JEAN BYWATERS
422 Torner Road
Baltimore, Maryland 21221
[Send email to request phone number] 82-4058
[Send email using form at bottom]
Objective Opportunity to improve the quality of life for consumers
while reducing
healthcare costs through improved compliance with
treatment and more
effective use of healthcare resources. Serve in a
management or staff role
that allows me to work alongside the nursing staff
to provide more value
to the company.
Employment Disease management/CM Nationwide
Currently working as a Remote Condition Management
Nurse with Hunt Valley Office
Responsible for health education and coaching of
various types of workers for contracted
Companies. Repsonsibilities include. Teaching of
health models, and helping members to
Adhere to their doctors plan of care. Utilizing
HIPPA guidelines , following various
Company requirerments. And use of motivational
interviewing.
Employment Disease Management/MMARS/INFORMED
June,2005-Feb. 2006
Working as a Disease/Case and UR Nurse responsible for
helping to
Manage members to help with cost savings, placement
of member and
Obtaining of equipment for home care after
hospitalization. Also worked in
The process of verifying and pre-certing admission to
hospital or long
Term care.
Charge Nurse Franklin Square Hospital IMC Unit
Jan. 2002-June 2005
Charge/staff responsibilities in mixed cardiac,
surgical, med/surg unit. Including:
post op, bariatric, hospice patients.
Coordination of services to improve quality of
care and cost savings for facility.
Preceptor for all new RNs in critical care.
Overseeing ancillary personel.
Exceptional analytical and problem solving
skills.
Competency with CM process and standards.
Case Manager-Travelers Insurance
Feb 2000-June 2001
Responsible for medical coordination of injured
workers care to help facilitate
earlier return to work. Devised contact tools
for new hires.
Coordination of services including: PT, OT,
SLP, RT, hospitalizations, in-pt
surgical procedures, post-op care, discharge
planning, DME, medication
authorization through TMSY.
Knowledgeable in URAC guidelines, Comp laws for
MD, VA, DE, Wash DC and
PA, and time Trax ( billable time), explanation
of system benefits.
Competence with denial process, worked with
attorneys for Comp and Injured
Workers. Specifically named Contact Nurse for
DAVCO (Wendys , Friendlys)
Case Manager-EverCare/ United HealthCare
May 1999- Feb 2000
Responsible for benefit determinations and
authorizations for Medicare Plus
Choice Organization, including PT,OT, SLP, RT,
DME
UR for hospitalized patients. Resource person
for medical and clinical staff.
Assisted with upgrading Psychiatric Process for
determination and auth of
Service/ treatment plans.
Assisted supervisor with development of
training manual for computer program:
PDS-Step-By-Step.
Employment Triage RN-Helix Tele-Health Center
Nov 1996-May 1999
Franklin Square Hospital
Screened 911, crisis, abuse and suicide
callers, using computerized protocol to
assess, give first advice, or direct pt to
appropriate health care provider.
Obtained verbal orders, prescriptions,
appointments from Helix doctors.
Expertise with MDS/DOS, Windows 95, 2000
Director of Nursing-Ivy Hall Geriatric and
May 1990-Sept 1996
Rehabilitation Center
Pivotal in conversion from LTC facility to
include 28 bed subacute rehab unit
and installation of skilled geriatric nursing
assistant program.
Developed and implemented clinical pathways,
policy and procedure manual.
Responsible for overseeing all staff
including: RNs, LPNs, SNAs, dieticians and
therapists. Hiring, QI, Infection Control,
In-servicing of staff, screening of
prospective residents, UR.
Installation and training for AssurQual
computer system within facility.
Clinical Leader/Charge Nurse
Dec 1983-May 1990
Franklin Square Hospital
Staffing/ assignments for night shift on OB/GYN
floor, supervised staff
performance, developed performance monitors and
tabulated results. Staff
In-servicing.
Member Quality Assurance Committee, GYN
Breastfeeding Committee.
Assisted in delivery of normal and complicated
births, patient teaching,
antepartum care and discharge planning,
nursery / infant care.
Charge Nurse-Cardiac/ Med Surg Unit
June 1983-Dec 1983
City Hospital
Oversite of staff, assignments/ duties for
night shift, patient care and emergency
checks.
License MARYLAND RN- R 082383 Expires 7/28/10
Professional RN-CCM, WCMC, CMT, CCPC
Associations
Administrator Certification for Long Term Care from The College of Notre Dame
after 1,000hrs
Of training and classes.
|
