RN, Care Coordinator Resume Sample

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Gilda Jenkins
950 Michaela Center,  Detroit, MI
+1 (555) 119 4935

Work Experience


RN Care Coordinator Manager
04/2017 - PRESENT
Philadelphia, PA
  • Assists with patients’ needs, to include transportation and referrals to mental health providers, if needed
  • Participates with quality improvement activities
  • Acts in an ethical and professional manner in accordance with organization’s code of ethics for nursing
  • Accountable for patient flow, nursing procedures, triage and protocols. Collaborates with essential care team members including: physicians, mid-level providers, MA's, Practice Managers, Care Managers, Site Directors to ensure patient safety and continuity of care
  • Assures patients are scheduled for appointments as appropriate or provide direction based on consultation with a provider
  • Receives, collects key data and answers based on clinical protocol guidelines and triages patient telephone calls as per approved clinical protocol guidelines. Consults with physician or nurse practitioner for areas of question or lack of clarity
  • Performs pre-visit planning of patient’s medical record documentation to identify gaps in care, ancillary testing follow-up and completion of last visit physician orders
Field Based RN Care Coordinator
03/2010 - 01/2017
Los Angeles, CA
  • Identifies emergent medical and/or related patient situations and assists patients by triaging appropriate level of care required
  • Serves as a educator in providing key medical care information in clinic or via telephone for patients within scope of license
  • Serves as a resource to clinical office staff within scope of their nursing role - either RN or LPN
  • Consults with physicians, providers, and other team members as appropriate to ensure quality patient care that is consistent with and pertinent to the patient
  • Documents complete and accurate patient records related to calls received, data collected, services rendered, follow-up provided, and/or outcomes as described by the patient or family
  • Performs nursing protocols (medication reconciliation, medication Refill, patient assessments, etc. as applicable and approved) to organizational procedures
  • Coordinates clinical functions to deliver superior patient care in all aspects of the patient visit experience (pre-visit, visit, and post-visit activities)
  • Serves as a resource to clinical office staff within scope of license
RN, Care Coordinator
05/2004 - 02/2010
Chicago, IL
  • Facilitates office quality/performance incentive initiatives
  • Coordinates care with external/payer case managers
  • Assists in conducting health risk assessments (HRAs) and reviews of patient records and/or claims analysis to identify care management and care coordination services
  • Collaborates with other Case Managers, when applicable, to ensure smooth handoffs of patients from case manager to case manager and to all involved caregivers across the continuum
  • Provides and manages care management and care coordination services in a timely, efficient, and cost-effective manner to meet patient-specific clinical and social needs
  • Assists in developing patient care plans and care goals
  • Actively engage as an integral, collaborative member of the patient's care team
  • Communicates with and disseminates information to the patient, PCP, and other care team members to ensure consistent, seamless, and coordinated care

Education


University of Pittsburgh
1998 - 2003
Master's Degree in Nursing With

Professional Skills


  • We have needs in the following counties: Essex, Westmoreland, Richmond, Northumberland, Lancaster, King William, King and Queen, Middlesex, Gloucester, Northampton and Accomack
  • We have needs in the following counties: Buckingham, Prince Edward, Amelia, Henrico, Chesterfield, Powhatan, Charles City, Prince George, Richmond, Dinwiddie, Goochland, Hanover, New Kent and Cumberland.
  • Prior Care Coordination experience in a clinical or insurance setting
  • Prior experience with clinical pathways desirable
  • Experience providing care coordination to persons receiving long - term care and/or home and community based services
  • Current nursing experience in the following areas: cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, and/or health education
  • Experience in performing either case management, utilization review, discharge planning or quality review

How to write RN, Care Coordinator Resume

RN, Care Coordinator role is responsible for health, travel, insurance, radiology, negotiation, english, organization, healthcare, education, analysis.
To write great resume for rn, care coordinator job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For RN, Care Coordinator Resume

The section contact information is important in your rn, care coordinator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your RN, Care Coordinator Resume

The section work experience is an essential part of your rn, care coordinator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous rn, care coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular rn, care coordinator position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative RN, Care Coordinator resume experience can include:

  • English speaking; demonstrates effective interpersonal and communication skills
  • Prioritize assignments and effective time-management skills
  • Demonstrated skills in planning, organizing and managing multiple functions and complex processes
  • Demonstrates tact, diplomacy, negotiation skills, and customer relations
  • Apply creative problem solving skills
  • Consults with patients’ physicians and / or Medical Directors about high priority patients and potential care management plans

Education on a RN, Care Coordinator Resume

Make sure to make education a priority on your rn, care coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your rn, care coordinator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in RN, Care Coordinator Resume

When listing skills on your rn, care coordinator resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical rn, care coordinator skills:

  • Experience working within the community health setting or in a health care role
  • Experience working with physicians in the collaboration and management of patient care
  • Experience in long-term care, home health, hospice, public health, assisted living and/or case management
  • Experience with arranging community resources
  • Experience or exposure to discharge planning
  • Current nursing experience required

List of Typical Experience For a RN, Care Coordinator Resume

1

Experience For Field Based RN Care Coordinator Resume

  • Care Coordinatorswill focus on 1% commercial and 5% Medicare targeted/prioritized complex cases, subject to further analysis
  • Advocates consideration of all options available to ensure quality of care in the most cost-efficient manner
  • Refers patients to appropriate and available resources to meet identified needs
  • Supports processes to ensure that appropriate authorizations, referrals, and payor requirements are obtained and met to allow patient care
  • Manages a case load of up to 100 high-risk patients
  • Participates in continuous quality, performance, and outcome assessment and improvement initiatives to ensure the improvement of care management/care coordination and available clinical and social support services
2

Experience For RN Care Coordinator Manager Resume

  • Assists in the development of care management tools needed to support the patient population
  • Provides education to patients and caregivers to optimize level of self-care
  • Addresses gaps in care per best practice guidelines, HEDIS measures and clinical guidelines as appropriate
  • Completes comprehensive assessment of high risk patients within the health system
  • Works closely with the primary care provider and interdisciplinary team to create a plan of care for each patient
  • Manages both Medicare Advantage and Commercial members
  • Coordinates and manages complex medical cases and health care needs across the continuum of care
3

Experience For Rn-care Coordinator Resume

  • Develops initial and quarterly personalized care plan with member and the primary care provider (PCP)
  • Maintains continuity of longitudinal documentation appropriate for continuity of care
  • Helps the member create / coordinate a support team in their local community to help them manage their long-term health status independently
  • Lead facilitator of the multidisciplinary care coordinator team managing and directing high-risk, high-cost members to appropriate resources, services and programs
  • Creates care plan summary and communicates / discusses with the PCP and member
  • Assigned to embedded locations or geographic areas / service areas
  • Knowledge of clinical and psychosocial aspects of patient care
  • Present a professional presence and appearance
  • Make outbound calls and receive inbound calls to assess members' current health status

List of Typical Skills For a RN, Care Coordinator Resume

1

Skills For Field Based RN Care Coordinator Resume

  • Strong commitment to improve the healthcare delivery system with an emphasis on providing the highest quality patient care
  • We have needs in the following counties: Rockingham, Louisa, Augusta, Orange, Buckingham, Charlotte, Fluvanna, Greene, Albemarle.
  • Proficiency working with MS Word and Outlook
  • The ability to travel in assigned region to visit members in their homes and/or other settings, including community centers, hospitals or providers' offices
  • Perform hands-on assessments, teaching and medication setup -- but not treatment -- within the nurse's scope of practice
  • Notifies Nursing Director, PCP, MD Advocate, and/or Medical Director about (over/under) utilization of services and patient’s compliance with program
  • Conducts telephonic member outreach for needs assessments according to state and national guidelines, policies, procedures and protocols
  • Work well with physicians and ambulatory staff in
  • Provide care coordination services to Providence Health Plans (PHP) members that include; disease management programs, including educating, motivating and empowering members to manage their disease
2

Skills For RN Care Coordinator Manager Resume

  • Provide case management services that include; triage and referral, transition of care planning, end of life care planning, other acute and catastrophic case management
  • Offer services to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life
  • Provide care management services that include; nurse education, care coordination and general assistance with managing day to day functional needs; assisting with the management of member health plan benefits and offering assistance to finding alternative services when benefits are exhausted
  • Ambulatory experience working in a health center or physician’s
  • Experience working with Medicaid/Medicare population
  • Clinical nursing experience
  • Experience with Medicare/Medicaid or DNSP
  • Experience with a work at home position
3

Skills For Rn-care Coordinator Resume

  • Experience with electronic medical record (EMR) clinical products
  • Work within the health plan framework of managing medical expenses while also working to improve access and quality care to our members
  • Washington state RN license in addition to an Oregon state license
  • RN current, unrestricted in the state of Tennessee
  • The Ambulatory-based RN Care Coordinator (RNCC) is housed within
4

Skills For RN Care Coordinator / Discharge Planner Resume

  • Increase patients compliance with treatment plans
  • Prepare for and attend ACO committee meetings as assigned
  • 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…
  • Acts as clinical resource person for program’s quality efforts
  • Works in a busy and, at times, stressful office or health center environment
  • Some travel to hospital, post acute settings, other offices, and patient homes at times
5

Skills For RN Care Coordinator Breast Cancer Resume

  • Assess the enrollees’ current medical and social circumstances to identify any gaps or barriers that would impact compliance with the prescribed treatment plan
  • Acts as an advocate for patient care needs by identifying and communicating opportunities for care interventions, including identifying and addressing functional deficits and gaps in care
  • Proactively educates enrollees about the program, including consumer direction of Home and Community Based Services
  • Develops and implements targeted strategies to improve health, functional or quality of life outcomes
  • Coordinates with the Fiscal Employer Agent (FEA) and Service Facilitator for enrollees who opt for the consumer direction option, as needed
  • Monitors hospitalizations and institutional facility admissions and re-admissions to identify issues and implement strategies to improve outcomes
  • Routinely assesses and monitors enrollees’ status, needs and progress; if progress is static or regressive, determine reason and proactively encourage appropriate adjustments to the plan of care, providers and/or services to promote better outcomes
  • Collaborates with peers on enrollees’ admissions, transitioning and/or discharge planning Refers service requests that do not meet approval criteria to Manager, Director, or RN for further review and determination
6

Skills For Icmp RN Care Coordinator Resume

  • Routinely assesses and monitors enrollees’ status, needs and progress; if progress is static or regressive, determine reason and proactively encourage appropriate adjustments to the plan of care, providers and / or services to promote better outcomes
  • Collaborates with peers on enrollees’ admissions, transitioning and / or discharge planning Refers service requests that do not meet approval criteria to Manager, Director, or RN for further review and determination
  • Facilitates an evidence-based, multidisciplinary, multispecialty approach to cancer care throughout the care continuum. Navigates care for newly diagnosed Breast Cancer patients and as needed for patients recommended for biopsy
  • Collaborates with supervisor in navigating patients (needs ranging from minimal to complex) from the diagnostic phase through treatment planning, medical management, and surveillance/ survivorship assuring patients have appropriate, timely, medical, and supportive services. Supports activities related to the High Risk Breast Screening Program
  • Remains current in evidence-based cancer practice and new emerging trends in area of cancer specialty
  • Develops appropriate relationships to maximize patient experience across departmental, campus, and physician/provider lines
  • Completes accurate data collection with all appropriate information in a timely and efficient manner
7

Skills For RN Care Coordinator ACT Resume

  • Supports program awareness within the physician community and community at large
  • Collaborates with peers on enrollees’ admissions, transitioning and / or discharge planning Refers service requests that do not meet approval criteria to Manager, Director or RN for further review and determination
  • Delivering a holistic approach to coordinated care based on the member’s needs using a person centered philosophy
  • Work diligently to remove barriers to patient’s timely discharge
  • Collaborates with peers on enrollees’ admissions, transitioning and/or discharge planning Refers service requests that do not meet approval criteria to Manager, Director or RN for further review and determination
  • Demonstrates a positive attitude in dealing with problems or crisis situations
  • Collaborates with the healthcare team to ensure the progression of an effective treatment plan and smooth clinical transitions in care
  • Experience with LTSS
8

Skills For Telephonic High Risk RN Care Coordinator Resume

  • Provides clinical coordination services including assessment, planning, and intervention
  • Increase patients’ ability for self-management and shared decision-making
  • Actively involve patients/caregivers in their healthcare and encourage shared decision making
  • Documents required clinical, social, financial, or other information using appropriate systems
  • Completes patient handoffs during appropriate patient transitions of care
9

Skills For Telephonic RN Care Coordinator Resume

  • Communicates telephonically and in person with paneled patients to ensure follow up and understanding of plan of care
  • Conducts member assessments, identifies gaps and interventions, and coordinates ongoing care with physician and integrated team
  • Notifies Program Director, PCP, MD Advocate, and/or Medical Director about (over/under) utilization of services and patient’s compliance with program
  • Assumes accountability for professional growth and development
  • Brings potential matters of non-compliance to the attention of the supervisor or other appropriate
  • Addresses issues related to intensity of service and severity of illness to confirm necessity for admission
  • RN Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees and their families
10

Skills For Icmp RN Care Coordinator Float Resume

  • RN Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures
  • Uses assessment skills and appropriate risk assessment tools to identify patients with actual or potential health care needs that would require care coordination
  • Creates an environment that assures patient safety
  • Instills confidence in the patient's own ability to regain/optimize their own health
  • Partners with patient to help them integrate health status changes into their life
  • Continually evaluates the data to further refine the referral criteria to the RN CC caseload; provides feedback to staff to improve the referral process
  • Identifies actual or potential variances in standards of care and system problems that could lead to errors, delays in care, complications or increased cost
  • When appropriate, integrate care coordination with disease management efforts to achieve low cost interventions that achieve the greatest benefit and increase the accountability of patients for management of their disease
  • Facilitates care coordiation for the patient across the care continuum, ensuring that the patient is receiving the highest level of quality

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