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L o r e g 1 0 0 @ y a h o o . c o m ▪ 6 3 1 . 9 8 7 . 9 6 1 1
Lorene Regnier
Professional Summary
 Dedicated passionate career nurse with hands on experience in hospital, hospice, home
health and primary care environments.
 Highly organized and proficient in maintaining a heavy case load that follow the Medicare
Guidelines.
 Detail oriented professional, ensuring documentation, records, paperwork are accurate and
patient confidentiality is upheld.
Professional Experience
Nurse Case Manager – Guildnet MLTC, Melville, NY▪ 2016– Present
 Collaborate the health care needs of 120 members, by assessing, planning, implementing,
coordinating, monitoring and evaluating all options and services
 Evaluate the UAS, PCAT and FRAT to determine appropriate level of services for each
member. Reevaluate when there is a change in member’s mental or medical status and semi-
annually
 Coordinate and authorize services for aides, PERS, DME, ADHC, CHHA and PT
 Collaborate with members, families, vendors and Physicians
 Contact Members monthly to evaluate any changes in member’s status and if a member
requires DME, as per Medicare and Medicaid guidelines
 Communicate with the Hospital’s Care Managers and Social Workers for updates and
discharge plans. Discuss if member requires a CHHA or Sub-acute Rehab
 Coordinate with CHHA or the SNF re member’s status
 Computer Systems: Case Trakker, TAGS, Outlook, Word and Excel.
Business Development Intake Coordinator – Good Shepherd Hospice, Farmingdale, NY▪ 2014–
2016
 Receive and process referrals and explain the hospice philosophy and goals
 Obtain necessary clinical information, document a patient’s history to determine prognosis and
submit hospice eligible patients to Medical Director for admittance
 Request patient’s HCP/POA and living will and submit a copy to Good Shepherd. Discuss
HCP with patient and family.
 Obtain pre-certification from insurance companies and coordinate HHA services with Medicaid
Managed Long Term Care Services with hospice services
 Computer knowledge: EPIC, Allscripts
Hospice Liaison–Good Shepherd Hospice, Farmingdale, NY▪ 2013-2014
 Assess, review and develop referrals for hospice
 Coordinate admissions, in-patient care for hospice patients or discharges from the hospital
 Acted as a liaison to referral sources for Good Shepherd Hospice and explain the philosophy
and program
 Identified potential market growth opportunities and program expansion
 Built strong professional relationships with key physician and groups referral sources
R.N. Coordinator Case Manager–Lutheran Long Term Homecare, NY▪ 1994-2013
 Performed assessments and evaluations of patient’s physical, physiological, social and
economic needs.
 Provided instructions and supervision of home health aides in the patients’ home
 Coordinate social work, physical, speech occupational therapies and aide coverage that align
with patient’s long term healthcare plan
 Coordinate with discharge planners, from facilities, to ensure safe discharge home
Clinical Coordinator–Caremark Homecare, Plainview, NY▪ 1990-1995
 Coordinated and executed patients intravenous therapy including obtaining pre-certification
from insurance company case managers and physicians
 Created, implemented and recorded care plans for 125 patients
Certifications and Licenses-Education
Bachelor of Science in Nursing– Wagner College, NY
Registered Nurse
Patient Review Instrument and Screen Assessor
Certified Hospice Palliative Care Nurse

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Lorene regnier resume 31217

  • 1. L o r e g 1 0 0 @ y a h o o . c o m ▪ 6 3 1 . 9 8 7 . 9 6 1 1 Lorene Regnier Professional Summary  Dedicated passionate career nurse with hands on experience in hospital, hospice, home health and primary care environments.  Highly organized and proficient in maintaining a heavy case load that follow the Medicare Guidelines.  Detail oriented professional, ensuring documentation, records, paperwork are accurate and patient confidentiality is upheld. Professional Experience Nurse Case Manager – Guildnet MLTC, Melville, NY▪ 2016– Present  Collaborate the health care needs of 120 members, by assessing, planning, implementing, coordinating, monitoring and evaluating all options and services  Evaluate the UAS, PCAT and FRAT to determine appropriate level of services for each member. Reevaluate when there is a change in member’s mental or medical status and semi- annually  Coordinate and authorize services for aides, PERS, DME, ADHC, CHHA and PT  Collaborate with members, families, vendors and Physicians  Contact Members monthly to evaluate any changes in member’s status and if a member requires DME, as per Medicare and Medicaid guidelines  Communicate with the Hospital’s Care Managers and Social Workers for updates and discharge plans. Discuss if member requires a CHHA or Sub-acute Rehab  Coordinate with CHHA or the SNF re member’s status  Computer Systems: Case Trakker, TAGS, Outlook, Word and Excel. Business Development Intake Coordinator – Good Shepherd Hospice, Farmingdale, NY▪ 2014– 2016  Receive and process referrals and explain the hospice philosophy and goals  Obtain necessary clinical information, document a patient’s history to determine prognosis and submit hospice eligible patients to Medical Director for admittance  Request patient’s HCP/POA and living will and submit a copy to Good Shepherd. Discuss HCP with patient and family.  Obtain pre-certification from insurance companies and coordinate HHA services with Medicaid Managed Long Term Care Services with hospice services  Computer knowledge: EPIC, Allscripts Hospice Liaison–Good Shepherd Hospice, Farmingdale, NY▪ 2013-2014  Assess, review and develop referrals for hospice  Coordinate admissions, in-patient care for hospice patients or discharges from the hospital  Acted as a liaison to referral sources for Good Shepherd Hospice and explain the philosophy and program  Identified potential market growth opportunities and program expansion  Built strong professional relationships with key physician and groups referral sources
  • 2. R.N. Coordinator Case Manager–Lutheran Long Term Homecare, NY▪ 1994-2013  Performed assessments and evaluations of patient’s physical, physiological, social and economic needs.  Provided instructions and supervision of home health aides in the patients’ home  Coordinate social work, physical, speech occupational therapies and aide coverage that align with patient’s long term healthcare plan  Coordinate with discharge planners, from facilities, to ensure safe discharge home Clinical Coordinator–Caremark Homecare, Plainview, NY▪ 1990-1995  Coordinated and executed patients intravenous therapy including obtaining pre-certification from insurance company case managers and physicians  Created, implemented and recorded care plans for 125 patients Certifications and Licenses-Education Bachelor of Science in Nursing– Wagner College, NY Registered Nurse Patient Review Instrument and Screen Assessor Certified Hospice Palliative Care Nurse