April Shewmaker
Corydon,IN
Summary
Adept at spearheading projects to successful completion, I significantly reduces denial rates at Harrison County Hospital by fostering team collaboration and optimizing workflows. My expertise in Interqual/ MCG and problem-solving abilities, coupled with a knack for team building, has consistently improved operational efficiency and patient care standards while decreasing length of stay.
Overview
32
32
years of professional experience
Work History
Care Coordination Manager
Harrison County Hospital
03.2005 - 05.2024
- Managed multiple projects simultaneously while adhering to strict deadlines and budget constraints.
- As part of a small hospital, I had a team of 18-25 patient's to complete UR on top of manager duties.
- Improved project completion rates by closely monitoring progress and providing timely feedback to team members.
- Provided guidance to junior team members, fostering a supportive environment for professional growth and development.
- Maintained detailed records of all project-related activities, ensuring full compliance with company policies and procedures.
- Optimized workflow processes by regularly reviewing current procedures and making adjustments as needed for maximum efficiency.
- Facilitated cross-functional collaboration between departments, leading to better overall project outcomes.
- Responsible for all appeals for inpatient, observation, and outpatient nursing
- Skilled in Interqual, MCG, Cerner, Epic, Availity, Optum, and SNF authorizations
Utilization Review Nurse
Dr. Michael York
01.2002 - 05.2005
- Responsible for all authorizations related to testing, therapy, referrals, and medications.
- Assist with both front and back of house duties
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Home Health Case Manager
Hoosier Hills Home Health
10.1998 - 10.2002
- Managed complex cases involving multiple medical conditions, fostering efficient coordination of care for improved quality of life.
- Participated in ongoing professional development opportunities to stay current on industry trends related to home health case management.
- Increased access to essential services by connecting patients with appropriate community resources.
- Assisted with the recruitment, training, and supervision of new Home Health Case Managers to ensure a high standard of patient care within the team.
Float ICU RN
U Of L Hospital
01.1992 - 01.1997
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Education
Bachelor of Science - Nursing
IUPUI
Indianapolis, IN12-1995
Skills
- Meeting facilitation
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
- Team building
- Time management abilities
- Program Development
Accomplishments
May 2019 - Awarded the Outstanding Leadership Award by Indiana State Health/ Rural Hospital Association for development and implementation of the 5 Star Program and Roundtable at Harrison County Hospital.
Timeline
Care Coordination Manager
Harrison County Hospital
03.2005 - 05.2024
Utilization Review Nurse
Dr. Michael York
01.2002 - 05.2005
Home Health Case Manager
Hoosier Hills Home Health
10.1998 - 10.2002
Float ICU RN
U Of L Hospital
01.1992 - 01.1997
Bachelor of Science - Nursing
IUPUI
Similar Profiles
Kaitlyn CoddingtonKaitlyn Coddington
Registered Nurse, ICU at Harrison County HospitalRegistered Nurse, ICU at Harrison County Hospital
Londa MoranLonda Moran
Medical Laboratory Scientist at Harrison County HospitalMedical Laboratory Scientist at Harrison County Hospital
Yue SipesYue Sipes
TCU RN at Harrison County HospitalTCU RN at Harrison County Hospital