Michelle P.

Registered Nurse Complex Case Manager at Anthem
  • Claim this Profile
Contact Information
us****@****om
(386) 825-5501
Location
Columbus, Ohio Metropolitan Area, US

Topline Score

Topline score feature will be out soon.

Bio

Generated by
Topline AI

You need to have a working account to view this content.
Join now
You need to have a working account to view this content.
Join now

Credentials

  • NIOSH
    National Institue for Occupational Safety and Health
    Mar, 2015
    - Oct, 2024
  • CAOHC Council for Accreditation in Occupational Hearing Conservation
    CAOHC Council
    Jul, 2014
    - Oct, 2024

Experience

  • Anthem
    • United States
    • Insurance
    • 700 & Above Employee
    • Registered Nurse Complex Case Manager
      • Jul 2015 - Present

      Complex Case Manager West Region Medicare-oversee management of care, patient education,and disease management within the guidelines of CMS. Complex Case Manager West Region Medicare-oversee management of care, patient education,and disease management within the guidelines of CMS.

  • General Motors
    • United States
    • Motor Vehicle Manufacturing
    • 700 & Above Employee
    • Nursing Supervisor
      • Oct 2013 - Jul 2015

      Nursing Supervisor, Occupational Health 10/2013 to PresentSupervise medical personnel. Responsible for the administrative matters concerning nurses and other personnel in a medical facility.Respond to emergencies within the plant. Assess and treat patients according protocolsSupervises medical personnel, determines work assignments and establishes proceduresEvaluates employees training needs, quarterly evaluation and performance improvement plansPlant health and safety audits (OSHA, CLIA, State of Missouri) and report managementCoordination of Surveillance Exam Program including Hearing ConservationMaintain department budget and cost reductionsMedical record audits and maintenance Directs the maintenance of equipment and suppliesOversee Wellness Program for the plant

  • Healix, LLC
    • United States
    • Hospitals and Health Care
    • 100 - 200 Employee
    • Nurse Coordinator
      • Jun 2012 - Oct 2013

      INFECTION DISEASE, PC AMBULATORY INFUSION CENTER ST. CHARLES, MOGASTROINTEROLOGY DALLAS, TXInfusion Nurse Coordinator 06/2012 to 10/2013Coordinating patient IV infusion care Managing the Nursing Functions of the AIC including comprehensive nursing assessments Establish IV access and maintaining PICC line access Administration of IV medications (Antibiotics, Remicade, IVIG, TPN, Iron are just a few examples)Patient education of disease processes Insurance and billingCollaborate with hospital case workers on discharge planningCredentialed at area hospitals to assist physician in rounding and discharge management

  • Ssm Depaul
    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Nurse Manager
      • Dec 2010 - Sep 2012

      5 South Acute Adult Medical unit 31 bed unit with a budget of 1.2 MillionFacilitate unit meetings to communicate network changes and to reaffirm department practices.  Manage budget variance monthly Patient satisfaction results (Press Ganey) Manage staffing for unit and Hospital  Address leadership concerns, department initiatives and educational needs of the unit and house.Key Accomplishments: • Inpatient Care Redesign project- improve patient communication and Physician satisfaction• Achievement in exceptional innovation award for DePaul and Network 2012• Nominated for SSMEmmy award at leadership conference 2012• Employee partnership in 2010 30%, 2011 63% and in 2012 90%• Staff engaged in department teams such as Shared Accountability, 5 South Education Team, and Employee Engagement Team• Reduced the supply budget by 30% in the past year

  • Missouri Baptist Medical Center
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Assistant Nurse Manager- Emergency Department
      • Aug 2008 - Dec 2010

      Assistant Nurse Manager 09/2008 to 12/201036 bed ER with additional 6 hall beds for holdsLeadership skills to manage the patient/family experience and daily operations of the unit. Effective communication skillsNursing judgment, knowledge, skills according to facility's policies and standards.Oversee daily operations and staff performance to ensure optimal care to patients' and family which iscollaborative, evidence based and meets national/facility standards to achieve the best possible outcome.Collaborates with unit director to assess, plan, and evaluate unit trends. Actively participates and mentors staff in management of the patient/family plan of care throughout the hospitalization to achieve optimal transition and progression toward discharge.Manages resources and demands to achieve optimal patient flow throughout the shift. Oversee the coordination of the activities of the health care team in a professional manner according to facility standards and promoting a positive work environment. Serves as role model for the health care team. Ensures utilization of resources to deliver quality care in a safe, efficient, and cost-effective mannerKey Accomplishments:• Served as a facilitator of Rapid Improvement event for Hospital (Six Sigma)• Improve patient through put by 2 hours as a result of Rapid Improvement event• Decreased over shift hours by 15%• Increased employee engagement by implementing employee awards and celebrations

  • SSM St. Joseph Hospital West
    • Staff Nurse- Emergency Department
      • Jun 2006 - Aug 2008

      Emergency Room RN 06/2006 to 08/2008Level 3 Trauma CenterTrauma Care (Adult /Pediatric)Geriatric/Adult/Pediatric emergency careCPR, airway management, ACLS, ENPC,TNCCEpic computer chartingDischarge planning and social resource assessments and educationInpatient holds Emergency Room RN 06/2006 to 08/2008Level 3 Trauma CenterTrauma Care (Adult /Pediatric)Geriatric/Adult/Pediatric emergency careCPR, airway management, ACLS, ENPC,TNCCEpic computer chartingDischarge planning and social resource assessments and educationInpatient holds

  • Mercy Hospital Fairfield
    • Emergency Room Technician
      • Feb 1998 - May 2006

      ER Tech 02/1998 to 05/2006Emergency DepartmentEducation Team: Preceptor, employee profile/certification managementSupply ordering and budgeting for the departmentLiaison for ER to LabED Tech: Training of new employees and in-services for the department on laboratory protocol/procedure, Airway management, CPR, vital signs, wound care, EKG and transportUrgent Care: Physical exam for DOT/Hazmat, pulmonary function testing, BAT, UDS, Respiratory fit testing, Phlebotomy, EKG, EMG, Holter Monitor placement

Education

  • Miami University
    ADN, Registered Nursing/Registered Nurse
    2001 - 2006
  • Chamberlain College of Nursing-St Louis Campus
    MSN
    2010 - 2014

Community

You need to have a working account to view this content. Click here to join now