Science: Nursing Jun 1994
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Resume Details

This is a real resume for a ED Nurse Case Manager in Kansas City, Missouri with experience working for such companies as The University Of Kansas Hospital, North Kansas City School District, Providence Medical Center. This is one of the hundreds of ED Nurse Case Manager resumes available on our site for free. Use these resumes as templates to get help creating the best ED Nurse Case Manager resume.

Previous Companies:

  • The University of Kansas Hospital
  • North Kansas City School District
  • Providence Medical Center

Previous Job Positions:

  • ED Nurse Case Manager
  • Elementary School Nurse
  • Telephonic Review Nurse

Schools:

  • Northeastern University

Level of Education:

  • Bachelor of Science

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