Long-term care Community Nurse for Medicaid Patients - Comfort Keepers - Portland, OR
(2014-01 - 2016-06)
- Provided comprehensive care to Medicaid patients with chronic health needs.
- Conducted thorough nursing assessments, medication reviews, and patient/caregiver education in their homes.
- Collaborated with caregivers, family, and healthcare team to ensure optimal patient outcomes.
- Implemented care plans and interventions.
- Ensured accurate and timely documentation.
MEDICARE/MEDICAID NURSE CASE MANAGER - Moda Health - Portland, OR
(2012-01 - 2012-09)
- Managed chronic and acute Medicaid and Medicare cases to ensure safe discharges.
- Completed prior authorizations for inpatient, outpatient, DME, and medications.
- Provided continuous telephonic support and education.
- Utilized Case Tracker system and Care Web WQI/Milliman on a daily basis.
- Ongoing patient and family advocacy with interdisciplinary teams and the insurance company.
Medicaid Care Management Coordinator - Iowa Foundation for Medical Care - Oklahoma City, OK
(2009-07 - 2011-07)
- Managed and coordinated care for high-risk patients, including the elderly, children, and individuals with complex health and social needs.
- Conducted home visits to provide personalized care.
- Educated patients about their medical conditions, prescribed medications, and provided information about available resources.
- Collaborated with their healthcare team. Utilized Medicaid guidelines and regulations to ensure compliance and maximize patient benefits.
RN/Case Manager - Cabrini Medical Center - New York, NY
(2005-09 - 2008-02)
- Provided comprehensive care to oncology patients in a fifty-bed Medical Surgical/Oncology Unit. Administered chemotherapy.
- Managed ventilator-dependent patients.
- Ensured adherence to infection control protocols and safety measures in patient care practices.
- Successful documentation in adherence to policies.
- Case manager promotion duties included: Conducted daily chart reviews to identify barriers to meeting timely outcomes. Ensured safe discharges were in place, working with insurance companies and the healthcare team.
- Advocated for family and patients.
Forensic Psychiatric Nurse - BELLVUE HOSPITAL - New York, NY
(2004-08 - 2005-07)
- Provided direct patient care on a Forensic Psychiatric Unit, with occasional rotations to Children's, Adolescent, and/or Adult Psychiatric Units.
- Consistent patient advocate, ensuring quality care and patient rights.
- Direct nursing care for mentally ill inmates, including individuals from Rikers Island and those awaiting trial.
- Rotating charge nurse duties, which included supervision of nurse aides and coordinated daily schedules.
- Collaborated closely with a multidisciplinary team of healthcare professionals to ensure a safe, therapeutic environment.
- Implemented crisis intervention strategies to de-escalate volatile situations.
- Administered and monitored medications.
Job and Life Coach - Worklink/Transcend Corp - San Francisco, CA
(2001-02 - 2002-03)
- Provided individualized support to clients with developmental disabilities in their job search and employment process, specializing in working with individuals with Autism and Downs Syndrome.
- Implemented special classes to promote independence and self-advocacy skills such as money management, transportation training, sex education.
- Facilitated communication between clients, employers, and support networks to ensure a smooth transition into the workforce.
- Ongoing support at job site with client to assist when needed.
