Dorothy Chambers 2015 RESUME 2015 (1)

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Dorothy Chambers RN
418 LeVac Street, Belding, MI 48809 | 616-794-3351(H) 616-894-9667 (C) | dotom4@hotmail.com|
License
Registered Nurse in Michigan, License number 4704181878
Professional Summary
· Compassionate Registered Nurse with 24 years of diverse nursing experience.
· Passionate about providing quality, culturally sensitive and personal nursing care.
· Pursues learning opportunities and new experiences. Flexible and adjusts well to change.
· Dedicated patient and family advocate with a customer service focus.
· Strong background in Psychiatric nursing – believe in the value of integrated and holistic care
· Works well independently and as part of a team- strong interpersonal communication skills.
· Approximately 10 years of experience with various models of case management
· Strong knowledge and aptitude for pharmacy and patient education regarding their medication.
Education
ADN: ASSOCIATE DEGREE NURSING | 1991 | GRAND RAPIDS JUNIOR COLLEGE, MI
· Previous certifications in breastfeeding education, prenatal education, Adult and Child CPR, Pediatric Advanced Life Support,
Neonatal Resuscitation, Perinatal Fetal Monitoring
· Continuing education credits yearly
Professional Experience
Consumers Mutual Insurance of Michigan
RN Care Coordinator Clinical Utilization Department
July 2014 TO CURRENT
 As part of a startup CO-OP, assists in establishing program, policies, procedures and readying for NCQA assessment
 Assists with navigation of benefits between agents, employer groups, members and insurance agency with a strong customer
service focus. Remove barriers to care, while containing costs, and building reputation of new company
 Pharmacy Utilization- preparing PA requests for medical necessity review by CMO. Assist in development of internal pharmacy
program, developing processes, procedures and policy and criteria. Member of Pharmacy and Therapeutic Committee which
develops the formulary. Analyze pharmacy data. Communicate negative formulary changes to the members.
 Oversee multiple delegates, to coordinate care with, customer service, UM, DM, CM, CCM and pharmacy
 Coordination of care with physicians, referrals to delegated DM, CM, or CCM, monitor high cost cases
ARBOR CIRCLE
RN PSYCHIATRIC SERVICES- GRAND RAPIDS, MI
SEPTEMBER 2012 TO JULY 2014
· Face to face and tele-psychiatry – management of patient flow, scheduling, communication between therapists and psychiatric
team, coordination of care with primary care physician, advocacy of client and family.
· All aspects of patient care from referral to discharge- including monitoring efficacy & side effects of medications, weight, height,
medication reconciliation, patient psycho-education, medication consent, verbal orders, prior authorizations, patient assistance
programs and samples, preparation and maintenance of all electronic and paper charts, chart audits.
PRIORITY HEALTH
RN CASE AND DISEASE MANAGER /MEDICAID TEAM- GRAND RAPIDS MI
JUNE 2010 to SEPTEMBER 2012
· Provided telephonic case and disease management of a case load of approximately 100 members. Coordinated patient care with
other RN Case Managers, Medical Director, Behavioral Health Case Mangers, Primary Care Physicians and specialists.
· Effective counseling and education in health maintenance and disease management. Focus on diabetes, cardiovascular disease,
CHF, and COPD. Identified and attempt to reduce member’s barriers to health care and disease management.
· Delivered high-quality and compassionate case management to indigent and low-income patient population, providing
community resources and collaboration as needed.
· Identified high risk members from population assessments and stratification reports who would benefit from case management
to maximize their health, manage their disease processes and lower health care costs. Contacted members within 48 hours of
discharge from the hospital to facilitate care transitions.
· Ensured HIPAA compliance. Developed patient care plans including assessments, evaluations and nursing diagnoses.
Documented patient information obtained from interviews.
IONIA COUNTY COMMUNITY MENTAL HEALTH SERVICES
REGISTERED NURSE ASSERTIVE COMMUNITY TREATMENT TEAM- IONIA MI
June 2007 to June 2010
· Part of an intensive multidiscipline case management team providing intensive psychiatric care for a case load of approx. 15-25
clients with severe and persistent mental illness. Nursing care, assessment and intervention in clients home or community
settings- meeting the client where ever they were.
· Provided education, encouragement and examples of health and wellness promoting behaviors. Co- led a health and wellness
group. Demonstrated and taught activities of daily living. Arranged, transported and accompanied clients to their primary
medical care provider appointments, providing advocacy, support and collaboration between medical and psychiatric care.
Assessed clients for preventive health needs such as vaccines, screenings and tests.
· Attended all med reviews with the psychiatrist, providing collaborative medication management. Liaised between patients and
physicians to ensure patient comprehension of treatment plans. Set up weekly, monthly or daily medication trays. Assisted
clients in obtaining prior authorizations, and patient assistance programs. Oversaw medication administration either daily or
several times a day to clients as needed. Provided injection of psychotropic medications. Transported, scheduled, and
accompanied clients for routine lab work related to their medication management. Followed up on lab results- reporting those
out of normal limits to the psychiatrist. Attended all daily team meetings, working beside the team and the psychiatrist to make
medication adjustments as needed between med reviews.
· Shared team responsibility for on-call care at all times of day and night- including crisis assessment and hospitalization.
UNITED LIFESTYLES- SPECTRUM HEALTH UNITED MEMORIAL HOSPITAL
MATERNAL AND INFANT HEALTH PROGRAM/ WELCOME BABY - GREENVILLE, MI
June 2002 to June 2007
· RN on MIHP team making home visits to at - risk pregnant woman and infants in the first year of life. Case
managed approximately 40- clients. Linked clients to referrals and community resources. Promoted health lifestyle changes
and regular physician visits. Worked collaboratively with other nurses, social workers and registered dietitians to develop plan of
care. Goal to assist clients in having a healthy pregnancy and reduce infant morbidity and mortality.
· Certified breastfeeding educator providing instruction and hands on intervention of breastfeeding mothers
and babies.
· Assisted in program development of Welcome Baby program, A Good Start collaborative with the
ISD. Provided all home visits and established plans of care. This program provided home visits to all infants
born at SH United hospital through their 8th month of life promoting early childhood development,
postpartum depression screening, identification and referrals, literacy, breastfeeding support and education.
SPECTRUM HEALTH BUTTERWORTH AND UNITED MEMORIAL HOSPITALS
FULL TIME INPATIENT REGISTERED NURSE- GRAND RAPIDS/GREENVILLE MI
June 1991 to June 2002
· 1991-1996 RN 5W Butterworth- provided inpatient care to medical and surgical patients with a focus on woman’s oncology
· 1996-1998 NICU Butterworth- Neonatal intermediate and intensive care units
· 1998-2001 United Memorial Hospital Labor and Delivery – care of the prenatal, labor and delivery and postpartum mom and
baby. Taught prenatal, sibling, and breastfeeding classes. Provided staff support and education on breastfeeding and inpatient
lactation consulting.
REFERENCES UPON REQUEST
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