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Case Manager Resume

SUMMARY:

My goal is to obtain a challenging position that enables me to in corporate my diverse administrative background and clinical expertise to insure high quality outcomes in patient care delivery.

SKILLS:

  • Bilingual, English/ Spanish.
  • MS Word, Excel, PowerPoint, Internet Explorer.

EMPLOYMENT:

Confidential

Case Manager

Responsibilities:

  • Care manager for Behavioral health, rehab, Mother Baby and other services.
  • Providing clinical reviews,, discharge
  • Planning, resource person for staff, patients, families regarding medical coverage.
  • Participate in Evaluation Conferneces/ discharge planning rounds.
  • Assist MD’s with Peer to peer activities and response to denials

Confidential, Jamaica, NY

Assistant Director

Responsibilities:

  • Administrative and clinical support for Inpatient Psychiatry, Chemical Dependency Detoxification Unit, Psychiatric Emergency Services, Outpatient Mental Health, Assertive Community Treatment ( Confidential ) Teams, Mobile Crisis Unit and a Partial Hospitalization Program (PHP); directing over 100 professional and ancillary personnel.
  • Analyze care delivery in clinical specialty areas, ensuring effective utilization of established standards, full compliance with regulatory agency mandates and strict adherence to hospital policies and procedures.
  • Prepare staffing schedules and project coverage needs based on patient census and available resources.
  • Respond to emergencies; broad knowledge of emergency disaster plans and crisis management.
  • Play a key role in Risk Management via critical analysis of behavioral and environmental triggers involved in incidents/ accidents; initiate educational planning to reduce facility liability and optimize recurrence prevention.
  • Develop and present relevant continuing education programs; topics have included restraint reduction, suicide prevention, management of psychotropic therapies and diffusing combative behavior.
  • Implemented a Behavioral Health Performance Improvement Program; facilitate monthly review meetings.

Confidential, New York, NY

Vice - President of Nursing Services

Responsibilities:

  • Directed a city-wide program integrating medical and mental health care to individuals with special needs.
  • Services included Confidential Teams, childhood & adolescence programs, mental health clinics, day care treatment, supportive housing residences and shelters for people with development disabilities and mental illness.
  • Established standards for health care monitoring of clients, including physical examinations, screening, immunizations, medication surveillance, testing for infectious disease, specialist consultations and follow-up.
  • Played a primary role in auditing documentation records in preparation for OMH/ OMRDD facility audits.
  • Conducted site visits to insure compliance with AMAP certification standards and practices.
  • Forged relationships and met with advisory boards, community leaders, civic groups and various agencies.

Confidential, Elmhurst, NY

Associate Director of Nursing

Responsibilities:

  • Directed clinical activities on a 29-bed secured unit designated for treating Spanish speaking in-patients.
  • Collaborated with Medical Director in developing treatment modes that met the special cultural needs of this population, including group therapy, family meetings and teaching information in the Spanish language.
  • Key role in Risk Management; improved crisis management, reduced use of restraints and medication errors.
  • Served as Interim Director for the Behavioral Health Department; provided leadership for over 100 nursing and ancillary staff, Nurse Practitioners, Program Directors, Nursing Supervisors and Head Nurses.

Confidential, New York, NY

Associate Director of Nursing

Responsibilities:

  • Conducted comprehensive review and monitoring of safety, quality of care, physical environment and medical documentation to insure optimum compliance with mandated JCAHO/ NYSDOH regulatory standards.
  • Critically analyzed behavioral and environmental triggers involved in incidents and accidents, initiated planning to reduce facility liability and optimize recurrence prevention. Submitted Confidential reportable cases.
  • Collaborated with department heads and key personnel in writing responses to resolve deficiencies and devised appropriate plans of correction; liaison to surveyors investigating patient complaints.
  • Role expanded to include development of staff education programs for Medicine-Surgery, Critical Care Department, Maternal-Child Health and Behavioral Health. Focus was on verifying clinical competency in specialty areas.

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