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Branch Manager Case

Location:
Houston, TX
Posted:
August 28, 2024

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Resume:

ad8be7@r.postjobfree.com 832-***-****

Jennifer Bourgeois, RN, BSN

RN Licensure –TX#653194

Skills: Strong clinical judgment, Self directed and autonomous work, Works well within a team, Creating rapport, Microsoft Suite, Knowledge of STAR PLUS Medicaid and STAR PLUS WAIVER, Experience with Case Management, Care Coordination Professional Experience:

LTSS RN CLINICIAN SERVICE COORDINATOR

ELEVANCE/AMERIGROUP/WELLPOINT, HOUSTON, TX. - 3/2023 TO CURRENT Manager - Cheryl Tims, Branch Manager - 800-***-**** Visit Medicare/Medicaid MCO members in their homes and/or other settings to provide a complete continuum of quality care through close communication with members either by home based visits or telephonic interaction. Complete Assessments and Careplans within the framework and regulations of the Star Plus Medicaid program and identify Long Term Support and Service (LTSS) care needs for both Waiver and Non-Waiver members. Ensure compliance with all applicable state regulations and guidelines. Support members with condition education, medication reviews, and connections to community resources. Conduct extensive medical and behavioral assessments to identify specific member needs. Utilized community resources to plan and direct services to meet those individual needs within their particular homes/settings.

FIELD AND TELEPHONIC RN CARE MANAGER

SENIORBRIDGE / HUMANA AT HOME, HOUSTON AND SAN ANTONIO, TEXAS 5/2019 TO 1/2023

Contact – Helena Alayon, Branch Manager – 888-***-****, 737-***-**** Manages Orientation, Instruction and Supervision of RNs, LVNs/ LPNs and Home Health Aides. Assumes responsibility for patient assessments, establishing plans of care, care coordination and discharges. Covers for Branch Manager, when on PTO, in Clinical and Operation roles. Employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and creating care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Responsible for assessments, reassessments, supervisory visits, providing nursing care, within the scope of practice to patients with physical illness. Provides direct patient care under physician's orders utilizing nursing theory, skills and techniques. FIELD-BASED CLINICAL RN CARE MANAGER - STAR PLUS WAIVER UNITEDHEALTHCARE COMMUNITY & STATE, HOUSTON, TX 2011– 2/2015 Contact – Diane Kluna, Health Services Manager – 281-***-**** Visit Medicare/Medicaid MCO members in their homes and/or other settings to provide a complete continuum of quality care through close communication with members either by home based visits or telephonic interaction. Complete Assessments and Careplans within the framework and regulations of the Star Plus Medicaid program and identify Long Term Support and Service (LTSS) care needs for both Waiver and Non-Waiver members. Ensure compliance with all applicable state regulations and guidelines. Support members with condition education, medication reviews, and connections to resources such as Provider Assistant Service or Meals on Wheels. Conduct extensive medical and behavioral assessments to identify specific member needs. Utilized community resources to plan and direct services to meet those individual needs within their particular homes/settings. NURSE MANAGER OF AMBULATORY SURGERY CENTER

CHRISTUS ST. CATHERINES, HOUSTON, TX 2010– 2011

Responsible for the setup of an Ambulatory Surgery Center. Tasked to hire a team of 5-7 (clinical and front office) team members. Key contributor to the design, setup and configuration of Pre-op, OR and PACU, central sterilization/supply and pharmacy facilities. Also, OR circulating RN in main hospital. DIRECTOR OF NURSING/PERIOPERATIVE RN

JOURNEYLITE OF HOUSTON, HOUSTON, TX 2007– 2010

Responsible for overseeing the clinical operations of the surgery center including supervision over Pre-op, OR, PACU, central sterilization/supply and pharmacy. Other responsibilities included quality assurance, infection control, inventory, Pre-op, OR circulator and PACU. Participated in the executive committee meetings necessary to open a new Bariatric surgery center.

RN in OR/SURGERY SUITE, MD ASSIST

CYPRESS FAIRBANKS PLASTIC SURGERY CENTER, CYPRESS, TX 2006– 2008 OR/Surgery Suite circulator and assistant to plastic surgeon in surgical cases of abdominoplasty, breast augmentation, liposuction, face-lifts, thigh/arm lifts and rhinoplasty. Assisted in minor procedures of Botox/collagen injections and laser treatment. Also, administered and monitored conscious sedation patients. Provide Post OP treatment and instruction during the recovery and follow up visits. Ordering supplies for the Surgery Suite and Office.

RN IN EMERGENCY DEPARTMENT

CYPRESS FAIRBANKS MEDICAL CENTER, CYPRESS, TX 2005– 2006 Coordination of patient care with an interdisciplinary team involving acute treatment in cardiac, respiratory, and/or medical management. This includes care of the geriatric, middle adult, pediatric, OBGYN and orthopedic patients.

RN, CHARGE RELIEF IN EMERGENCY DEPARTMENT

ARLINGTON MEMORIAL HOSPITAL, ARLINGTON, TX 2001– 2005 RN in ER including Cardiac Care, OB/GYN, Pedi, Medical, Ortho and Trauma areas. Responsible for charge relief and precepting of new RNs. Coordination of patient care with interdisciplinary team involving acute treatment in cardiac, respiratory, and/or medical management. This includes care of the geriatric, middle adult, pediatric, OBGYN and orthopedic patients.

RN IN EMERGENCY DEPARTMENT

ST. ELIZABETH HOSPITAL (LEVEL 1 TRAUMA), BEAUMONT, TX 1998– 2001 RN in ER including Cardiac Care, OB/GYN, Pedi, Medical, Ortho and the Shock/Trauma team. Charge relief and precepting of new RNs. Coordination of patient care with interdisciplinary team involving acute treatment in cardiac, respiratory, and/or medical management. This includes care of the geriatric, middle adult, pediatric, OBGYN and orthopedic and trauma patients.

Education

Bachelor of Science, Nursing - Lamar University Beaumont, Texas 1998 2



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