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Hi, I’m
Chelsey Walthall
Livingston,TN
Work Preference
Summary
Detail-oriented professional with a strong background in care coordination and utilization review. Known for effective interdisciplinary collaboration, driving operational efficiency, and ensuring adherence to regulatory standards to improve patient care.
Overview
5
Certifications
17
years of professional experience
Work History
Priority Care, LLCLivingston, TN
Registered Nurse Supervisor
01.2009 - 06.2026
Job overview
- Supervised nursing staff and coordinated interdisciplinary care to ensure compliance with evidence-based guidelines, regulatory standards, and quality care protocols.
- Assessed patient care plans, medical records, and authorization requests for medical necessity, appropriateness, guideline compliance, and effective resource utilization.
- Coordinated comprehensive care management, including transitions of care, post-discharge follow-up, medication reconciliation, referrals, patient and family education, and individualized care planning, to improve outcomes and reduce readmissions.
- Monitored patient progress, evaluated treatment effectiveness, and collaborated with providers, specialists, and managed care organizations to optimize care plans, and remove barriers to treatment.
- Performed utilization review activities, maintained clinical documentation, supported prior authorization processes, and ensured compliance with payer policies, coding guidelines, and regulatory requirements.
- Led quality improvement initiatives, utilization audits, staff education, and policy implementation to enhance patient safety, operational efficiency, and clinical quality.
- Managed daily clinical operations, including workflow optimization, scheduling, EHR implementation and management, inventory control, and OSHA, HIPAA, and practice compliance.
- Served as a clinical resource for staff by providing education, training, and guidance on utilization management, clinical workflows, and best practices.
Education
Western Kentucky UniversityBowling Green, KY
Associate of Applied Science from Registered Nurse
05-2022
Tennessee College of Applied TechnologyLivingston, TN
Certificate of Technical Studies from Licensed Practical Nurse
08-2012
Skills
- Care Coordination
- Case Management
- Utilization Review
- Utilization Management
- Medical Necessity Review
- Prior authorization
- Care Planning
- Transitions of Care
- Medication reconciliation
- Medication Management
- Chronic Disease Management
- Disease Management
- Patient and Family Education
- Clinical Assessment
- Clinical Documentation
- Quality Improvement
- Regulatory compliance
- HIPAA Compliance
- Healthcare Regulations
- Interdisciplinary collaboration
- Provider Collaboration
- Community Resource Coordination and Referrals
- Managed care
- Medicare
- Medicaid
- Insurance verification
- Clinical Documentation
- Patient Chart Review
- Electronic Health Records (EHR)
- Healthcare Technology
- Telephonic Nursing
- Home Care
- Outpatient Care
- Department Leadership
- Staff Training
- Medical coding
- Procedure Assistance
- Intravenous therapy
- Vital Signs Assessment
- CPR/AED
Certification
Registered Nurse (RN), Compact Multistate License - Tennessee
References
References available upon request.
Timeline
Registered Nurse Supervisor
Priority Care, LLC
01.2009 - 06.2026
Western Kentucky University
Associate of Applied Science from Registered Nurse
Tennessee College of Applied Technology
Certificate of Technical Studies from Licensed Practical Nurse