Whitney Shaver
Bybee,TN
Summary
Experienced Registered Nurse with a strong background in clinical and case management roles, including specialized expertise in LTSS Care Coordination and Home Health Case Management. Committed to patient education and dedicated to enhancing outcomes and quality of life. Seeking an opportunity to utilize extensive nursing experience in a role with the Department of Disability and Aging, to make a meaningful impact on the lives of individuals in need.
Overview
15
15
years of professional experience
1
1
Certification
Work History
LTSS Care Coordinator/DSNP Case Manager
WellPoint (formerly Amerigroup)
09.2017 - Current
- Managed Medicaid MCO for 7 years, ensuring cost-effectiveness and quality of care
- Provided disease management education and medication instruction
- Developed person-centered support plans; facilitated transitions to community or nursing facilities
- Collaborated with providers to ensure timely contact and service delivery in line with state regulations and policies.
Registered Nurse Case Manager
Covenant Home Care
11.2013 - 09.2017
- Coordinated care and services, including IV and wound therapy/management
- Educated on disease processes, medication management, and infection control measures to patients.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Developed care plans based on nursing diagnosis and incorporated therapeutic, preventive and rehabilitative nursing methods.
- Participated in on-call rotations to deliver after-hours care.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Examined patients and documented history of current and previous conditions, illnesses, injuries, and current medications.
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
- Followed all instructions for medication administration and treatment plans as prescribed by physicians.
- Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
Home Health Registered Nurse
UT Home Health
11.2010 - 11.2013
- Coordinated care and services, including IV and wound therapy
- Educated on disease processes, medication management, and infection control measures to patients.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Provided physical assessments, medication, and chronic disease management to home health patients.
- Traveled to patients' homes on daily basis to assess health conditions and provide superior level of nursing care.
- Informed physicians of any changes to patients' health or concerns observed during home visits.
- Administered different therapies and medications in line with physician orders and treatment plan.
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
- Educated patients and families on disease processes, medications and treatments.
- Developed and implemented discharge plans to promote continued care after discharge.
- Coordinated with other healthcare team members to support patient needs.
- Delivered after-hours care to patients based on strict role-call rotations.
- Monitored vital signs, developed and implemented care plans, and documented patient progress.
- Assessed patients' health status and developed individualized care plans to suit needs.
- Administered medications and treatments as prescribed by physicians.
ER RN
Takoma Regional Hospital
05.2009 - 05.2010
- Educated patients on medication, disease management, and infection control.
- Managed care from admission to discharge.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Monitored patient reactions to drugs and carefully documented findings.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Implemented medication and IV administration, catheter insertion, and airway management.
Education
Associate of Science in Nursing -
Walters State Community College
Morristown, TN05.2009
Licensed Practical Nurse -
TN Technology Center
Morristown, TN08.2006
High School Diploma -
Cocke County High School
Newport, TN05.2004
Skills
- Certified Case Manager
- Experience in LTSS care coordination and home health case management
- Knowledge of cost-effectiveness and utilization management
- Proficient in IV and wound therapy
- Skilled in patient education on medications, safety, disease management, and infection control measures
- Experience in emergency care and triage
- Familiar with Medicaid and Medicare guidelines
- Excellent communication and teamwork abilities
- Proficiency in personal computing
- Strong problem-solving and critical thinking skills
- Ability to easily adapt to change
- Multidisciplinary team collaboration
- Organizational Skills
- Documentation
- Progress Monitoring
- Patient Education
Certification
Certified Case Manager, 2019-present, CCMC
Personal Information
Title: RN, CCM
References
Available upon request
Timeline
LTSS Care Coordinator/DSNP Case Manager
WellPoint (formerly Amerigroup)
09.2017 - Current
Registered Nurse Case Manager
Covenant Home Care
11.2013 - 09.2017
Home Health Registered Nurse
UT Home Health
11.2010 - 11.2013
ER RN
Takoma Regional Hospital
05.2009 - 05.2010
Associate of Science in Nursing -
Walters State Community College
Licensed Practical Nurse -
TN Technology Center
High School Diploma -
Cocke County High School
Certified Case Manager, 2019-present, CCMC
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