Chelsea Turpeinen
Sweetwater,TN
Summary
Dedicated case manager with a strong background in care coordination and clinical documentation review. Expertise in creating and evaluating individualized care plans, ensuring quality outcomes, and managing high-volume caseloads to improve patient experiences.
Overview
5
5
years of professional experience
Work History
Case Manager (Remote)
Blue Cross Blue Shield Tennessee
Chattanooga, TN
2024.08 - Current
- Conducted comprehensive telephonic assessments to determine members' medical and psychosocial needs.
- Developed and executed individualized care plans, improving healthcare delivery outcomes for members.
- Collaborated with providers and interdisciplinary teams to coordinate services and ensure timely transitions of care.
- Managed high-volume caseloads while applying clinical judgment and critical thinking to ensure effective care delivery.
- Performed medical necessity reviews using InterQual criteria to support evidence-based utilization management.
- Utilized CareAdvance and Agent Workspace for case management documentation and member outreach.
- Educated members on disease management and preventive care, enhancing their ability to make informed healthcare decisions.
- Maintained accurate clinical documentation in compliance with HIPAA and organizational quality standards.
Registered Nurse: Cardiac Specialty Unit
Parkwest Medical Center
Knoxville, TN
2022.10 - 2024.07
- Executed timely interventions during continuous cardiac monitoring to address recognized arrhythmias, ensuring patient safety.
- Planned and implemented comprehensive nursing care during surgical processes to support optimal patient recovery.
- Collaborated with surgeons and cardiologists to enhance patient care outcomes through effective communication and teamwork.
Registered Nurse, Medical-Surgical Unit
Sweetwater Hospital Association
Sweetwater, TN
2021.03 - 2022.10
- Monitored and recorded vital signs, recovery progress, and medication side effects to enable timely interventions.
- Counseled patients and caregivers, offering emotional, psychological, and spiritual support to enhance overall well-being.
- Explained care plans and medications to ensure patient understanding and adherence.
Education
Bachelor of Science - Nursing
University of Tennessee At Chattanooga
Chattanooga2019-12
Skills
- Telephonic assessments
- Utilization management
- InterQual criteria
- Necessity determinations
- Care coordination
- Clinical documentation review
- CareAdvantage
- HIPAA and CMS compliance
- Provider collaboration
- Critical thinking
- Concurrent review
Timeline
Case Manager (Remote)
Blue Cross Blue Shield Tennessee
2024.08 - Current
Registered Nurse: Cardiac Specialty Unit
Parkwest Medical Center
2022.10 - 2024.07
Registered Nurse, Medical-Surgical Unit
Sweetwater Hospital Association
2021.03 - 2022.10
Bachelor of Science - Nursing
University of Tennessee At Chattanooga