Melissa Vinson
Stuarts Draft
Summary
Results-driven RN case manager dedicated to enhancing patient care quality and reducing healthcare costs. Successfully developed and implemented targeted care plans for chronic disease patients, leading to significant reductions in hospital readmissions. Collaborative efforts with multidisciplinary healthcare teams ensure comprehensive assessments and effective interventions.
Overview
15
15
years of professional experience
Work History
RN Case Manager
Somatus
McClean
01.2020 - Current
- Developed care plans for at-risk individuals with chronic kidney disease, providing education and dialysis modality training to prevent disease progression.
- Collaborated with nephrologist to develop patient care plans, facilitating comprehensive assessment, problem identification, goal setting, and intervention.
- Coordinated services with renal dietitian, social worker, and community health worker to improve patient care quality.
- Collaborated with physicians during medical rounds, updated treatment plans, and provided plan of care to patients and families.
- Conducted reassessments to address changes in patient needs, conditions and plan of care.
RN Case Manager
Humana
Richmond
04.2019 - 09.2020
- Formulated care plan from comprehensive assessment, enhancing home recovery and connecting patient and family with beneficial resources.
- Provided medical oversight and chronic disease management, facilitating resource allocation within insurance coverage limits.
- Enrolled patients in insurance transitions program, reducing risk of hospital readmissions within thirty days.
- Optimized resource utilization in long-term care program, minimizing unnecessary hospital admissions.
Staff Nurse
Maxim Healthcare
San Luis Obispo
01.2018 - 08.2018
- Managed rapid response and code situations as clinic nurse in jail, providing vital assessments and information to receiving hospital for improved patient outcomes.
- Conducted patient assessments and diagnostic tests, delivering critical health information to physicians for incoming inmates at county jail to inform timely medical interventions.
- Performed cardiac, neurological, pulmonary, and mental health assessments for inmates with chronic disease management needs.
- Evaluated wounds, applied CIWA protocols, identified potential illnesses, and assisted physician during weekly clinic rounds to enhance patient care and treatment.
Student
Medical Coding online program
San Luis Obispo
01.2015 - 06.2018
Director Case Management
Sierra Vista Medical Center
San Luis Obispo
10.2011 - 10.2015
- Directed daily operations of 6 FTE RNs and 2 ancillary staff in 110-bed level three trauma center.
- Collaborated with multidisciplinary team to develop comprehensive patient care plans during daily rounds, enhancing patient readiness for discharge.
- Collaborated daily with department directors using lean management principles to improve quality objectives and decrease length of stay.
- Co-chaired UM committee to address discharge barriers, reduce avoidable days, ensure Medicare compliance, and review physician documentation scorecards.
- Assessed team members monthly to enhance accountability for case management objectives.
Education
Bachelor of Science - Nursing
University Of Virginia
Charlottesville, VA04-1987
MBA - Business
Averett University
Danville, VA11-2007
Skills
- Care coordination
- Patient care planning
- Chronic disease management
- Chronic condition management
- Patient assessment
- Utilization review
- Medicare compliance
- Clinical documentation
- Care transitions
Timeline
RN Case Manager
Somatus
01.2020 - Current
RN Case Manager
Humana
04.2019 - 09.2020
Staff Nurse
Maxim Healthcare
01.2018 - 08.2018
Student
Medical Coding online program
01.2015 - 06.2018
Director Case Management
Sierra Vista Medical Center
10.2011 - 10.2015
Bachelor of Science - Nursing
University Of Virginia
MBA - Business
Averett University