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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