Human Asset Management

RN Case Manager (Houston Only)


 
 
 
 
 
 
 
 
 
 
Experience
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Resume of Candidate 332923.  RN  has over ten years of clinical experience specializing in Case Management and Home Health.  This candidate is highly knowledgeable of Medicare regulations and guidelines.  This candidate is responsible for assuring the provision of appropriate services in acute, home, chronic and alternative settings, to meet patient’s needs in the most cost-effective manner available and can do the same for your organization.
 
 
 
Ambulatory Healthcare Facility(Case manager/Alt. DON)     May 2007-present

Duties: Responsible for performing initial assessments, post hospitals, discharges
and SCIC Oasis. Establish individual POC and goals. Follow current Medicare
guidelines for home care patients. Interview, train and supervise other staff.
Collaborate with physician and other healthcare members to ensure patient receiving
optimal care.
 
Large Care Coordination Program (Service Coordinator)       Feb. 2006-May 2007

Duties: Responsible for coordinating enrollee care needs for assigned members who are
primarily medically complex and require intensive medical and psychosocial support.
Responsible for ensuring early identification of health risk factors, education, and
prevention. Responsible for assuring the provision of appropriate services in acute,
home, chronic and alternative settings, to meet patients needs in the most cost-
effective manner available. Conduct telephonic and face to face visits according to
Plan policy and procedure. Monitor hospital encounters of assigned members and
provide education and/or interventions as necessary to reduce frequency.
Coordinates services for members following plan policy.
 
Home Health Agency (Case manager)                              Oct. 2005-Jan. 2006

Duties: Responsible for performing initial assessments, post hospitals, discharges
and SCIC Oasis. Establish individual POC and goals. Follow current Medicare
guidelines for home care patients. Interview, train and supervise other staff.
Collaborate with physician and other healthcare members to ensure patient receiving
optimal care.
 
Ambulatory Healthcare Facility (Case manager/Alt. DON) July 2002-Oct. 2005

Duties: Responsible for performing initial assessments, post hospitals, discharges
and SCIC Oasis. Establish individual POC and goals. Follow current Medicare
guidelines for home care patients. Interview, train and supervise other staff.
Collaborate with physician and other healthcare members to ensure patient receiving
optimal care.
 
Major Home Health Agency (Medicare Nurse/Case Manager) Jan.2000- July 2002

Duties: Performed initial assessments to Medicare patients following Medicare guidelines.
Performed all aspects of nursing care in home enviroment under orders of physician.
Supervision of other staff.
 
Education
 
Associate Degree Nursing, Wharton County Jr. College 1995
 
 
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