BONNIE TALIAFERRO
Auburn,GA
Summary
Registered nurse for 32 years working with critically and chronically ill infants and children both in Level 3 NICUs and at Prescribed Pediatric Extended Day Care facilities. The last 17 years working for Care Management Organizations doing onsite,telephonic and Remote Utilization Review, as well as extensive Neonatal and Pediatric discharge planning for the Medicaid population.
Overview
18
18
years of professional experience
1
1
Certificate
Work History
NICU/PEDIATRIC Concurrent Review Nurse II
Centene Corporation/Peach State Health Plan
2008.04 - 2023.12
- Performed Hospital Onsite visits, reviewed all NICU/PEDIATRIC inpatient admissions to assure appropriate levels of care, monitored all clinical activities and made recommendations for alternate levels of care. Assisted in achieving safe but timely discharges. Proven ability to work remotely and achieve daily productivity goals. Excellent written and verbal skills. Cultivated and maintained effective interactions/communications with Medical Directors, Coworkers, Providers and Members. Extensive knowledge of lnterQual Criteria and ICD-10 codes.
Senior NICU Case Manager
Well Care Of Georgia
2006.06 - 2008.04
- Managed NICU patients by conducting admission, concurrent review, and discharge planning services. Reviewed member's inpatient medical records in order to ensure that medical care was medically necessary; rendered timely and at appropriate level of care. Collaborated with facility's multidisciplinary team to coordinate discharge needs by anticipating ancillary services as needed. Provided training and education to member's families about their child's discharge needs and or DME. Extensive knowledge of lnterQual Criteria and ICD-9 codes.
Education
Bachelor of Science - Nursing
Georgia Baptist College of Nursing
Atlanta, GA06.1995
Diploma in Nursing - Nursing
Georgia Baptist Hospital School of Nursing
Atlanta, GA06.1991
Skills
- Utilization Review
- Care Coordination
- Decision-Making
- Critical Thinking
- Attention to Detail
- Strong Clinical Judgment
- ICD-10
- InterQual
- Epic
- EMR systems
Certification
Certified Case Manager (CCM) Expires 11/30/2025
Neonatal Intensive Care Nursing (RNC-NIC)
Expires 1/31/2026
Timeline
NICU/PEDIATRIC Concurrent Review Nurse II
Centene Corporation/Peach State Health Plan
2008.04 - 2023.12
Senior NICU Case Manager
Well Care Of Georgia
2006.06 - 2008.04
Bachelor of Science - Nursing
Georgia Baptist College of Nursing
Diploma in Nursing - Nursing
Georgia Baptist Hospital School of Nursing
Certified Case Manager (CCM) Expires 11/30/2025
Neonatal Intensive Care Nursing (RNC-NIC)
Expires 1/31/2026
License
Active Georgia Nursing License Expires 1/31/2026
Active Nurse Compact License Expires 1/31/2026
License
Georgia Compact Multistate unencumbered RN License (NLC) Expires 1/31/2026
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