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MEMORIAL HERMANN HOSPITAL - RN CASE MANAGER II Resume Example

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Lucas Martin
XXX XXXXXXX XXXXX XXXXX , Sugar Land , TX 77479 | (H) XXXXXXXXXX | XXXXXXXXXXXXXXXXXXXXXX
Summary

Certified Case Manager with expert knowledge of care management and utilization review. Patient focused and collaborative RN with established career working in Hospital and Home care settings. Support quality patient care and preventive care advocacy.

Skills

  • CCM certification
  • UAS certification
  • OASIS experience(5 yrs)
  • Critical Thinking
  • Complex Problem Solving
  • Time Management
Experience
RN CASE MANAGER II 07/2015 to Present
MEMORIAL HERMANN HOSPITAL Sugar Land, TX
  • Supported Physicians and IDT in facilitating patient care with the objective of enhancing quality of clinical outcomes and patient satisfaction
  • Managed cost of care and provided timely and accurate information to payers
  • Integrated and coordinated resource utilization management,care facilitation and discharge planning functions
  • Helped drive changes by identifying areas where performance improvement is needed like education,process improvement,patient satisfaction and day to day work flow
  • Accounted for a designated patient case load and planned effectively in order to meet patient needs across the continuum,manage length of stay and promote efficient utilization of resources
  • Interviewed clients, reviewed records, conducted assessments, or conferred with other professionals to evaluate the mental or physical condition of clients or patients.
  • Monitored, evaluated, and recorded client progress with respect to treatment goals.
  • Assisted clients in adhering to treatment plans, such as setting up appointments, arranging for transportation to appointments, or providing support.
  • Educated clients or community members about mental or physical illness, abuse, medication, or available community resources.
  • Facilitated  pre certification and payer authorizing process
  • Applied process improvement methodologies in evaluating outcomes of care
  • Supported and coached clinical documentation efforts and served as a clinical resource for coders ensuring that documentation accurately reflects severity of illness and intensity of services
FIELD NURSE SUPERVISOR 07/2014 to 07/2015
PREMIER HOME CARE Westbury, NY
  • Collaborated with other health care professionals and service providers to ensure optimal patient care.
  • Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing.
  • Developed or assisted others in development of care and treatment plans.
  • Planned, evaluated, or modified treatment programs based on information gathered by observing and interviewing patients, or by analyzing patient records.
  • Identified training needs or conducted training sessions for nursing students or medical staff.
  • Instructed nursing staff in areas such as the assessment, development, implementation and evaluation of disability, illness, management, technology, or resources.
  • Directed or supervised nursing care staff in the provision of patient therapy.
  • Coordinated or conducted educational programs or in-service training sessions on topics such as clinical procedures.
  • Participated in clinical research projects such as by reviewing protocols, reviewing patient records, monitoring compliance, and meeting with regulatory authorities.
  • Prepared reports to document patients' care activities.
MLTC NURSE ASSESSOR 03/2013 to 06/2014
JEWISH HOME LIFE CARE MANHATTAN, NY
  • Extensive experience working in homes with geriatric and disabled adults.
  • Experience with various medical conditions including Parkinson's, Dementia, Diabetes, Cancer, Alzheimer's and Paget's disease.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Initial assessment and enrollment of patients into MLTC program through UAS assessment.
  • UAS documentation in the nursing home,Assisted Living and Day care centers for effective coordination and continuation of care.
  • Periodic assessment of the clients to evaluate service needs and make necessary changes in the care plan.
  • Entry level case management Utilized critical thinking skills in identifying and resolving issues.
  • Referred patient, client, or family to community resources to assist in recovery from mental or physical illness and to provide access to services such as financial assistance, legal aid, housing, job placement or education.
  • Monitored, evaluate, and record client progress according to measurable goals described in treatment and care plan.
  • Modified treatment plans to comply with changes in clients' status.
CARE MANAGER FOR CHHA 08/2008 to 01/2013
MJHS Brooklyn, NY
  • Provided assistance,information and support to families to cope with emotional,practical and life style issues which accompany advancing age and physical,mental,sensory and cognitive impairments.
  • Assisted with development of processes to coordinate care along the continuum and encouraged exploration of creative alternatives of care
  • Experience with OASIS C documentation Telehealth experience.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans.
  • Observed, interviewed, and assessed patients to identify care needs.
  • Monitored or evaluated medical conditions of patients in collaboration with other health care professionals.
  • Made clinical recommendations to physicians, other health care providers, insurance companies, patients, or health care organizations.
  • Maintained departmental policies, procedures, objectives, or infection control standards.
  • Instructed nursing staff in areas such as the assessment, development, implementation and evaluation of disability, illness, management, technology, or resources.
  • Presented clients with information required to make informed health care and treatment decisions.
  • Performed discharge planning for patients.
RN ICU 01/2007 to 05/2008
WOODHULL MEDICAL CENTER Brooklyn, NY
  • Assessed urgent and emergent health conditions using both physiologically and technologically derived data.
  • Performed emergency medical procedures, such as basic cardiac life support (BLS), advanced cardiac life support (ACLS), and other condition stabilizing interventions.
  • Documented data related to patients' care including assessment results, interventions, medications, patient responses, or treatment changes.
  • Managed patients' pain relief and sedation by providing pharmacologic and non-pharmacologic interventions, monitoring patients' responses, and changing care plans accordingly.
  • Administered blood and blood product transfusions or intravenous infusions, monitoring patients for adverse reactions.
  • Set up, operateed, or monitored invasive equipment and devices such as colostomy or tracheotomy equipment, mechanical ventilators, catheters, gastrointestinal tubes, and central lines.
  • Collaborated with members of multidisciplinary health care teams to plan, manage, or assess patient treatments.
  • Helped diagnose acute or chronic conditions that could result in rapid physiological deterioration or life-threatening instability.
  • Discussed illnesses and treatments with patients and family members.
  • Collaborated with patients to plan for future health care needs or to coordinate transitions and referrals.
  • Participated in patients' care meetings and conferences.
  • Performed administrative duties that facilitate admission, transfer, or discharge of patients.
RN ER 10/2004 to 12/2006
ST JOHNS HOSPITAL Yonkers, NY
  • Evaluated patients' vital signs and laboratory data to determine emergency intervention needs.
  • Set up and monitored medical equipment and devices such as cardiac monitors, mechanical ventilators and alarms, oxygen delivery devices, transducers, and pressure lines.
  • Prioritized nursing care for assigned critically ill patients based on assessment data and identified needs.
  • Conducted pulmonary assessments to identify abnormal respiratory patterns or breathing sounds that indicate problems.
  • Documented patients' medical histories and assessment findings.
  • Identify patients' age-specific needs and alter care plans as necessary to meet those needs.
  • Assisted physicians with procedures such as bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion.
  • Administered medications intravenously, by injection, orally, through gastric tubes, or by other methods.
  • Provided post-mortem care.
Education
NURSING: Jan 2001 MAHATMA GANDHI COLLEGE OF NURSING -
High School Diploma: Science Jan 1997 KENDRIYA VIDYALAYA - KERALA
Bachelor of Science: Mahatma Gandhi University College Of Nursing - Ernakulam, KL
Certifications Registered Nurse - State of New York Certified Case Manager(CCM) UAS certified:
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Resume Details

This is a real resume for a RN CASE MANAGER II in Sugar Land, Texas with experience working for such companies as Memorial Hermann Hospital, Premier Home Care, Jewish Home Life Care. This is one of the hundreds of RN CASE MANAGER II resumes available on our site for free. Use these resumes as templates to get help creating the best RN CASE MANAGER II resume.

Previous Companies:

  • MEMORIAL HERMANN HOSPITAL
  • PREMIER HOME CARE
  • JEWISH HOME LIFE CARE

Previous Job Positions:

  • RN CASE MANAGER II
  • FIELD NURSE SUPERVISOR
  • MLTC NURSE ASSESSOR
  • CARE MANAGER FOR CHHA
  • RN ICU

Schools:

  • MAHATMA GANDHI COLLEGE OF NURSING
  • KENDRIYA VIDYALAYA
  • Mahatma Gandhi University College Of Nursing

Level of Education:

  • NURSING
  • High School Diploma
  • Bachelor of Science
  • Certifications Registered Nurse - State of New York Certified Case Manager(CCM) UAS certified

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RN CASE MANAGER II

Sugar Land, Texas

Companies Worked For:

MEMORIAL HERMANN HOSPITAL, PREMIER HOME CARE, JEWI...

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