Supervise care management/interdisciplinary care teams assuring optimal quality and outcomes for members of Guild Net’s Managed Long Term Care Plan, respond to member grievances and incidents with excellent documentation skills ensuring collaboration with primary physicians and other members of disciplinary care team per New York State standards.•Evaluate the effectiveness of the services coordinated by care management with consideration for quality, cost and compliance with regulations, emphasis on utilization management, professional standard and member satisfaction. Clinical record auditing and participation in work groups, particularly in formulation of new policy and procedures.•Schedule and monitor work assignments, time off and daily productivity of care management team. Ensure adequate staff coverage, thereby ensuring safe and effective care management of members.•Participate in recruitment, training and development of care management staff with emphasis on retention and excellence, ongoing evaluation of performance, counsel and discipline with corrective action plan formulated.

Provide staff development support to staff of Medicaid/Medicare Managed Long Term Care Program.•Participate in initial ten (10) day training program for newly-hired staff. Develop educational materials and programs to introduce new concepts and reinforce current practices and presenting educational in-services to all levels of staff. Provide on-going educational support to all staff, as needed.•Evaluate the performance of newly hired nurse case managers during orientation period encompassing education on automated systems, principles, protocols, documentation and processes, provide collaboration with supervisors to identify learning needs and facilitate successful performance of staff.

Managing, organizing and developing integrated plan of care for large case load. In charge of interpersonal development of telephonic member relationship including education r/t multiple diagnoses and mediations while maximizing efficient utilization management of health resources.

Case management for 80-bed Adult Home/Assisted Living MI population. Certification processes, monthly in-services, documentation assessment, oversight of ancillary and licensed staff.

see resume

Integral part of management team responsible for a 120-bed sub acute/rehab/LTC facility, Human resource functions (i.e. interviews, discipline, discharge and labor union involvement), for nursing personnel, evaluation of staffing needs and directing outcomes, development, interpretation and implementation of policy and procedure and new facility practices related to monthly Quality Assurance audit results. Formulated, coordinated and presented in-services r/t new implementation.

Multi-faceted role in rehab/long term unit, supervision of ancillary and licensed staff, wound care, medication administration, relief head nurse, documentation.

Staff nurse, ultra-busy 2-doctor practice assisting MD in outpatient procedures of biopsies, laser reconstructive Mohs surgeries, patient education and histories.

Care for patients in acute setting with diagnoses including cardiac, respiratory, hematological, elimination, and neurological systems. Vent and Trach experience. Head nurse on night shifts supervising 4-6 nurses.