Ashley Forrest BSN, RN

• Managed caseloads efficiently, prioritizing high-risk cases while ensuring all patients received appropriate attention and support.
• Advocated for patient needs, addressing concerns with healthcare providers and insurance companies to ensure optimal care was received.
• Educated patients on disease management techniques, empowering them to take control of their health and reduce complications.
• Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
• Served as a liaison between patients and various support services such as financial assistance programs, community resources, and mental health counseling to ensure holistic care was provided.
• Facilitated smooth transitions between healthcare settings by effectively communicating pertinent information to receiving facilities or home health agencies.

• Managed care from admission to discharge.
• Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.
• Monitored primary care needs for patients to coordinate access to appropriate providers.

Outpatient care management for members in LA and MS.

• Coordinated appropriate and efficient delivery of healthcare services to promote optimal outcomes by assessing and matching unmet needs with referrals and support services.

• Built partnerships with local agencies and groups to assist with patient care, support or educational needs.
• Completed timely reports and coordinated with insurance companies for approval and authorization.
• Coordinated appropriate and efficient delivery of healthcare services to promote optimal outcomes by assessing and matching unmet needs with referrals and support services.

Discharge planning assessments, coordination of post discharge services. Concurrent review for Medicare, Medicaid and Commercial insurance using Interqual criteria.

Weekend charge nurse on adult and geriatric psych units.

Staff nurse on geriatric psych unit.

Provided nursing and case management expertise for a high risk pediatric case management firm.

Utilization review and discharge planning for a 24 bed LTAC hospital.

Taught various aspects of nursing care including Mental Health nursing.

Precert and concurrent review for Medicare and commercial products using both Milliman and Interqual criteria.

Staff nurse on an inpatient rehabilitation unit. Unit based nurse educator.

Staff nurse on an inpatient rehabilitation unit.