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RN Case Manager Resume Samples
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0-5 years of experience
Completed assessment of patient and family to determine home health needs
- Initiated and developed the patient’s plan of care which established goals-based on nursing diagnosis and incorporated therapeutic, preventive and rehabilitative nursing
- Established a compassionate environment by providing emotional, psychological and spiritual support to patients, friends and families
- Administered medication and treatments as prescribed by the physician
- Identified discharge planning needs as part of the care plan development and implemented prior to discharging the patient
- Assessed and completed home health aide and LPN evaluations
0-5 years of experience
Effective counseling in health maintenance and disease management.
- Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.
- Managed care for post-operative patients through discharge.
- Liaised between patients and physicians to ensure patient comprehension of treatment plans.
- Ensured HIPAA compliance.
- Assisted patients with multiple chronic diagnoses including COPD and asthma.
- Developed patient care plans, including assessments, evaluations and nursing diagnoses.
0-5 years of experience
Visited patients in their homes and performed comprehensive examinations.
- Performed phlebotomy, wound care, foley insertions/changes and conducted home safety evaluations.
- Instructed patients, caretakers and the family on medication regimens, wound care and dietary restrictions.
- Administered PEG tube feedings and provided diabetes education.
- Communicated effectively and efficiently with physicians/clinicians.
- Proficient in Oasis Charting, Medicaid & Medicare Billing.
0-5 years of experience
Job Duties:
- Led an Interdisciplinary Team in the coordination of all aspects of patient care.
- Completed both scheduled and emergency assessments.
- Obtained and executed physician orders based on nursing assessment.
- Evaluated wounds and coordinated specific wound care treatment.
- Participated in QAPI (Quality Assurance and Performance Improvement) Committee to develop performance improvement projects.
- Frequent teaching to patients and their families regarding disease process and progression.
0-5 years of experience
Performed admits/ discharges of patients, familiar with Title 22 and Oasis documentation, knowledgeable with computerized charting such as Matrix and Bright Tree, ordered equipment, ordered medication, and initiated plan of cares.
- Performed supervised visits to assess compliance with plan of care.
- Managed patient care to over 15 patients, adjusting care plan and treating change of conditions.
- Provided care to patients at home, skilled nursing, and assisted living facilities with understanding of facility regulations.
0-5 years of experience
Managed case load of 80 – 90 members. This included visiting in the homes and completing RN Physical and Psychosocial Assessments.
- Organized and directed home care services with emphasis on community health education/experience.
- Built from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.
- Advanced Care Planning Specialist going into member’s home and facilitating Health Care Power of Attorney/Advance Directive document
0-5 years of experience
- Intervened in medical emergency situations by notifying EMS, physicians, and family
- Coordinated home care services provided by home health aides
- Served as a case manager for patients by developing care plans and collaborating with other medical professionals
- Performed health assessments of individuals by evaluating their complete health status and provided interventions based on need
- Knowledgeable of billing procedures and OASIS required by Medicare/Medicaid
- Worked independently and efficiently and prioritized tasks depending on individual need
0-5 years of experience
Provided skilled and palliative care for up to 16 patients in a five county area.
- Proficient in wound care for infected and non-infected wounds.
- Adept at identifying pain management needs and implementing appropriate interventions.
- Successful leadership skills evidenced by sustained cooperation from associated LPNs and CNAs.
- Dedicated to promoting and providing family centered care.
- Recognized as a leader in excellent patient care as indicated by multiple families’ subsequent referrals.
- Provide community outreach talks to various groups on health related topics.
0-5 years of experience
Hospital case management and utilization review of up to 30 patients in case load to determine medical necessity and level of care under Milliman and Interqual criteria
- Completed in-depth discharge planning to assess patients every clinical need of services including treatments to medical necessities
- Analyzed patient’s medical records and claims to provide proper documentation and reasoning in the utilization review process
- Communicated with physician and social worker of any changes of patients medical conditions
0-5 years of experience
Provided end of life care to patients in their home and in skilled nursing facilities
- Managed a patient load of up to 22 patients.
- Appointed as team leader comprised of MSW, Chaplain, and HHA.
- Supported pain and symptom management as well as education to patients and their families.
0-5 years of experience
Coordinates the care and service of complex medical patients to promote collaborative practice and continuity of care.
- Collaborates with healthcare team members to facilitate care across the continuum and optimize clinical and financial outcomes.
- Evaluates options and services to meet patients’ needs and care team recommendations.
- Reduces patients’ length of stay by anticipating and meeting patients’ needs early on.
- Provides recommendations and plans to help reduce readmission rates.
- Participates in Clinical Practice Excellence (CPE) projects and community activities. Active representative for St. Francis in the South King Care Link Community Transitions Team and the Provider Excellence Committee.
0-5 years of experience
Worked effectively by the hospice philosophy
- Proficient in developing the initial plan of care with input from members of the Interdisciplinary team
- Planned, coordinated, and managed services provided in the patient’s place of residence
- Proficient in IV line insertion for antibiotic therapy, hypodermoclysis, blood draws
- Scheduled weekly and managed caseload effectively; good ability to work autonomously and proper focus on the needs of the patient and family
- Utilized assessment, intervention, and teaching skills to maximize patient comfort and to enhance the quality of life to the patient/family unit
- Managed patients discomfort and provided symptom relief
- Charting via electronic medical record
0-5 years of experience
Set up plans for patients’ care and contributed to existing care plans
- Consult doctors and other healthcare professionals to provide coordinated patient care.
- Administered patients’ medicines and treatments.
- Provided advice and emotional support to patients and their family members.
0-5 years of experience
Provide case management teaching and follow up for patients receiving home infusion therapy
- Train patients and families to safely conduct these complex therapies within the home setting
- Therapies include: total parenteral and enteral nutrition, IV antibiotic therapy, infusion chemotherapy, pain management and IV hydration, PICC lab draws and dressing changes
- Collaborated effectively with an interdisciplinary team of medical and health care professionals comprised of physician, nurse manager, dietician, social worker, case manager and physical therapist
- Educated patients and families on disease process
- Administered medications, insulin, B-12 injections
- Wound care monitoring for infections, vital signs, Blood sugar monitoring, foley changes, tube feeding, and wound vacuums
- OASIS paperwork/data entry completed for admissions
0-5 years of experience
Possess knowledge and experience in balancing the quality with the cost effectiveness of specific case management interventions within the Commercial product population.
- Able to manage multiple cases in a flexible and professional manner in order to meet the needs of both internal and external customers.
- Communicate effectively with THP Medical Directors to obtain authorization for cases not meeting Interqual Criteria Guidelines and participate in rounds discussions as necessary.
- Proficient in the use of CCMS, TAHP, ALUI, MACESS, Lotus Notes and Excel formatted reports necessary to complete a daily caseload.
- Actively participate in department initiatives such as: IR interqual project and assist with writing of an Electronic Review workflow.
- Utilize clinical experience and judgment in referring high risk members to SCM for specific disease management post discharge from hospitals.
0-5 years of experience
Responsible for identifying patient needs, providing supportive care in accordance with the attending
physician’s orders
- Initiates communication with attending physicians
- Maintain communication with the clinical director and attending physician
- Ensures that patient record clearly states plan of care and reflects any changes
- Collaborates with other team members regarding the patient’s plan of care
- Attends interdisciplinary group meetings relating to the patient’s care
- Supervises and documents on the LPN and CNA
0-5 years of experience
Worked with a multi interdisciplinary team including physicians, physical therapists, occupational therapists, speech therapists and other staff members to coordinate the discharge of patients to home, outpatient therapy or sub-acute rehabilitation
- Provided care for a variety of patients including brain injuries, stroke, amputees and orthopedics
- Maintained a case load of 25 patients
- Liaison with patient families and the hospital
- Interacted with various insurance companies, Medicaid applications and workman’s compensation insurance on behalf of the hospital and the patient
- Worked closely with the liaisons of various sub-acute facilities and home care agencies, outpatient therapy
- Support and assist families with coordinating adult day care centers, meals on wheels and private hiring of home health aides
- Worked with insurance companies to obtain authorization for cat scans, MRI’s, procedures and transportation
0-5 years of experience
Support patients/families diagnosed with terminal diseases. Coordinate a collaborative hospice care team including PCP’s, at-home care services, CNA’s, social workers and chaplains
- Medication and symptom management at end of life
- Develop care plans to address medical needs; collaborate with social services and facilities
- Provide hands-on nursing care to clients
- Case Manager Liaison for company patients transferred to in-patient facility under GI level of care
0-5 years of experience
Handled any emergency transfers for patients over the weekend.
- Assisted with Hurricane emergency needs for patients in the facility during Frances and Jeanne.
- Left reports for weekday Case Managers so they could follow up with arranged discharges.
- Good communication skills with patients and their families.
0-5 years of experience
Admission assessment and care planning.
- Monitoring and reporting symptoms and changes in patient’s conditions to staff, family and physicians.
- Educate patients and their families on health promotion, disease prevention, and disease management.
- Consulting and coordinating with health care team members to assess, plan, implement and evaluate patient’s care plan.
- Supervise home health aides.
- Ensure proper documentation per Medicare guidelines
0-5 years of experience
Conduct Clinical Assessments in field and telephonic for Medicaid and Medicare Members
- Coordinate and monitor member care and disease progression
- Conduct Interdisciplinary care team rounds and meetings with Medical Practitioners and Providers
- Identify Member’s needs and approve services and requests using McKesson Interqual medical necessity criteria
- Clinical Trainer- Train RNs, SW, LPNs, in all offices of company to use all software systems and to conduct reviews using Interqual and MCG criteria
0-5 years of experience
Assessment of patient and family to determine home care needs.
- Develop a care plan and establish goals based on nursing diagnosis and incorporate therapeutic, preventive, and rehabilitative nursing action.
- Initiate plan of care and make necessary revisions as patient status changes.
- Provides teaching and and instruction to patient and family per assessment and plan.
- Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
- Prepares clinical notes and updates the primary physician as part of plan of care.
0-5 years of experience
Coordinates care for a 20 patient caseload
- Performs details assessments, interventions and makes pivotal decisions in the home setting while still maintaining the highest standard of care.
- Creates diverse care based on client’s holistic needs and diagnosis.
- Educates clients on medications, disease processes, and treatment plans into to prevent complications and hospitalizations.
- Performs excellent patient care while adhering to strict insurance guidelines.
0-5 years of experience
Case Management: plan, organize, and provide professional nursing care for adult home-bound patients
- Patient and Staff Safety: maintain universal precaution, infection prevention, fall prevention, and safety measures
- Team Management and Effectiveness: create care plans and delegate appropriate tasks to LVN, CNA, Home Maker within their scopes of practice; supervise and evaluate effectiveness of care provided by assistive personnel
- Patient Education: provide teachings on topics of chronic disease process and management, medication management, safety measures, healthy diet, and wellness
- Interpersonal Skill: collaboration and on-going communication with multidisciplinary team
0-5 years of experience
Provided direct patient care for hospice patients
- Responsible for pain and symptom management
- Interacted with physicians, families members and other team members
- Maintained appropriate records and documentation
- Performed continuous duties as directed.
0-5 years of experience
Taught patients in home setting
- Assisted patients with home care
- Nursing assessments and patient evaluations.
- Regularly reevaluated the needs of patients.
- Initiated the patient’s start of care.
- Documentation of patient care and supplies used.
- Performed supervisory visits of HHA.
0-5 years of experience
Managed a caseload of 20-25 med/surg, infusion therapy, pediatric, maternal/ child and advanced pulmonary disease state cases.
- Preceptor to new hires.
- Insert and maintain PICC lines, CVC and peripheral lines.
- Train local physicians in Physician Care Plan Oversight Program
- On-call nurse.
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RN Case Manager
Last edited by: Gabriela Barcenas, CONTENT STRATEGIST -
Gabriela Barcenas
CONTENT STRATEGISTGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
