Professional Summary
Overview
Work History
Education
Skills
Certification
Timeline

Ashley Sickmiller

HealthSpring
Mount Gilead,OH
1
Certification
20
years of professional experience

Detail-oriented Nurse with clinical experience in Internal Medicine and Family Practice, complemented by recent utilization review expertise. Strong critical thinking skills and a solid knowledge base enable effective application of evidence-based guidelines in assessments. Proven ability to navigate primary care environments enhances the capacity for informed decision-making in utilization review.

Work History

Case Management Specialist

3 Years 8 Months
HealthSpring | 03.2023 - Current
  • Coordinated care plans with multidisciplinary teams to align services, referrals, and member needs.
  • Collaborated with providers to secure appropriate services and resolve care barriers.
  • Reviewed case documentation for accuracy, compliance, and timely follow-up actions.
  • Experience working genetic, home health, inpatient, outpatient, DME and Behavioral health cases
  • Experience with MHK and CarewebQI

Teacher’s Aide

6 Months
Renhill/ Northmor Local School | 09.2022 - 03.2023
  • Provided support to two boys during their work sessions with work, note taking, and anything else they may have required assistance.
  • Supported classroom instruction by reinforcing lesson plans and guiding students through assigned activities.
  • Assisted lead teacher with daily classroom routines, materials preparation, and student organization.
  • Monitored student behavior, promoting safe, respectful learning environment throughout classroom and transitions.

LPN-Teacher’s Aide/ Substitute Nurse

8 Months
Renhill/ Mount Gilead School | 10.2021 - 06.2022
  • Supervised groups of up to 20 children daily during activities.
  • Addressed medical emergencies promptly within the facility to ensure safety.
  • Delivered healthcare support services to students in elementary, middle, and high schools.

Licensed Practical Nurse/Community Health

3 Years 6 Months
Ohiohealth | 02.2018 - 08.2021
  • Organized, updated, and maintained immunization records and patient chart documentation to ensure compliance and accuracy.
  • Assisted physician as needed with patient care and procedures.
  • Administered medications and monitored patient responses in alignment with provider orders and care plans.
  • Documented assessments, interventions, and vital signs accurately in electronic health records.
  • Collaborated with registered nurses, physicians, and care teams to coordinate daily patient care.

Licensed Practical Nurse/Staff

7 Years 3 Months
Galion Community Hospital | 11.2010 - 02.2018
  • Educated clients, patients, and caregivers on medical diagnoses and treatment options to enhance understanding and compliance.
  • Provides direct patient care effectively which includes patients with varied complex needs.
  • Ability to function independently and exercise clinical judgment

Office Nurse Assistant

1 Year 2 Months
Mohiuddin Ghazi, M.D. | 08.2009 - 10.2010
  • Initiated contact with patients.
  • Provided excellent customer service and complied with HIPAA confidentiality.
  • Administered medications and injections per physician orders and clinic protocols.
  • Monitored patient vital signs and documented clinical findings in medical records.
  • Prepared exam rooms and sterilized instruments for daily patient visits.

Office Assistant

2 Years 3 Months
Morrow County Courthouse | 05.2007 - 08.2009
  • Executed general office tasks, including data input and electronic record updates, to ensure smooth daily operations.
  • Demonstrated strong communication skills in team meetings.
  • Managed front desk inquiries, directing visitors, calls, and requests to appropriate courthouse departments.
  • Processed confidential documents, ensuring accurate filing, distribution, and record retention compliance.
  • Scheduled hearings, appointments, and meetings, coordinating calendars across judges, clerks, and staff.

Education

Certificate of Completion - Utilization Review-101

Remote Learning Services, LLC | 11-2022

taught by Marie Peppers LPN and Judy Clarke, RN

Associate - RN

Central Ohio Technical College | Mount Vernon, Ohio

Diploma - LPN

Tri-Rivers Career Center | Marion, Ohio

Skills

Utilization Review
Care Management
Patient Advocacy
Retrospective Reviews
Clinical Chart Review
Preauthorization
Appeals/Denials
Medicare/Medicaid
Discharge Planning
Internal Medicine
Family Practice
Attention to detail
EMR/EHR/Epic
Critical Thinking
Member Engagement
Excellent Time Management
Attentive Customer Service

Certification

Licensed Practical Nurse, LPN, Ohio- Current

Timeline

Case Management Specialist

HealthSpring
03.2023 - CurrentRead More

Teacher’s Aide

Renhill/ Northmor Local School
09.2022 - 03.2023Read More

LPN-Teacher’s Aide/ Substitute Nurse

Renhill/ Mount Gilead School
10.2021 - 06.2022Read More

Licensed Practical Nurse/Community Health

Ohiohealth
02.2018 - 08.2021Read More

Licensed Practical Nurse/Staff

Galion Community Hospital
11.2010 - 02.2018Read More

Office Nurse Assistant

Mohiuddin Ghazi, M.D.
08.2009 - 10.2010Read More

Office Assistant

Morrow County Courthouse
05.2007 - 08.2009Read More

Tri-Rivers Career Center

Diploma from LPN
Read More

Central Ohio Technical College

Associate from RN
Read More

Remote Learning Services, LLC

Certificate of Completion from Utilization Review-101
Read More
Ashley Sickmiller