Pamela L. Pollock

Dedicated, team oriented and patient-focused Registered Nurse with strong skills in patient-provider communication, patient educator and advocate, Telehealth provider, case management, preceptor, staff development, and patient/family advocacy.

RN Care Manager I, Fidelis Care of NJ - Centene Corporation - St. Louis, Missouri

(2022-01)

Employed as a registered nurse to complete assessments with members, caregivers and/or providers. Educate member on rights and services available through MLTSS. Coordinate with team members and members/caregivers to authorize, monitor delivery of services and follow up through telephone calls, in person visits and communication with providers.

Ensure care gaps are identified, educate member and assist in resolution of care gaps. Assist members with redetermination information needed to maintain Medicaid benefits. Create a plan of care with members and follow up to for satisfaction of plan and alter as needed.

Inform and assist members with resolving complaints and appeals. Collaborate with facilities, providers, members and family to ensure appropriate discharge plan, care plan, hospital follow up and coordination of long term care and/or community services. Participate as a team member to assist with coverage for other care managers and complete special projects as needed.

RN Care Manager I, PCQOT Team - Centene Corporation - St. Louis, Missouri

(2022-07)

Provided brief solution focused clinical counseling to individuals, couples and families addressing crisis, issues connected with short term difficulties. Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care. Reviewed clinical documents to assess need to close gaps.

Coordinated services between physicians, specialists and non medical staff to meet the needs of the member. Coordinated and accessed both inner agency and outside agency resources and services for clients. Act as a lead for PCQOT team, preceptor to new employees, assist team members with questions regarding policies and procedures.

Performed HEIDIS and PSV Audit criteria and compliance, and utilization management, assisted in the development of policy for Medical Emergencies, chart case reviews, productivity management, 079 proficiency with TOC/MRP measure completion, STARS metric training with a focus on ED diversion and COA initiatives, quality outreach and gap closure activity and targeted STARS improvement initiatives through COA completion.

Registered Nurse, Family Medicine - Christiana Hospital - Newark, Delaware

(2019-09 - 2021-10)

Employed as a registered nurse for a family medicine practice. Provided empathic nursing care for all ages and various chronic medical issues. Performed telephonic support for all age ranges, annual wellness visits, diabetic education, immunization and lab value checks and monitor written messages to the provider via the portal. Triage care was provided daily, appropriate advice was given based on assessment. Documented and maintained all records pertaining to telephonic interactions.

Registered Nurse, School Nurse - Logan Township School District

(2017-06 - 2019-09)

Employed as a school nurse for all schools in the Logan Township School District. Provides nursing care to all students. Receives and maintains current medication/treatment permission forms; ensures that all medications are properly labeled and checks expiration dates of all medications; administers medications/first aid and determines when to send students home because of illness.

Refers students to hospitals, clinics, or physicians for further treatment, if necessary. Charts required health information for each student (physicals, height and weight) annually.

Registered Nurse, School Nurse - Kingsway Regional School District

(2015-10 - 2017-06)

Employed as a school nurse for all schools in the Kingsway Regional School District. Provides nursing care in the same manner as listed above for Logan Township School District.

Registered Nurse, Nurse Coordinator - ReAdmissions Solutions, Inc.

(2014-09 - 2015-10)

Employed as a Nurse Coordinator for cardiac patients at ReAdmissions Solutions. Responsibilities for this position included: assuring the compliance with orders and consents for each patient that is started into the program. Telehealth coordinator is responsible to review and document the flags daily, addressing concerns directly to clinician, MD, and /or manager as needed. Telehealth coordinator tracks and trends data of hospitalized patients.

Registered Nurse, Intake and Case Manager - University of Pennsylvania, Hospice & Palliative Care

(2011-08 - 2014-04)

Employed as a Registered Nurse for the hospice and palliative care team at University of Pennsylvania. Duties included ability to understand patients pain and help manage at home with IV, oral and transdermal methods; ability to independently function effectively in stressful situations with tight deadlines; the knowledge and skills necessary to provide the expected standards of care; demonstrate the professional skill and judgment necessary to provide care within the autonomous setting of the patient's home, telephonically or at the various sites of hospice care; attend to the values and rituals important to the patient-family-community environments as well as upholding nursing practice and safety standards.

Registered Nurse, Intensive Care Unit - Union Hospital - Elkton, Maryland

(2009-04 - 2011-12)

Registered Nurse, Pulmonary Step-Down - Christiana Hospital - Newark, Delaware

(2007-06 - 2011-08)

Bachelor of Science in Nursing - Nursing - Wilmington University (2010-05)

Associates in Science - Delaware Technical & Community College (2007-05)