Summary
Overview
Work History
Education
Skills
Certification
Volunteer Opportunities
Timeline
Generic

Aimee Perdue

Louisville,KY

Summary

Dynamic Utilization Management Nurse with extensive experience at Humana, Inc., excelling in care coordination and policy interpretation. Proven ability to enhance patient outcomes through effective communication and clinical documentation. Skilled in utilization review, ensuring compliance while advocating for optimal treatment solutions. Committed to delivering high-quality care in diverse healthcare settings.

Overview

29
29
years of professional experience
1
1
Certification

Work History

Utilization Management Nurse 2

Humana, Inc
01.2020 - Current
  • Use clinical knowledge, communication skills and independent critical thinking skills towards interpreting criteria, policies and procedures to provide the best and most appropriate treatment, care or services for members.
  • Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment.

Case Manager

Humana, Inc
02.2015 - 01.2020
  • Develop interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
  • Develop knowledge of nursing and case management theory and practice.
  • Develop knowledge of patient care and patient histories.

Utilization Manager; On-Site Nurse

Humana, Inc
05.2014 - 02.2015
  • Collaborated with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines review criteria.
  • Manage network participation, care with specialty networks, care with DME providers and transfers to alternatives levels of care using my knowledge of benefit plan design.

Admission Nurse

Hosparus, Inc
11.2013 - 02.2015
  • Respond to new referrals to identify needs, offer hospice solutions, and admit medically eligible patients into Hosparus care.
  • Coordinates care and services, educates referral sources, patients and their families about the hospice benefit and options available.

Post-Anesthesia Care Nurse

Baptist Hospital of Louisville
12.2009 - 11.2012
  • Provided quality postoperative nursing care of patients coming out of anesthesia after surgical procedures.
  • Maintained a safe and therapeutic environment for patients.
  • Performed continual evaluation of patient condition and modify nursing care plan accordingly.
  • Administered prescribed treatments and medications.

CCU NURSE

Baptist Hospital of Louisville
05.2006 - 12.2009
  • Provided highly skilled medical and post-surgical care for critically ill patients.
  • Conducted ongoing assessments as determined by the patient’s condition and reprioritized care accordingly.

RESPIRATORY THERAPIST

Baptist Hospital of Louisville
01.1997 - 05.2006
  • Evaluated, treated, and cared for patients of all ages with breathing or other cardiopulmonary disorders.
  • Provided emergency care, including artificial respirations, external cardiac massage and assistance with cardiopulmonary resuscitation.

Education

Bachelor’s Degree - Nursing

Bellarmine University
Louisville, KY
12.2013

Associate of Science - Nursing

Jefferson Community College
Louisville, KY
05.2006

Associate of Science - Respiratory Care

Jefferson Community College
Louisville, KY
05.1997

Skills

  • clinical documentation
  • claims processing
  • care coordination
  • utilization review
  • policy interpretation
  • healthcare compliance

Certification

  • Kentucky Board of Nursing License
  • New York Nursing License
  • Connecticut Nursing License
  • District of Columbia Nursing License
  • MCG Certification

Volunteer Opportunities

Have a Heart Clinic, Louisville, KY

Timeline

Utilization Management Nurse 2

Humana, Inc
01.2020 - Current

Case Manager

Humana, Inc
02.2015 - 01.2020

Utilization Manager; On-Site Nurse

Humana, Inc
05.2014 - 02.2015

Admission Nurse

Hosparus, Inc
11.2013 - 02.2015

Post-Anesthesia Care Nurse

Baptist Hospital of Louisville
12.2009 - 11.2012

CCU NURSE

Baptist Hospital of Louisville
05.2006 - 12.2009

RESPIRATORY THERAPIST

Baptist Hospital of Louisville
01.1997 - 05.2006

Bachelor’s Degree - Nursing

Bellarmine University

Associate of Science - Nursing

Jefferson Community College

Associate of Science - Respiratory Care

Jefferson Community College

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