1. Maryellen Race
HCM, RN, BSN, Humana At Home
116 Robinson Drive; Greendale, IN 47025
mrace@humana.com (270)339-4062
Career Objective
To continue to grow in leadership and knowledge, excel in the clinical field, interact and work well with
other colleagues, clients/patients and their families.
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Work Experience
Humana Cares Manager
Senior Bridge/Humana Health Insurance- Work at home
Sept 2012 to Current
RN licensedinKentucky/Wisconsin/Indiana/Ohio/WestVirginia/Florida
Assessmentof member’sneedsandrequirementstoachieve andmaintainoptimal wellness
Guide members/familieswithresourcesappropriate forcare and well-being
Work incollaborationwithmultidisciplinaryteamtoaddressmemberneeds
Healthpolicy,regulations,compliance,CQI,HIPPA,JACHO and OSHA requirements
Medicare/Medicaidconditionsof participation,programrequirements,licensure and regulation
Disease andcase management
Long term, Acute care, Home Health,Occupational health,andchronicdisease management
Case Manager/Nurse Manager
Occupational Hazard Clientele Management;Denver, CO– Work at home
May 2012 to August 2012
Educate and assistmembersandNursingstaff inunderstandingdisease processtoincrease their self-
managementandoptimize general health
Emphasize healtheducationandteachnursingstaff of occupational exposure/healthrisks
IdentifiesHEDIScare gaps andworks withmembers/providers/nursestoeliminate care gaps
Maintainsaccurate recordof disease managementactivitiesinthe medical record
Manage up to 12 active casesbasedoncase intensityandacuity
RN Supervisor
Ridgewood – Lawrenceburg, IN
April 2012 to August 2012
Long termcare and rehabilitation,assistedliving,dementiacare inDearbornCounty,Indiana.
Intravenoustherapieswithsupervisionof therapiesandimmediate staff compliancy
Staff RN/Occasional Charge Nurse
UniversityHospital of Cincinnati – Cincinnati, OH
January 2008 to April 2012
Preceptornewemployeesforprocedures,caresandprocesses.
Assistedinstudiesanddocumentationandcompliancy
PreceptorforSTAR programfor UnitedStatesAirforce NursingTraining
Patientadvocate/volunteeredforvariousprojectsi.e. New computersystem.
NominatedforFlorence Nightingale Awardtwice
Healthpolicy,regulations,compliance,CQI,HIPPA,JACHO and OSHA requirements
Medicare/Medicaidconditionsof participation,programrequirements,licensure andregulation
Disease andcase management
Long term, Acute care, Home Health,Occupational health,andchronicdisease management
2. Case Management, RN
Envision Home Health – Lawrenceburg, IN
June 2005 to December 2006
Part time employmentworkingforahome healthagencymanaginghome boundclientsandsupervisionof
home healthaidesincludingopen/close cases,OASIS.
Healthpolicy,regulations,compliance,CQI,HIPPA,JACHO and OSHA requirements
Medicare/Medicaid conditionsof participation,programrequirements,licensure andregulation
Disease andcase management
Long term, Acute care, Home Health,Occupational health,andchronicdisease management
Agency Nurse, RN
Trustaff Travel Nurse Agency – Madisonville, KY
June 2005 to December 2007
MadisonKY hospital Troversystems/GoodSamaritanHospital/MtAiryHospital
Med/Surg/Acute Rehabpositionutilizingtherapiessuchaswound-vacdressings,IV therapiesandequipment,
emphasisonpost-orthopedicjointreplacementandneurological accidents.Hospice,Chemotherapy. Iworked
for the agencyfor a yearand remainedonwithMercyHealthsystems.
Supervisor, RN
Ashland Health and Rehab – Ashland, WI
October 2004 to February 2005
126 Bedlongtermcare facilitycharge nurse
Management/supervision/trainingof programsandstaff
Staffing,budgetmonitoringandmanagementof supplies,pharmacydeliveries,annual reports
Healthpolicy,regulations,compliance,CQI,HIPPA,JACHO and OSHA requirements
Medicare/Medicaidconditionsof participation,programrequirements,licensure andregulation
Disease andcase management
Long term, Acute care, Home Health,Occupational health,andchronicdisease management
Director of Nurses
Mellen Manor Nursing Home – Mellen, WI
October 2002 to October 2004
Management/supervision/trainingof programsandstaff
Staffing,budgetmonitoringandmanagementof supplies,pharmacydeliveries,annual reports
Healthpolicy,regulations,compliance,CQI, HIPPA,JACHO and OSHA requirements
Medicare/Medicaidconditionsof participation,programrequirements,licensure andregulation
Disease andcase management
Long term, Acute care, Home Health,Occupational health,andchronicdisease management
Charge of investigations/misconduct/State Reviews
Endoscopy, Med/Surg/Outpatient and Inpatient, RN
Memorial Medical Center – Ashland, WI
June 1992 to October 2002
Med/surgfloornurse withintermittentcharge nurse duties,laterworkinginthe ambulatorysurgeryarea
includingorthopedics,gynecology,dental,general surgery,endoscopy,andENT.
Med nurse experience withconscioussedationandendoscope ,assistance/handling/cleaningutilizingSteris
technique
Experience indetox,hospice,OB/GYN,Baby/new mother,patientteaching.
Management/supervision/trainingof programsandstaff
Healthpolicy,regulations,compliance,CQI,HIPPA,JACHO and OSHA requirements
3. Disease andcase management
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Education
Associate of Applied Science in Nursing
Wisconsin Indianhead Technical College – Ashland, WI
Bachelor of Applied Science in Nursing
Indiana University- Lawrenceburg, IN
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Skills
Works well with computers, can type 55 wpm, fluent in Word, Excel, Power Point, WIC spirit, office outlook, etc.
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Additional Information
o I have owned and managed a successful public business for 5+ years.
o I am very self-driven and have always overcome any obstacle that may arise.
o EKG certification
o CertificationinSupervision
o CertificationinOrthopedics
o NominatedforFlorence Nightingale Award2006 and 2012
o Memberof SigmaThetaTau
o Current RN license in these states: Ohio,Indiana,Wisconsin,WestVirginia,FloridaandKentucky