Summary
Overview
Work History
Education
Skills
Timeline
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Christine Jackson

Christine Jackson

Nursing, Case Management
Pittsburgh,PA

Summary

Accomplished Registered Nurse with a proven track record, adept in clinical nursing expertise and motivational interviewing. Excelled in case management and discharge planning, achieving sustained customer engagement rates over 75%. Recognized for exceptional patient education and cost-saving strategies, demonstrating both critical hard and soft skills in healthcare settings.

Overview

14
14
years of professional experience

Work History

Registered Nurse, Weekend Program

UPMC
08.2023 - Current
  • Delivered exceptional nursing care to adult patients across diverse medical conditions and recovery phases
  • Executed medication administration, wound care and IV insertions
  • Ensured patient outcomes were optimized through cross-collaboration
  • Served in capacities of Charge Nurse and Preceptor as required
  • Received Daisy Award Nomination
  • Transitioned to weekend Senior Discharge Plan Manager in December 2024

Nurse Case Management Lead Analyst

Cigna
10.2018 - 12.2024
  • Managed oncology customer caseload of up to 85 with sustained engagement rates over 75%
  • Conducted cold calls to customers with oncology diagnoses, creating rapport and completing telephonic specialty assessments
  • Ensured regular customer contact by calling every 3-4 weeks
  • Secured sick day plans and identified expected care gaps through regular communication with oncology providers
  • Reviewed complex cases with Medical Director including customers with >3 inpatient admissions, customers with no clear treatment plan, and customers with multidisciplinary needs
  • Instructed patients on managing side effects during active treatment and surgery considerations
  • Collaborated with customers to create and update nursing care plans using motivational interviewing techniques
  • Implemented service recovery strategies to address customer issues effectively
  • Achieved cost savings through clinician evidence-based education and measurable outcomes
  • Completed outpatient and inpatient clinical reviews and denials for all patients on caseload
  • Employed Milliman guidelines to conduct clinical reviews and denials

Registered Nurse On Call & Triage Weekend

Amedisys Hospice
06.2021 - 10.2022
  • Provided skilled nursing care including drain care, foley catheter management, and wound care for hospice patients in various settings
  • Collaborated with medical director and nursing team for new admissions, status changes, and patient deaths
  • Conducted 4-hour onsite intake admissions and assessed patients for appropriateness for hospice care
  • Participated in telephonic nurse huddles for seamless care and teamwork

Professional Care Manager

UPMC
10.2016 - 01.2019
  • Managed discharge planning for Oncology and General Medicine Units, collaborating with skilled nursing facilities and insurance companies for patient referrals and authorizations
  • Conducted initial case interviews with patients and families to determine discharge needs, coordinating home care services and skilled needs
  • Participated in MD morning rounds to address interdisciplinary needs and barriers to discharge
  • Utilized Interqual Criteria for continued stay reviews
  • Worked a moonlighting job as a bedside nurse 3-4 weekend shifts per month
  • Received ACES nomination for displaying Caring Behaviors

Education

Communication Sciences And Disorders

Ohio University
Athens, OH

Associate Degree - Nursing

Community College of Allegheny County
Pittsburgh, PA
12.2010

Skills

  • Clinical Nursing Expertise
  • Specialty Clinical Assessment
  • Social Needs Assessment
  • Case Management
  • Discharge Planning
  • Utilization Review
  • Clinical Denials & Appeals
  • Interqual & Milliman Guideline
  • Telephonic Triage
  • Customer Engagement
  • Care Plan Development
  • Motivational Interviewing
  • Patient Education
  • Service Recovery
  • De-escalation Strategy

Timeline

Registered Nurse, Weekend Program

UPMC
08.2023 - Current

Registered Nurse On Call & Triage Weekend

Amedisys Hospice
06.2021 - 10.2022

Nurse Case Management Lead Analyst

Cigna
10.2018 - 12.2024

Professional Care Manager

UPMC
10.2016 - 01.2019

Communication Sciences And Disorders

Ohio University

Associate Degree - Nursing

Community College of Allegheny County

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Christine JacksonNursing, Case Management