Brooke Sturm
Wayne,NE
Summary
Skilled Utilization Management professional specializing in medical necessity assessments using InterQual criteria. Coordinated prior authorizations and collaborated with healthcare teams to optimize service utilization and streamline care processes. Maintained accurate electronic health records and documented comprehensive reviews to enhance patient care coordination and compliance with clinical guidelines.
Overview
5
5
years of post-secondary education
28
28
years of professional experience
Work History
Utilization Review Registered Nurse
UnityPoint Health - St. Luke's
Sioux City, Iowa
01.2012 - Current
- Reviewed admissions for medical necessity using InterQual criteria at St. Luke's.
- Coordinated prior authorization requests with payers and physicians across UnityPoint Health.
- Collaborated with physicians, case managers and other healthcare professionals to ensure appropriate utilization of services.
- Documented utilization reviews in electronic health records and care management systems.
- Performed concurrent reviews of medical records during active episodes of care.
- Monitored continued stay reviews for appropriate level of care placement.
- Communicated with case managers regarding inpatient status and discharge planning.
- Supported care coordination with social work, nursing, and physician teams.
- Educated providers on current clinical guidelines, best practices and regulatory requirements.
Perioperative Registered Nurse
Genesis Medical Center
Davenport, Iowa
08.2007 - 05.2011
- Monitored vital signs throughout preoperative, intraoperative, and recovery care.
- Maintained sterile field during operating room procedures.
- Assisted surgeons and anesthesia staff during surgical cases.
- Prepared perioperative patients for surgery at Genesis Medical Center.
- Educated patients and families on surgery preparation and recovery.
- Collaborated with physicians, surgeons, anesthesiologists, and other healthcare professionals in order to provide optimal patient outcomes.
- Documented assessments, medications, and care plans in medical records.
- Documented patient care activities accurately in accordance with department standards.
Unit Assistant
Genesis Medical Center
Davenport
01.2001 - 08.2007
- Supported Genesis Medical Center nursing unit with patient admissions and discharges
- Processed patient charts, records, and unit paperwork for Genesis Medical Center
- Monitored vital signs and reported condition changes to nursing staff.
- Assisted residents with bathing, dressing, and daily personal care.
- Supported mobility with transfers, repositioning, and safe ambulation.
- Helped prepare residents for meals and assisted with feeding.
- Assisted in meal preparation for residents in dining area. and assisted with feeding.
- Answered phones for Genesis Medical Center, providing assistance to callers. and directed calls for Genesis Medical Center clinical staff
Nutritional Service Assistant
Genesis Medical Center
Davenport
01.1999 - 08.2001
- Prepared patient meal trays following Genesis Medical Center diet orders.
- Delivered meal trays to patient rooms across Genesis Medical Center units.
- Assembled snacks and nourishment items for Genesis Medical Center patient care areas.
- Operated nutrition service carts and tray systems within Genesis Medical Center.
- Resolved customer complaints promptly in a courteous manner.
- Cleaned and sanitized work areas including kitchen equipment such as stoves, ovens, grills, slicers and dishwashing machines.
- Operated cash registers accurately recording sales transactions and preparing change orders for customers.
Education
Associate of Applied Science - Registered Nursing
Eastern Iowa Community College District
Bettendorf, IA 09.2004 - 09.2006
Associate of Arts - General Studies
Eastern Iowa Community College District
Bettendorf, IA 09.2001 - 08.2004
Davenport North High School
Davenport, IowaSkills
- Utilization management
- InterQual criteria
- Medical necessity assessment
- Prior authorization process
- InterQual criteria
- EHR documentation
- Care coordination
- Care coordination
- Patient advocacy
- Clinical documentation
- Effective communication
- Critical thinking
- Team collaboration
- Multitasking
Timeline
Utilization Review Registered Nurse
UnityPoint Health - St. Luke's
01.2012 - Current
Perioperative Registered Nurse
Genesis Medical Center
08.2007 - 05.2011
Associate of Applied Science - Registered Nursing
Eastern Iowa Community College District
09.2004 - 09.2006
Associate of Arts - General Studies
Eastern Iowa Community College District
09.2001 - 08.2004
Unit Assistant
Genesis Medical Center
01.2001 - 08.2007
Nutritional Service Assistant
Genesis Medical Center
01.1999 - 08.2001
Davenport North High School