Rn-field Resume Samples

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LB
L Barton
Lacey
Barton
25576 Garth Pine
Philadelphia
PA
+1 (555) 277 2292
25576 Garth Pine
Philadelphia
PA
Phone
p +1 (555) 277 2292
Experience Experience
Dallas, TX
Rn-field
Dallas, TX
DuBuque LLC
Dallas, TX
Rn-field
  • Performs variance analysis related to outcome data for performance improvement
  • Develops patient outcome statement (s) and establishes individualized patent goals
  • Develops patient outcome statement(s) and establishes individualized patent goals
  • Applies scientific principles in performing procedures; carries them out safely, timely and efficiently
  • Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers
  • Performs preventive skin care measures
  • Performs grade I-IV Decubritus Care
San Francisco, CA
RN Field Case Manager
San Francisco, CA
Douglas and Sons
San Francisco, CA
RN Field Case Manager
  • Active RN license in the state of Florida
  • Strong HIV/AIDS knowledge base
  • Bilingual is a plus
  • Be the single point of contact for the program with physicians
  • Assist MDs in completing Special Authorization (SA) forms, enrolment forms, prescription renewals, and other documentation
  • Provide ongoing updates to MDs on patient status
  • Provide therapy guidelines to manage physician expectations with respect to reimbursement
present
Chicago, IL
Senior RN Field Case Manager
Chicago, IL
Bauch, McClure and Jenkins
present
Chicago, IL
Senior RN Field Case Manager
present
  • Understands the Optum benefits and associated policies and procedures, and articulates them effectively to providers, members, and key decision-makers
  • Provides effective family communication and education and attends care conferences
  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
  • Visit Medicaid members in their homes and / or other settings, including community centers, hospitals or providers' offices
  • Assist members with the transition from a care facility back to their home
  • Visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices
  • Responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting
Education Education
Bachelor’s Degree in Nursing
Bachelor’s Degree in Nursing
Brigham Young University
Bachelor’s Degree in Nursing
Skills Skills
  • Determines coping mechanism, knowledge level, and ability to comprehend
  • Exercises professional skills related to the plan of care
  • Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching
  • Recognizes and utilizes health teaching opportunities, resources and materials available for this teaching
  • Demonstrates ability to measure effectiveness of care provided and documents same
  • Identifies actual/potential patient problems
  • Assesses patient's psychosocial health status
  • Elicits perception of medical/nursing care and the expectation of care
  • Assesses the patient's physiologic health status by conducting patient interviews
  • Communicates and documents psychological status and care plan; support group, counseling services, social services
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12 Rn-field resume templates

1

RN Field Case Manager Resume Examples & Samples

  • Conduct in home assessments on Humana Members to identify gaps and determine needs and engage in disease management programs
  • This position is 75% local travel. One position will be covering Dade County and one position covering Broward County. The remaining time will be spent as work at home
  • Strong HIV/AIDS knowledge base
  • TB screening required if hired
  • Previous experience in Field Case Mgt
2

RN Field Case Manager Resume Examples & Samples

  • Be the single point of contact for the program with physicians
  • Assist MDs in completing Special Authorization (SA) forms, enrolment forms, prescription renewals, and other documentation
  • Provide ongoing updates to MDs on patient status
  • Provide therapy guidelines to manage physician expectations with respect to reimbursement
  • Work collaboratively with Personal Care Specialists, Wellness Case managers and Sales representatives
  • Provide program service explanation to MDs and/or Office staff
  • Promote the program with the marketing tools provided
  • Customize current program elements to meet the needs of assigned physicians: adjust based on in clinic and remote MD needs
  • Work in the field and perform regular services calls with MD and/or Office staff
  • Consult patient charts in order to effectively complete necessary paperwork to obtain coverage
  • Follow up with MD to insure patient status updates are shared
  • Responsible for providing customized monthly reports to physicians
  • Accurate and timely patient charting in CRM
  • Participate in scheduled physician meetings with Sales representatives
  • Attends scheduled Continuous Medical Education events and reports new activities
  • Identify areas for risk and foster proactive, continued quality improvement
  • Proactively provides assistance to resolve client issues with regards to assigned physicians
  • Provides in service presentation to physicians
  • Adhoc duties as assigned
  • Registered nurse (RN) required
  • Bilingual: English and French
  • Requires a minimum of two (2) to three (3) years in public or private third party reimbursement arena or pharmaceutical sales experience, managed care, or clinical support, or related experience
  • Previous Case Manager experience an asset
  • Basic CCPE an asset
  • Comprehension of medical terminology, Ability to read and interpret patient charts
  • Ability to work autonomously
  • Strong time and project management skills and sense of urgency
  • Ability to analyze current enrollment volume by MD
  • Ability to analyze enrollment potential based on prescription volume of other biologics
  • Ability to engage with a physician and his/her staff as a trusted and well-informed medical counterpart
  • Must have a valid driver’s license and possess a car
  • Ability to attend Continuous Healthcare Education (CHE) events with HCPs, which may occur outside regular business hours
  • Can interact with multiple sales reps and district managers from the commercial team
  • Superior verbal and written communication skills, interpersonal skills and attention to detail
  • Ability to communicate effectively both verbally and in writing, and in both French and English preferred
  • Established relationships with Customers in a given territory, an asset
  • Work environment must accommodate “work-with days” with District Manager
  • Travel requirement: 50%
3

RN Field Service Coordinator Resume Examples & Samples

  • Completes a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the members need for alternative services
  • Travel to inpatient bedside, member’s home, provider’s office, hospitals, etc required with dependable car. May spend up to 70% of time traveling with exposure to inclement weather and normal road hazards. May require climbing multiple flights of stairs to a member's home, provider's office, etc
  • Preferred Managed care experience
  • Preferred Prior utilization management experience preferred in some geographic regions
  • Preferred Experience in care of the elderly is required in some geographic regions
  • Preferred Experience in home health, physicians office or public health
  • Required Maintain required contact hours to fulfill regulatory requirements
4

Field Service Coordinator Rn-field Case Management Resume Examples & Samples

  • Interacts continuously with member, family, physician(s), and other providers utilizing clinical knowledge and expertise to determine medical history and current status. Assess the options for care including use of benefits and community resources to update the care plan
  • Maintains accurate records of case management activities in the Enterprise Medical Management Automation (EMMA) System using clinical guidelines
  • Meets with clients in their homes, work-sites, physician’s or hospital to provide management of services
  • Required A Bachelor's Degree in Health Services or Nursing
  • Preferred 1+ year of experience in current case management
  • Preferred Other Managed care experience
  • Preferred Other Prior utilization management experience preferred in some geographic regions
  • Intermediate Ability to create, review and interpret treatment plans Ability to create, review and interpret treatment plans
  • Intermediate Ability to implement process improvements
  • Intermediate Demonstrated customer service skills
  • Required Intermediate Microsoft Word Proficient in Microsoft Office including Excel, Word, PowerPoint, Access and Outlook Express
  • Required Intermediate Microsoft Excel Knowledge of or the ability to learn company approved software such as CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties
5

Sign On Bonus RN Field Case Manager Resume Examples & Samples

  • Creating, reviewing and revising care plans and focusing on a holistic approach
  • Building relationships with members and their families; assisting them with coordination of health choices
  • High Speed Internet access in home
  • Reliable transportation and willingness to travel throughout surrounding area on regular basis
  • Pediatric experience highly preferred
  • MDCP (Medically Dependent Children’s Program) experience highly preferred
6

RN Field Case Manager Resume Examples & Samples

  • RN designation required (License to practice in AB)
  • Superior verbal and written communication skills, interpersonal skills and attention to detail Ability to communicate effectively both verbally and in writing, and in both French and English in bilingual provinces
  • Work environment must accommodate “work-with days”with District Manager
7

RN Field Service Coordinator Resume Examples & Samples

  • Documenting and tracking activities in multiple computer programs at one time
  • Making referrals to outside resources
  • Utilizing criteria to determine if patients are in the least restrictive environment in which they can receive services
  • Strong computer proficiency including the ability to type and talk at the same time and to navigate around a Windows environment
  • 2+ years experience in a hospital setting, acute care, home hospice, direct care experience OR experience as a telephonic Case Manager for an insurance company
  • Experience with home health, hospice or long term care
  • Experience as a Public Health Nurse
8

RN Field Svc Coord Clinician Resume Examples & Samples

  • Current, unrestricted RN license in the state of NJ required
  • Masters in Health/Nursing preferred
  • Local travel required: must have a reliable vehicle, current auto ins. and clean driving record (mileage, tolls reimbursed)
  • Knowledge of medicaid, managed care and/or LTSS preferred
9

Rn-field Based Outpatient Case Manager Resume Examples & Samples

  • Engage patient, family, and caregivers to assure that a well-coordinated treatment plan is established
  • On a limited basis, a physical assessment may include taking of blood pressure, heart rate, respiratory assessment: Rate, effort, pulse oximetry, peripheral circulation and skin checks on exposed skin, foot checks for edema and skin integrity, home safety evaluation
  • Certified Diabetes Educator, or Certified Case Manager preferred
  • Case Management Certification (CCM) or ability to obtain CCM within 1 year of employment
10

Complex Care RN Field Case Manager Resume Examples & Samples

  • Risk stratify members and collaborates with the NP / PA to prioritize visits
  • Responsible for organizing and tracking all appropriate therapies
  • Maintains a cooperative relationship among interdisciplinary teams by communicating information, responding to requests, building rapport, participating
  • 2+ years’ experience in a hospital setting, acute care, direct care experience
  • HEDIS / HOS experience
  • Experience with Medicare / Medicaid
11

Senior RN Field Case Manager Resume Examples & Samples

  • Ensure LTSS and clinical programs are in place according to members wants and needs to include functional, medical, behavioral and social needs
  • 3+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management, able to quickly identify needs and issues
  • RUG certification or the ability to obtain within 30 days of employment
  • Medicaid, Medicare, Managed Care experience in long-term care, Long Term Services and Supports, home health, hospice, behavioral, public health or assisted living
  • Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs, Adult and/or Children with complex needs
  • Experience in case management and/or certification in case management (CCM)
  • Home care/field based clinical experience
  • Experience in Home & Community based or Long Term Care Services delivery
  • Understanding of Waiver benefits and service plan
12

RN Field Case Manager Resume Examples & Samples

  • Current and unrestricted RN licensure in state of New Jersey
  • 3+ years of experience as an RN in a clinical setting including hospital, acute care, home health / hospice, direct care or case management
  • Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required (application fees and filing costs paid for by UHG)
  • Access to reliable transportation and the ability to accommodate some field based travel within the greater East Brunswick, NJ area
  • Bachelor's degree or greater
  • Experience in a field based position
13

RN Field Case Manager Resume Examples & Samples

  • This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)
  • Current and unrestricted RN licensure in state of Florida
  • Access to reliable transportation and the ability to accommodate some field based travel within the greater Miami-Dade, FL area
14

Senior RN Field Case Manager Resume Examples & Samples

  • 3+ years clinical experience in a hospital, acute care, home health / hospice, direct care or case management, able to quickly identify needs and issues
  • Medicaid, Medicare, Managed Care experience in long - term care, Long Term Services and Supports, home health, hospice, behavioral, public health or assisted living
  • Experience working with the needs of vulnerable populations who have chronic or complex bio - psychosocial needs, Adult and / or Children with complex needs
  • Experience in case management and / or certification in case management (CCM)
  • Home care / field based clinical experience
15

Senior RN Field Case Manager Resume Examples & Samples

  • Understands the Optum benefits and associated policies and procedures, and articulates them effectively to providers, members, and key decision-makers
  • Provides new and existing member support including RAF / coding and documentation of key measures into EMR to positively impact market
  • In coordination with the NP, the RN will discuss use of inappropriate, high cost, poor outcome services, such as hospitalizations, by utilizing other resources or benefits
  • Gathers information from the on-call team to appropriately triage and collaborate with the NP / PA to provide timely and appropriate care in the facility
  • Independently provides hands on physical assessments and collaborates with the NP / PA to provide comprehensive and individualized plans of care based on each member’s goals of care
  • Provides effective family communication and education and attends care conferences
  • Responsible for the coordination of benefits including applying for and managing skilled time, DME, ancillary services, etc
  • Coordinate readmission efforts including initial and follow up assessments, providing necessary monitoring of skilled benefits, and reconciling medications
  • Help extend the reach of the NP / PA and support staff during staffing challenges
  • CCM Certified Case Manager
  • Strong computer and assessment skills - proficiency with Microsoft Word and Internet
16

RN Field Case Manager Resume Examples & Samples

  • Visit Medicare members in their homes and/or other settings, including community centers, hospitals or providers' offices
  • Active, unrestricted RN license in the State of New York
  • Access to reliable transportation and the ability/willingness to travel to member homes or other locations within the service delivery area (Queens, NY)
  • Experience with the Medicare patient population
17

Optum LTC RN, Field Based Resume Examples & Samples

  • Assist nurse practitioners with health assessments and case management activities
  • Travel to nursing home facilities daily throughout Birmingham, AL counties
  • Registered Nurse (RN) with an active and unrestricted license in state of Alabama
  • Long - term care or nursing home experience
  • Experienced in Palliative, MDS Coordinator, ICU, CCU or ER settings
18

Telecommute RN RN Field Service Coordinator Clinician Resume Examples & Samples

  • You must be an RN
  • You must have experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or working with Medicaid, managed care and/or LTSS
  • You must have a current, unrestricted RN license in the state of Virginia
  • You must be able to travel locally; this position requires a reliable vehicle, current auto insurance and clean driving record (mileage, tolls reimbursed)
  • You must be competent in MS Office suite to include Word, Outlook and Excel
  • Demonstrated ability to communicate with members who have complex medical needs and who may have communication barriers
19

Rn-field Resume Examples & Samples

  • Elicits perception of medical/nursing care and the expectation of care
  • Provides emotional support to patient and significant others
  • Makes accurate observations of patient's conditions during treatments/procedures
  • Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions
  • Keeps accurate documentation of patient's treatment, activity and condition
  • Assists the physician during treatments and/or diagnostic procedures
  • Performs other procedures related to skin care, as necessary
  • Demonstrates preparation of I.V. drips
  • Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies
20

RN Field Case Manager East Pasco County, FL Resume Examples & Samples

  • Manage care plan throughout the continuum of care as a single point of contact
  • Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
  • This position requires the candidate to have basic to intermediate computer skills in Outlook, Microsoft Word and Excel
  • RN with an active/unrestricted license in the state of Florida
  • Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
  • Candidate will require intermediate computer skills in Excel, Microsoft Word and Outlook systems
  • Ability to type with average speed
21

Rn-field Resume Examples & Samples

  • Provides emotional support to patient and significant other
  • Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions
  • Performs grade I-IV Decubritus Care
  • Evidence of teaching, leadership, and basic research skills
22

RN Field Case Manager Resume Examples & Samples

  • Develops progressive plan of care to facilitate medical recovery and progressive return to work
  • Manages one-time task assignment or full field case management referral to meet with attending physician, injured worker and/or employer to clarify medical and/or vocational claim related information which could not be obtained through correspondence or telephonic attempts by claims team
  • Collaborates with members of the health care team to provide ongoing case management services
  • Acts as liaison for involved parties in the worker's compensation injury by communicating in person and telephonically with the patient/caregiver, attorneys, employer, claims examiners, telephonic nurse case manager, return to work specialists, vocational rehabilitation supervisor, provider(s), ancillary provider(s) and health care team
  • Coordinates necessary referrals, consultations, and therapeutic services for the injured employee
  • Confers with medical treating providers concerning the course of care and treatment per clinical guidelines
  • Travels as required
  • Works from home as needed
  • Excellent interpersonal and negotiation skills
23

RN Field Case Manager PRN Resume Examples & Samples

  • Assesses and analyzes injured worker's medical and vocational status
  • Monitors injured employee's progress towards appropriately established outcomes through continued assessment and evaluation
  • Completes the interview process with the patient/caregiver in the home, worksite, ancillary location or physician's office for current and ongoing assessments and evaluations
  • Assists in the development of continued care plans as necessary to include patient education and prevention programs
  • Testifies as needed to substantiate relevant case work or reports
  • Educates medical providers on appropriate disability and treatment guidelines as necessary
  • Supports the total performance management initiative
  • Knowledge of laws and regulations pertaining to rehabilitation and HIPPA
  • Knowledge of workers' compensation and/or disability
24

RN Field Service Coordinator Clinician Resume Examples & Samples

  • You must have experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator role, Case Management role, or working with Medicaid, managed care and/or LTSS
  • You must live in VA and have a current, unrestricted RN license in the state of Virginia
  • You must be competent in MS Office suite to include Word, Outlook and Excel, as well as be comfortable with computers in general (i.e. Apple products) since you will be entering assessments into an iPad and syncing the information with a Laptop
  • Clinical nursing experience with medically complex members dependent on life sustaining equipment
25

RN Field Service Coordinator Clinician Ltss-charlottesville Resume Examples & Samples

  • Current, unrestricted RN license from the Commonwealth of Virginia Board of Nursing is required
  • Computer skills: MS Office suite to include Word, Outlook and Excel, as well as be comfortable with computers in general (i.e. Apple products) since you will be entering assessments into an iPad and syncing the information with a Laptop
  • Current or prior field/home health experience preferred
26

RN Field Care Coordinator Resume Examples & Samples

  • Phone and/or face-to-face support on setting up and using care coordination tools or equipment placed in the patient's home
  • Organizational skills with the ability to handle multiple tasks and/or projects at one time
  • Maintain a valid driver's license for any required facility on-site and home visits
27

RN Field Case Manager Resume Examples & Samples

  • Knowledge of Medicare and Medicaid reporting requirements preferred
  • Documents patient care plan tasks, goals, and interventions. in Fidelis Care Management System
  • Assist with identification of high risk patients that require a high frequency of care coordination and contact
  • Must document significant specialty and diagnostic services and outcomes in patient care plan
  • Assist with discharge planning/coordination to ensure all post-discharge services required are in place and patient has scheduled post-discharge appointment
  • Identifies the appropriate utilization of resources across the continuum of carMaintains patient/caregiver care plan compliance reporting. Submits reports to interdisciplinary care team weekly
  • Participates in quality improvement and evaluation processes
  • Coordinates and directs the retrieval of diagnostic results from specialty referrals back to the clinic
  • Demonstrates the ability to triage and apply critical thinking skills
  • Ability to work in a fast paced environment; demonstrates ability to perform multiple concurrent tasks with minimal supervision and meets deadlines
  • Ability to communicate effectively in writing and verbally
  • Must have knowledge of Microsoft Office
  • Prior UM experience a plus
28

Rn-field Case Mgr-medical Resume Examples & Samples

  • Minimum of three years of clinical experience (Ortho, home health preferred!)
  • Certification required: one of these is a must: CCM, CRRN, CDMS, or COHN
  • Ability to travel within a designated geographic area for in-person case management activities
  • Knowledge of laws and regulations governing delivery of rehabilitation services is preferred!
  • Strong computer skills needed including Microsoft office!
  • Experience in a managed care environment is highly preferred!