Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Carole J Hullinger

Summary

Experienced Case Manager with a demonstrated history of working in the hospital & health care industry. Skilled in Disease Management, Nursing Education, Medical-Surgical, Case Management, and Utilization Management. Strong community and social services professional.

Overview

42
42
years of professional experience
1
1
Certification

Work History

Case Manager

Optum Health
01.2009 - Current

Conduct Initial Assessment of patients with Complex Care or Disease management needs

Field Nurse

Patient Care
01.2008 - 01.2009

Direct patient care in a Home care setting

Case Manager

Reading Hospital and Medical Center
01.2005 - 01.2008

· Discharge planning for patients in a rehabilitation setting

· Utilization review and authorization for inpatient and outpatient services

Case Manager

HealthSouth Reading Rehabilitation Hospital
01.1999 - 01.2005

· Discharge planning for patients in a rehabilitation setting

· Utilization review and authorization for inpatient and outpatient services

Case Manager

Aetna
01.1998 - 01.1999

· Utilization review for managed care organization

Clinical Manager, Field Nurse

Berks Visiting Nurse Association
01.1984 - 01.1998

· Direct patient care in a Home care setting

Education

M.S. - Health Administration

St. Joseph's University

B.S. - Nursing

Albright College

Skills

    Clinical care: Initial patient assessments, Complex care and disease management, Direct patient care in a home care setting, Discharge planning (rehabilitation) Indentification of care gaps and barriers

    Care Coordination: Service coordination(therapy, DME, social services), Referrals to internal/external services, Collaboration with interdisciplinary teams, Coordination with primary care providers, Participation in Team conferences

    Patient Education and Engagement: Motivational interviewing, Health Education, Benefit education,Support for lifestyle and Behavior changes

    Utilization Management: Utilization Review (inpatient and outpatient) Authorization of Services, Managed Care collaboration

    Leadership and Training: Mentoring and precepting staff, Orientation and training of paraprofessionals, Development of training guides, Clinical Nurse II (Clinical Ladder)

    Technical Skills: Microsoft Outlook, Word, Basic Excell

Certification

Certified Case Manager-2004-Present-Commission for Case Management Certification

Timeline

Case Manager

Optum Health
01.2009 - Current

Field Nurse

Patient Care
01.2008 - 01.2009

Case Manager

Reading Hospital and Medical Center
01.2005 - 01.2008

Case Manager

HealthSouth Reading Rehabilitation Hospital
01.1999 - 01.2005

Case Manager

Aetna
01.1998 - 01.1999

Clinical Manager, Field Nurse

Berks Visiting Nurse Association
01.1984 - 01.1998

M.S. - Health Administration

St. Joseph's University

B.S. - Nursing

Albright College
Carole J Hullinger