NANCY ANTE

• Provided inpatient care management/utilization review and discharge planning to ensure patients and families progressed through the continuum of care
• Collaborated with and provided direction to the physician, other members of the multidisciplinary team and patient/family in the development and implementation of individualized plans of care
• Track and document avoidable days
• Referred patient to outpatient programs to avoid readmissions
• Liaison with payers

• Improved patient outcomes by developing and implementing comprehensive case management plans.
• Utilized evidence-based practices to inform decision-making processes and optimize case management outcomes for diverse patient populations.
• Increased patient satisfaction by establishing strong rapport, actively listening to concerns, and addressing issues in a timely manner.
• Promoted interdisciplinary collaboration among healthcare professionals by organizing team meetings focused on sharing best practices and improving patient care processes.

• Provided inpatient care management/utilization review and discharge planning to ensure patients and families progressed through the continuum of care
• Collaborated with and provided direction to the physician, other members of the multidisciplinary team and patient/family in the development and implementation of individualized plans of care
• Track and document avoidable days
• Referred patient to outpatient programs to avoid readmissions
• Liaison with payers

Travel assignment as a case manager at Sarasota Memorial Hospital

• Provided inpatient case management and discharge planning to ensure patient's progression through the continuum of care
• Worked collaboratively with a interdisciplinary team and patient/family in the development and implementation of individualized plans of care
• Collaborate with treating physicians regarding patient's care plans progression and goals to optimize length of stay and resource consumption
• Monitored medical orders for appropriateness and ensured timeliness of completion
• Obtain authorizations from multiple insurance carriers for various levels of care
• Ensure patients are admitted at the appropriate level of care.

• Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
• Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
• Collaborated with an interdisciplinary team to determine timely delivery of services.
• Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
• Conduct daily clinical reviews using InterQual

Travel assignment as a case manager at Sarasota Memorial Hospital

• Provided inpatient case management and discharge planning to ensure patient's progression through the continuum of care
• Worked collaboratively with a interdisciplinary team and patient/family in the development and implementation of individualized plans of care
• Collaborate with treating physicians regarding patient's care plans progression and goals to optimize length of stay and resource consumption
• Monitored medical orders for appropriateness and ensured timeliness of completion
• Obtain authorizations from multiple insurance carriers for various levels of care
• Ensure patients are admitted at the appropriate level of care.

• Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
• Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
• Collaborated with an interdisciplinary team to determine timely delivery of services.
• Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.

Travel assignment as a case manager at Sarasota Memorial Hospital

• Provided inpatient case management and discharge planning to ensure patient's progression through the continuum of care
• Worked collaboratively with a interdisciplinary team and patient/family in the development and implementation of individualized plans of care
• Collaborate with treating physicians regarding patient's care plans progression and goals to optimize length of stay and resource consumption
• Monitored medical orders for appropriateness and ensured timeliness of completion
• Obtain authorizations from multiple insurance carriers for various levels of care
• Ensure patients are admitted at the appropriate level of care.

• Provided inpatient care management/utilization review and discharge planning to ensure patients and families progressed through the continuum of care
• Collaborated with and provided direction to the physician, other members of the multidisciplinary team and patient/family in the development and implementation of individualized plans of care
• Conducted daily clinical reviews using InterQual guidelines
• Track and document avoidable days
• Referred patient to outpatient programs to avoid readmissions
• Liaison with payers

• Provided inpatient case management and discharge planning to ensure patients progressed through the continuum of care
• Worked collaboratively with a interdisciplinary team and patient/family in the development and implementation of individualized plans of care
• Collaborate with treating physicians regarding patient's care plans, progress and goals to optimize length of stay and resource consumption
• Monitored medical orders for appropriateness and ensured timeliness of completion
• Obtain authorizations from multiple insurance carriers for various levels of care
• Ensure patients are admitted at the appropriate level of care

Travel assignment as a case manager at Kern Medical, Bakersfield, CA

• Provided inpatient care management/utilization review and discharge planning to ensure patients and families progressed through the continuum of care
• Collaborated with and provided direction to the physician, other members of the multidisciplinary team and patient/family in the development and implementation of individualized plans of care
• Conducted daily clinical reviews using InterQual guidelines
• Liaison with payers

13 wk Travel assignment as a Case Manager RN at St. Agnes Medical Center, Fresno, CA.

• Provided inpatient case management/utilization review and discharge planning to ensure patients progressed through the continuum of care
• Collaborated with and provided direction to the physician, other member of the multidisciplinary care team and patient/family in the development and implementation of individualized plans of care
• Conducted daily clinical reviews using InterQual guidelines
• Obtained authorizations from multiple insurance companies for various levels of care

• Independently identified and assessed high risk patients in need of post hospital care and follow up using UM criteria, risk screens and clinical judgment
• Collaborated with and provided direction to the physician, other members of the multidisciplinary team team and patient /family in the development and implementation of the individualized plans of care to ensure continuity and quality of care
• Conducted daily clinical review for UM/QA using InterQual guidelines
• Perform evaluations on a consistent basis to address any changes in patient's needs, conditions and medications, altering care plans when required

• Provided inpatient case management, UM and discharge planning to ensure patients progressed through the continuum of care
• Collaborated with and provided direction to the physicians and other members of the multidisciplinary team and patient/family in the development and implementation of individualized plans of care to ensure continuity and quality of care
• Conducted daily reviews using InterQual guidelines
• Obtained authorization from multiple insurance companies for various levels of care

• Collaborated with and provided direction to the physicians, multidisciplinary health care team, patients and family in the development and implementation of individualized care plans to insure continuity of quality care
• Perform evaluations on a consistent basis to address changes in patient's needs, conditions and medications, altering care plans when required
• Conducted daily clinical reviews using InterQual guidelines
• Ensure patients are appropriate for admission and at the correct level of care

• Managed a case load of 5 patients requiring telemetry monitoring, IV therapy and wound care
• Provided education to patients and their families regarding their care, illness, medications and discharge instructions
• Monitor, record and report symptoms or changes in patient's condition
• Coordinated care with physicians and other members of the health care team

• Supervised the operations and delivery of patient care services in an ambulatory care setting
• Ensured staff provided quality care that complied with federal, state and local requirements
• Assisted in managing and resolving human resource labor relations, employee and department safety and risk management issues
• Worked collaboratively with physicians and other departments to resolve patient care issues, meet access demands, improve cost structure and develop consistent policies and procedures
• Identify and recommend strategies to reduce cost and improve quality of care and service

• Conducted screening, diagnostic treatment and rehabilitative an supportive services as the senior nurse on a primary health care team
• Provided functional direction to assigned personnel to monitor and direct patient flow
• Prepared and monitored daily work assignments
• Identified problems and recommended and implemented solutions
• Oriented and trained new and existing personnel

• Managed a caseload of 10 telemetry patients, providing treatments, IV therapy and wound care
• Provided education to patients and their families regarding their care, illness, medications and discharge instructions
• Coordinated care with physicians and other members of the health care team
• Maintained accurate, detailed reports and records
• Monitor, record and report symptoms or changes in patient's conditions