Ashante Marshall
Buskirk,NY
Summary
Accomplished Care Manager/Utilization Review Registered Nurse with a proven track record at Saratoga Hospital. Expert in case assessments and service coordination. Excelled in patient advocacy and multidisciplinary team collaboration. Enhanced the patient experience by improving care outcomes through effective communication and compassionate care. Supported the financial well being of the hospital with thorough and efficient utilization review and management. Skilled in the Epic and Cerner environments. Looking to bring a positive and comprehensive approach to healthcare delivery, in a team centered position.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Care Manager/Utilization Review Nurse/Team Lead
Saratoga Hospital
03.2024 - Current
- Conducted thorough assessments to identify patients' needs, strengths, and barriers to achieving optimal health outcomes.
- Assisted in maintaining regulatory compliance requirements for utilization review activities.
- Advocated for patients' needs with healthcare providers, securing necessary interventions for improved health outcomes.
- Led team of care professionals, promoting collaborative approach to patient management.
- Managed acute complex cases, ensuring timely assessment, intervention, and documentation for optimal care outcomes.
Utilization Review Nurse
Glens Falls Hospital
06.2022 - 03.2024
- Ensured compliance with regulatory guidelines by maintaining accurate documentation and records for all utilization review activities.
- Collaborated with case managers on patient assessments, identifying opportunities for improvement in care transitions and reducing avoidable delays.
- Performed admission and concurrent reviews for medical necessity based upon InterQual criteria. Facilitated Peer to Peer proceedings for providers and assisted team with appeal preparations.
Nurse Care Manager
Glens Falls Hospital
06.2018 - 06.2022
- Managed complex caseloads for all patients, ensuring appropriate interventions and services across the continuum of care.
- Improved patient outcomes by implementing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Offered leadership, support and clinical expertise within the interdisciplinary team to enhance treatment strategies and patient experience.
Education
Bachelor of Science - Nursing
Excelsior College
Albany, NY06.2026
Associate of Applied Science - Nursing
SUNY Adirondack
Queensbury, NY01-2026
Skills
- Case assessments
- Service coordination
- Care transitions
- Epic and Cerner systems
- Patient education and counseling
- Utilization management
- Patient advocacy
- Training and mentoring
- Multidisciplinary team collaboration
- Staff supervision
- Medicare compliance
- PRI and Screen
Certification
- Registered Nurse State of NY 572972-1
- PRI and Screen Certified
Timeline
Care Manager/Utilization Review Nurse/Team Lead
Saratoga Hospital
03.2024 - Current
Utilization Review Nurse
Glens Falls Hospital
06.2022 - 03.2024
Nurse Care Manager
Glens Falls Hospital
06.2018 - 06.2022
- Registered Nurse State of NY 572972-1
- PRI and Screen Certified
Bachelor of Science - Nursing
Excelsior College
Associate of Applied Science - Nursing
SUNY Adirondack
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