Case Manager duties include:
Works independently to provide expert assessment, determines case management needs for all patients including critical care, and intervenes as appropriate. Participates in a multidisciplinary team to determine appropriateness of care, and works to maximize care and services and the efficiency and quality, of movement of patients through the care continuum. Coordinates with the patient, family, RN staff, charge nurse, and physicians, and entire multidisciplinary team, the care plan, and works to ensure optimal quality of patient care, and services. Identifies high risk patients, and meets with patient and family, and develops individualized plans of care, educates patients and families, in collaboration with the multidisciplinary team. Assures compliance with governmental regulations, and core measure compliance, and best practice principles in the care management of patients. Serves as a clinical role model, and mentor, for team members. Adapts to change, and treats all individuals with respect and dignity. Participates in three committees, including clinical documentation, Epic a computer EMR system, and develops new case manager responsibilities. Trained and mentors new case managers and one of only two people trained to cover the emergency room case manager. Proficient in documentation in Meditech, Midas, Teletracking, and Milliman. Assisted and covered for utilization review team in reviewing medically necessary treatments for inpatient and observation patients , including contacting insurance companies, ensuring payment. Coordinating necessary transfers to other institutions.
Emergency Room Nurse duties include:
Among the vast array of diverse clients receiving treatment, are the acute M.I. patients, CVA’s, respiratory and cardiac arrests. Treatment has also been provided to clients with fractures, psychiatric disorders, wounds, and overdoses on a regular basis. Experience with psychiatric petitions to accompany physician certificates to ensure patient safety. Years of critical care experience in the emergency room setting as a RN, I had total care of four to five patients which included, medication administration, IV starts, assisting doctors with various procedures, and discharge instructions. My responsibilities included triage and fast track. Fast track was a sub unit, clinic type area , where patients are assessed, treated and discharged. As a highly motivated emergency room nurse, I learned to be a critical thinker, decision maker, effective communicator with patients and staff, and problem solver. Time management skills were developed and perfected. I was ACLS, PALS, CPR and radio certified and maintained these certifications while working as an ER nurse.