Registered Nurse Care Resume Samples

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C Hirthe

Cassidy

Hirthe

1009 Hane Pike

San Francisco

+1 (555) 580 4351

1009 Hane Pike

San Francisco

Phone

p +1 (555) 580 4351

Experience Experience

New York, NY

Registered Nurse Care Coordinator

New York, NY

Pacocha-Beer

New York, NY

Registered Nurse Care Coordinator

Monitor patient progress and promote early intervention in acute care situations
Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population
Adapt to a fluid, dynamic and rapidly changing environment
Collaborates with the Transitional Care Coordinators to ensure smooth process in place when movement between settings occurs
Consults with patients’ physicians and / or Medical Directors about high priority patients and potential care management plans
Is aware of and follows BWH policies and procedures for general safety, fire safety, parking, proper body mechanics, infection control, attendance, punctuality, and appearance
Participates in regular meetings with the Program Director and Medical Director to review performance, patient volume, projects, outside professional activities, and upcoming goals to achieve

Houston, TX

Registered Nurse, Care Coordinator

Houston, TX

Tillman, Nikolaus and Collins

Houston, TX

Registered Nurse, Care Coordinator

Manage utilization and practice metrics to refine the delivery of care model to maximize clinical, quality and fiscal outcomes for the population
Provides regular progress updates to PCP and other members of the care team
Works with Beacon Health leadership in the design, implementation and evaluation of the Medical Home care model
Provide safe transition of care across the continuum of care
Promote patient independence and self-management
Provide patient education
Implement monitoring systems for high-risk member to prevent and/or intervene early during acute exacerbations

present

Dallas, TX

Icmp Registered Nurse Care Coordinator

Dallas, TX

Grady-Hettinger

present

Dallas, TX

Icmp Registered Nurse Care Coordinator

present

Incorporates knowledge of case management, levels of care, and utilization management principles to implement high quality cost effective care plans
Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/Partners
Performs all duties in an independent, professional manner and requests assistance when necessary
Performs duties of lesser, equal, or greater responsibility as requested
Influences utilization of health care resources by providing direct care coordination to patients, encouraging enrollment in disease and case management programs, providing care coordination intervention and follow-up prior to and after interaction with health care system, e.g., inpatient, ED visit, outpatient services, etc…
Communicates with other health care clinicians throughout the continuum about patient’s care, utilization, and follow up plans, e.g., ED Care Facilitators, inpatient Care Coordinators, post acute case managers, social workers, pharmacists, etc…
Establishes a consistent communication and reporting schedule for periodic contact with providers and patients to review patient status and progress toward goals

Education Education

Bachelor’s Degree in Nursing

Georgia Southern University

Bachelor’s Degree in Nursing

Skills Skills

Incorporates knowledge of case management, levels of care, and utilization management principles to implement high quality cost effective care plans
Ability to work well with physicians and ambulatory staff in a practice or health center setting
Demonstrated ability to present and speak in front of groups
Ability to handle routine work, unexpected priorities, and multi-task
Knowledge and skills to differentiate levels of care
Strong competency working with hospital computer systems and case management systems
Excellent oral, written, and telephonic skills and abilities
Excellent organizational and communication skills
Acts as clinical resource person for program’s quality efforts
Attends and presents case reviews at practice meetings, program meetings, and care coordination meetings

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Registered Nurse Care Manager Resume Examples & Samples

Knowledge of Medicare and Medicaid
Strong computer skills
Proficiency with utilization review, managed care and case management

Registered Nurse Care Coordinator Resume Examples & Samples

Monitor patient progress and promote early intervention in acute care situations
Provide safe transition of care across the continuum of care
Adapt to a fluid, dynamic and rapidly changing environment
Works with the primary care physician to ensure appropriate standing orders for acute exacerbation management (such as diuretic titration protocol)
Provides regular progress updates to PCP and other members of the care team
Collaborates with the Transitional Care Coordinators to ensure smooth process in place when movement between settings occurs
Demonstrates excellent communication skills and ability to perform multiple tasks simultaneously
Ability to openly address and acknowledge observed issues and concerns
Demonstrates proficiency in basic computer skills, including accurate keyboard entry of data into relevant computer based databases and spreadsheets,
Attention to detail, and ability to be flexible in performing a variety of tasks
Bachelor's degree in Nursing preferred
Experience in care management/care coordination to include care planning, resource management, and utilization management desired
Pediatric nursing experience desired

Registered Nurse, Care Coordinator Resume Examples & Samples

Manage utilization and practice metrics to refine the delivery of care model to maximize clinical, quality and fiscal outcomes for the population
Demonstrate the ability to negotiate and influence individual and group decision- making
Implement monitoring systems for high-risk member to prevent and/or intervene early during acute exacerbations. Works with the primary care physician to ensure appropriate standing orders for acute exacerbation management (such as diuretic titration protocol)
Demonstrates the ability to perform multiple tasks simultaneously

Registered Nurse, Care Coordinator Resume Examples & Samples

Implement monitoring systems for high-risk member to prevent and/or intervene early during acute exacerbations
Registered Nurse with three to five years of recent (within the last 3 years) acute care experience or relevant experience required
Prior experience in Primary Care setting desired

Per Diem Registered Nurse Care Manager Resume Examples & Samples

Licensed Registered Nurse
Minimum of one year experience in a clinical management role
Strong organization, communication and human relations skills

Registered Nurse Care Review Clinician Resume Examples & Samples

Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines
Analyzes clinical service requests from members or providers against evidence based clinical guidelines
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures
Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed
Processes requests within required timelines
Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner
Requests additional information from members or providers in consistent and efficient manner
Makes appropriate referrals to other clinical programs
Collaborates with multidisciplinary teams to promote Molina Care Model
Adheres to UM policies and procedures
Occasional travel to other Molina offices or hospitals as requested, may be required. This can vary based on the individual State Plan
3+ years hospital acute care/medical experience

Icmp Registered Nurse Care Coordinator Resume Examples & Samples

Performs program specific patient outreach, education, and recruitment
Consults with patients’ physicians and / or Medical Directors about high priority patients and potential care management plans
Initiates telephone or in person contact with eligible patients to perform initial assessment, healthcare education, and develop a realistic care management plan
Incorporates knowledge of case management, levels of care, and utilization management principles to implement high quality cost effective care plans
Utilizes excellent interpersonal skills when communicating with patients, families, and physicians in order to develop rapport, build trust, and engage patients in health promotion activities
Influences utilization of health care resources by providing direct care coordination to patients, encouraging enrollment in disease and case management programs, providing care coordination intervention and follow-up prior to and after interaction with health care system, e.g., inpatient, ED visit, outpatient services, etc…
Using medical management criteria or other diagnostic screening criteria, determines appropriateness of hospital admissions and disease management programs. As indicated, provides direct and ongoing care management to select patients and / or refers to existing care management programs: insurance-based specialty case management programs, BWPO Disease Management programs, Partners HealthCare Disease Management programs, etc…
Communicates with other health care clinicians throughout the continuum about patient’s care, utilization, and follow up plans, e.g., ED Care Facilitators, inpatient Care Coordinators, post acute case managers, social workers, pharmacists, etc…
Establishes a consistent communication and reporting schedule for periodic contact with providers and patients to review patient status and progress toward goals
Notifies Program Director, PCP, MD Advocate, and/or Medical Director about (over/under) utilization of services and patient’s compliance with program
Collaborates with PCP, MD Advocate, and/or Medical Director, re., challenging patient situations
Acts as clinical resource person for program’s quality efforts
Attends and presents case reviews at practice meetings, program meetings, and care coordination meetings
Utilizes care management systems to document, monitor, and evaluate patient interventions and care plans
Keeps current with related trends in care management, including health education and coaching
Participates in regular meetings with the Program Director and Medical Director to review performance, patient volume, projects, outside professional activities, and upcoming goals to achieve
Demonstrates a positive attitude in dealing with problems or crisis situations
Is aware of and follows BWH policies and procedures for general safety, fire safety, parking, proper body mechanics, infection control, attendance, punctuality, and appearance
Works effectively with team members
Demonstrates initiative and creativity to continuously improve services, processes, and other activities that affect quality and utilization
Performs all duties in an independent, professional manner and requests assistance when necessary
Work reflects excellent organizational skills
Willingness to be flexible in situations
Performs duties of lesser, equal, or greater responsibility as requested
Assumes accountability for professional growth and development
Exemplifies program teachings and acts as a role model for patients by practicing behaviors consistent with goals of the program
Assists in preparation for Joint Commission, CMS, and other surveys as applicable to role
Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/Partners
Follows safe practices required for the position
Complies with appropriate BWH and Partners policies and procedures
Fulfills any training required by BWH and/or Partners, as appropriate
Brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff
RN, BSN preferred. Master’s Degree preferred
Three to five years of acute care experience in a hospital setting
Three to five years of academic case management experience
Experience working in a post acute setting such as L-TAC, rehab, skilled nursing facility, or homecare
Ambulatory experience working in a health center or physician’s office preferred
Health care re-imbursement experience preferred
Experience using acute and post acute versions of utilization review criteria such as MCAP, Interqual, and/or Milliman
Current certification in Case Management preferred
Telephonic case management experience required
Experience with adult and geriatric patient populations preferred
Spanish speaking preferred (for Float, Jen Center, Health Center, and FCA positions)
The Ambulatory-based RN Care Coordinator (RNCC) is housed within select primary care practices which may change based on patient selection
Performs patient outreach, education, and recruitment during start up and then periodically as patient eligibility lists become refreshed
Mental health or psychiatric experience preferred
Maintains membership in a care management organization (preferred)
Excellent organizational and communication skills
Excellent oral, written, and telephonic skills and abilities
Superior inter-personal skills
Strong competency working with hospital computer systems and case management systems
Competent using Microsoft word, powerpoint, and excel
Ability to work well with physicians and ambulatory staff in a practice or health center setting
Demonstrated ability to present and speak in front of groups
Knowledge and skills to differentiate levels of care
Ability to handle routine work, unexpected priorities, and multi-task
Flexible about changing practice sites as patient needs indicate, helping colleagues at other practices and covering during vacations/unexpected illness/holiday time

Registered Nurse Care Manager Home Based Primary Care Resume Examples & Samples

BSN necessary for successful performance of job requirements
MSN preferred
Two or more years chronic disease case management experience preferred
Five to eight years of increasingly complex nursing practice
Two years of medical/surgical experience
Demonstrated ability to work effectively with other members of the health care team to accomplish the medical center's mission, vision, and goals
Evidence of sound decision making and critical thinking skills
Evidence of excellent collaborative relationships with physicians and support services
Computer skills, including Microsoft Word, Excel, and Outlook
Ability to take a leadership role initiating, participating in and directing a multi-disciplinary patient care team
Must be self-directed in accepting responsibilities and require minimal supervision
Two years primary care or internal medicine clinic experience preferred
VA Form 10-2850a - Application for Nurse and Nurse Anesthetist (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf)
If currently employed in the VA system, include latest SF-50 (Notification of Personnel Action) which shows your current position title, grade, step, and pay, as well as your tenure and appointment type. (i.e. a within-grade increase SF-50, NOT an Award SF-50)

Registered Nurse Care Coordinator Primary Care Resume Examples & Samples

Resume-(Required)
VA Form 10-2850a - Application for Nurse and Nurse Anesthetist -(Required) (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-fill.pdf). (Required for all external applicants)
Optional Form 306 - Declaration for Federal Employment (Available at http://www4.va.gov/vaforms/va/pdf/OF306.pdf). (This form will be required if selected for this position)
If prior military service, include all copies of your DD Forms 214 (required). Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at http://www.opm.gov/forms/pdf_fill/SF15.pdf)

Registered Nurse, Care Manager Resume Examples & Samples

Minimum: Over 1 year and up to and including 3 years of clinical experience
Minimum: At least 1 year of recent clinical experience
Preferred: 3 to 5 years of recent clinical nursing experience
Preferred: Managed care experience
Thorough understanding of LVN scope of practice
Ability to effectively communicate and collaborate with physicians, patients, families and ancillary staff
Minimum: Over 3 years and up to and including 5 years of experience in clinical setting demonstrating the ability to assess, document and implement the nursing care plan
Minimum: Past clinical experience

Pact Registered Nurse Care Manager Resume Examples & Samples

Practice: practice, ethics, and resource utilization
Resume/CV (required)
Copy of SF-50 (must show Grade, Step, and Salary for you to be considered - awards and incentives SF-50 will not be accepted) Required
COPY of Nursing License [If you do not have a copy of the licensure, please submit proof/verification (i.e., from the State's website).] (required)
Any other documents such as a copy of College Transcripts and/or BLS/ACLS certifications, etc

Registered Nurse Care Manager Patient Aligned Care Team Pact Resume Examples & Samples

Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of experience, or an ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 1-2 years of experience; or a BSN with approximately 1-2 years of experience, or a Master's degree in nursing (MSN) or related field with a BSN and no experience
Chemotherapy and biotherapy certification (C-1 only)
Demonstrates interpersonal skills, both verbal and written
Experience with medical, surgical, cardiac and oncology patients
One year successful nursing practice
Demonstrates ability to work effectively as a team member
Fax your documents to 1-478-757-3144
If prior military service, include all copies of your DD Forms 214 (required); to receive credit, DD-214 must indicate character of service. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at http://www.opm.gov/forms/pdf_fill/SF15.pdf)

Registered Nurse Care Coordinator Resume Examples & Samples

Current Registered Nurse (RN) license in Washington State
Bachelor’s of Science Degree in Nursing (BSN)
Experience as an RN in a acute care (hospital) setting within the last 5 years or recent Utilization Management experience
Ability to perform concurrent and post medical necessity reviews to determine appropriateness of level of care documented and provided using nationally accepted criteria, State and Federal guidelines, evidenced-based research, and predictive determinations for insurance denials
Ability to assess clinical documentation and make recommendations regarding the most appropriate route of resolution, up to and including verbal/written efforts of appeal
Ability to construct and document a succinct, assertive, and fact-based clinical summary to support medical necessary criteria
Ability to critically think, problem solve and make independent decisions supporting the litigation process, including interactions with payer representatives, arbitrators/mediators, physicians and client hospital case managers
Ability to coordinate with patient care, physicians, health plans, and Revenue Cycle departments to enhance and defend the accuracy of the charge and coding processes
Experience with Interqual or Milliman Criteria
Care Management, medical insurance or discharge planning
Utilization Management Certification
Case Management Certification

Registered Nurse Care Coordinator Resume Examples & Samples

Registered Nurse (RN) licensure in Montana State
Basic Life Support (BLS) certificate through the American Heart Association
Bachelor’s Degree in Nursing (BSN) or current enrollment in a BSN extension program

Registered Nurse Care Specialist Resume Examples & Samples

Minimum two (2) years RN experience
Bachelor of Science Degree in Nursing (BSN)
Certification of diabetes education (CDE)
Experience managing complex patient needs with co-morbidities in an ambulatory setting
Experience with Medical Home Model

Registered Nurse Care Coordinator Utilization Management Resume Examples & Samples

Bachelor's Degree in Nursing (BSN)
Current RN license in Washington State
Utilization review or case management experience

Registered Nurse Care Specialist Resume Examples & Samples

Current licensure in the State of Montana
2-5 years nursing experience (clinic nursing experience preferred)
Medical home care model experience highly preferred

Registered Nurse Care Manager Resume Examples & Samples

Bachelors of Science in Nursing (BSN) degree
5 years of acute care hospital clinical experience
Masters of Science in Nursing (MSN) degree
Certified Case Manager (CCM), Accredited Case Manager (ACM), or American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) certification
2 years of acute care hospital supervisory experience
Utilization review or discharge planning experience

Registered Nurse Care Manager Resume Examples & Samples

Bachelor's of Science in Nursing (BSN) degree
5 years of acute care clinical experience
Master's of Science in Nursing (MSN) degree
CCM, ACM or ABQAURP certification

Registered Nurse Care Manager Resume Examples & Samples

Current, unencumbered state of Oregon Registered Nurse (RN) license
American Heart Association Basic Life Support (AHA-BLS) for Healthcare Provider completion within 1 month of hire
2 years of clinical medical-surgical, acute care, or long-term care experience that also includes
Bachelor’s degree in nursing
Current recognition/certification by a national professional organization in case management, ie

Registered Nurse Care Manager Resume Examples & Samples

BSN required within 5 years of employment
Current RN license in the state of CO
Minimum of three years clinical nursing experience in an acute care setting
Knowledge and experience with managed care
Three years case management experience in an acute care setting using evidence-based criteria for screening medical necessity

Greenfield Health System Dialysis Registered Nurse Care Navigator Resume Examples & Samples

Establishes working relationship with nephrologist offices. Partners with area nephrologists to identify potential patients and provide early education. May meet patients on site and provide demonstrations and education
Educates the patient and family members and/or care partners about renal disease and treatment options, including transplantation
Assists patients and care partners with enrollment in CKD classes, scheduling appointments for evaluation for and/or placement of permanent access, and coordination of assessment for a home dialysis treatment option
Offers emotional support
Links patients with community resources that may help them stay on track with treatment to improve their quality of life, e.g., dietitians, diabetic education
Assists in communication with doctors and acts as a liaison
Offers aid in setting up appointments, arranging transportation to treatment, and similar needs
Ensures translation services are available to non-English speakers
Reconciles medications and provides education about medication/prescription directions as determined by assessment of patient’s level of understanding about his medication (i.e. purpose of medication and when to take it)
Seeks to develop professional relationships with area hospital discharge planners and case managers
In conjunction with hospital discharge planners, assesses transition of care needs and provides follow up care as needed
Provides health care instructions as appropriate/needed
Initiates and implements an individual plan of care with identified goals in conjunction with the patient, health care providers and community agencies. Modifies the plan of care through monitoring and re-evaluation to accommodate changes in treatment or patient condition. Seeks appropriate referrals for other identified medical needs
Provides care coordination contacts which includes, but is not limited to, telephonic and face-to-face interaction with patients in their home, inpatient and/or outpatient settings
Assists outpatient dialysis units with providing modality education and access planning for newly admitted patients who did not have opportunity for this education/planning prior to starting treatment
Maintains statistical data, reports and logs as required
Assures maintenance and sharing of records, reports and assures HIPPA compliance
Requires graduation from an accredited school for Registered Nurses
Requires current licensure as Registered Nurse in the State of Michigan
Minimum of 5 years of experience in chronic outpatient dialysis with at least 1 year experience in each outpatient modality (incenter hemodialysis, home hemodialysis, peritoneal dialysis) required
Requires valid Michigan Driver's License without restrictions
Communication
Understanding
Sensitivity
Teamwork
Ownership
Motivation
Excellence
Respect

Registered Nurse Care Coordination Home Telehealth Ccht Resume Examples & Samples

U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required
To begin the process, click the button at the right side of this screen to create an account or log in to your existing USAJOBS account
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf) (required)
If prior military service, include all copies of your DD Forms 214 or proof of service. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at http://www.opm.gov/forms/pdf_fill/SF15.pdf )
If a VA Employee, please submit most recent non-award SF-50 (Displays grade, tenure and title. Federal employees may be able to access their SF-50 through the eOPF https://eopf.nbc.gov/va/)

Registered Nurse Care Manager Resume Examples & Samples

Will float between Chillicothe VA Facility, Athens and Lancaster Community-Based Outpatient clinics
Practice: Practice, ethics and resource utilization
Professional Development: Performance, education/career development
Collaboration: Collaboration, collegiality
Scientific Inquiry: Quality of care, research

Registered Nurse Care Manager, Welcome Bonus Resume Examples & Samples

Minimum of two years clinical home care experience
Knowledge of state and federal home health agency regulations/Conditions of Participation and Compliance standards and regulations
OASIS certified or will be required to obtain OASIS certification within one year of hire

Registered Nurse Care Manager Primary Care Resume Examples & Samples

Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience
National Certification as a Case Manager is preferred
A minimum of 4 years of successful nursing practice in addition to 4 years of experience as a Case Manager preferred
Demonstrated ability to work effectively with multidisciplinary groups to identify, analyze and resolve problems and improve patient care
Demonstrated ability to communicate and interact appropriately and courteously with internal and external customers
To begin, click to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS résumé and/or other supporting documents and complete the occupational questionnaire
Résumé or Application (http://www.va.gov/vaforms/medical/pdf/vha-10-2850a-091998-fill.pdf)
Online Questionnaire. View Occupational Questionnaire
If you are a current or formal Federal Employee, you must include your latest SF-50, Notification of Personnel Action which shows your position title/grade and step (do not submit an Award SF-50). Also provide the SF-50 that reflects the highest grade level held on a permanent basis or the full performance level of your current position, whichever is higher. Failure to do so will result in an ineligible rating
Unofficial transcript must be submitted with application. If selected, you will be required to submit an official transcript
Copy of licensure and certification if applicable

Registered Nurse Care Assure Nurse Navigator Program PRN Resume Examples & Samples

Reviews patient case lists generated by technology-enabled data triggers to identify patients that could benefit from intervention
Communicates with physicians (in the hospital and in the community) about patients’ potential for referral/follow-up treatment
Provides feedback to leadership in regards to target population in order to enhance care coordination and patient satisfaction
Schedules follow-up appointments and provides information and reminders to patients & physician offices
Tracks outcomes of referrals and treatments
Maintains detailed records to measure effectiveness of program and suggest ways to improve throughout the process
Works with physicians and program leadership on a daily basis
Engages providers and patients in a program that will improve outcomes and the efficiency of medical care
Performs position specific job functions at an acceptable level
Reviews clinical progress of patients and coordinates communications to referring, consulting, and primary care physicians
Plan, organize and provide direct care to the patient, as appropriate, if called upon to do so
Facilitates the development of a patient specific teaching plan
Reviews medications /educates patient as needed, Initiates communication regarding dashboard triggers with care team
Facilitates ongoing performance improvement activities related to the target population and involving all levels of staff
Educates patient and families regarding planned procedures, medications and treatments
Evaluate clinical educational need of staff related to target population and facilitates collaboration with clinical care givers
Makes appropriate referrals as noted by the physician
Coordinates information among referring, primary care and consulting physicians and ancillary departments
Answers patient/family phone calls, fields’ questions appropriately
Participates in creating an environment that implements the mission, vision and values of the organization
Encourages collegiality and collaboration when integrating pilot services with other departments
Evaluates and provides input regarding the utilization of resources to meet the needs of the target population
Reviews pertinent clinical detail including diagnostic imaging studies, lab values and notifies MD as appropriate for abnormal findings
3-7 years RN experience in a specialty area (i.e. Cardiovascular, Orthopedic, Neuro, Spine, and Oncology)
Knowledge and application of pertinent computer programs and imaging software (i.e. Muse, PACS, Merge, etc.)

Registered Nurse Care Coordinator Resume Examples & Samples

Experience as an RN in an acute care (hospital) setting within the last five (5) years or recent utilization management experience
Utilization Management certification
Care management, medical insurance or discharge planning experience

Registered Nurse Care Coordinator Resume Examples & Samples

Integrity (honest, sincere, candid)
Compassion (concern for the suffering, strong desire to serve those in need, servant leadership)
Impossible -> Possible
Unequivocal Excellence (undeniable quality care, outstanding customer service, superior)Teamwork (solidarity, humility, communication, ownership).Refer to a Friend

Registered Nurse Care Resume Examples & Samples

S/he is responsible for providing the clinical leadership and expertise for the coordination of the medical center's non-VA care authorization program. S/he possesses intimate knowledge of Fee federal regulations, VHA guidelines, medical review criteria, utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines. Clinical oversight of the non-VA care approval process is provided by the medical center Chief of Staff and/or designated appointee
Uses sound clinical judgment in assessing, planning, implementing, documenting, and evaluating nursing care, based on the ANA Standards of Nursing Practice
Guides staff in the application of critical thinking and process improvement to improve patient care
Anticipates and recognizes medical/surgical/psychiatric emergencies and initiates or leads others to implement appropriate and timely actions
Uses pre-established guidelines and criteria to perform review activities assuring appropriate and timely utilization of Non-VA hospital services
Analyzes medical reviews performed, according to pre-established criteria, indicating severity of illness and intensity of services rendered which require acute hospitalization
As a RN Case Manager for the Non-VA care patients s/he intervenes when inpatients no longer need acute hospitalization, and recommends and facilitates appropriate referrals for alternate levels of care

Registered Nurse Care Specialist Resume Examples & Samples

BSN or equivalent work experience
Two to five years’ work experience in an RN role
Current Basic Life Support (BLS) for Healthcare Providers Certification through the American Heart Association (AHA)
Nursing Case Management Certification (RN-BC)
Certified Diabetes Educator (CDE)
Previous case management experience
Medical Home Model experience

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