Summary
Overview
Work History
Education
Skills
Websites
Certification
Timeline
Generic

Cody Canerdy

Fish Haven,ID

Summary

Cody Canerdy, MSN, RN, CCM, is a highly skilled and certified Nurse Case Manager with a comprehensive background in remote chronic disease case management, team leadership in cancer care, and a solid track record of optimizing patient care across diverse settings. With over 4 years of remote work experience, Cody excels in clinical judgment, healthcare system navigation, and interdisciplinary collaboration, ensuring effective care planning and coordination. His adeptness in leveraging technology, including proficiency with EMR systems such as Epic, and data analysis tools, enhances care delivery and patient outcomes. Cody's strong foundation in regulatory compliance, coupled with his exceptional ability to manage and prioritize multitasking in fast-paced environments, positions him as a dynamic leader. His commitment to patient advocacy, education, and fostering healthy lifestyle changes underscores his holistic approach to case management. Cody's educational background in ambulatory care nursing, combined with his hands-on experience in both clinical and leadership roles, makes him an invaluable asset to any healthcare team seeking to enhance their case management capabilities and improve patient care continuity.machinery operations. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Supervisor Team Lead of Cancer Care

HealthComp
04.2023 - Current
  • Provide daily direction and effective communication to case management staff, utilizing motivational, coaching, counseling, and training techniques
  • Ensure quality control through comprehensive reviews and problem-solving approaches
  • Lead and coordinate patient care services, focusing on escalated cases
  • Supervise and guide the work of Licensed Vocational Nurses (LVNs) and Registered Nurses (RNs)
  • Collaborate with leadership to establish work procedures aligned with company standards, procedures, and goals
  • Monitor, audit, and analyze staff performance, identifying and resolving problems, & implement process improvements
  • Implement cost management strategies, reflecting data in case management reviews and cost avoidance reports
  • Expertise in critically evaluating claims data and formulating treatment plans, with discharge planning experience
  • Knowledge of medical appropriateness reviewing pre-certification requests ensuring compliance with guidelines
  • Assist manager with Open Door training sessions on various topics as needed or expressed by the staff
  • Proven ability to delegate work and provide clear communication of policy or procedure updates
  • Demonstrates successful ability to review plan documents for benefit determinations
  • Proven ability to exercise appropriate judgment in upward communication, addressing department or staff concerns
  • Demonstrated capability to achieve and fulfill team lead metrics and expectations
  • Proven proficiency in effectively managing a substantial caseload while fulfilling responsibilities as a team lead
  • Established aptitude for quick learning, consistently meeting and surpassing performance expectations.
  • Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
  • Streamlined operations for increased efficiency through regular process reviews and implementing necessary changes.

Certified RN Case Manager

HealthComp
08.2021 - Current
  • Proficient in the management of Uncontrolled Chronic Disease & Other Complex Cases, Cancer Care, Care Coordination, and in Care Transitions
  • Proven to be knowledgeable of third-party administrators (TPA) and its robust offering of medical, dental, vision, COBRA, HIPAA, flexible spending accounts and reference-based pricing
  • Proven excellent metric record of accomplishment with >60% member engagement
  • Works collaboratively with physicians, patients, families, nurses, social workers, other practitioners, caregivers, and community resources and agencies
  • Utilization review of prior authorizations and pre-certifications, denials, appeals, peer-to-peer reviews, review of claims
  • Ability to review and record medical records from hospitals and doctor offices
  • Ability to utilize MCG guidelines for discharge planning, continued stay, and admission
  • Accountable for improving patient care through effective utilization and monitoring of healthcare resources
  • Advocates on behalf of patients and caregivers
  • Acquires and maintains knowledge and competence related to the expectations of the position and practices within scope
  • Responsible for coordinating and managing patient care throughout the care continuum
  • Developing individualized care plans
  • Monitors and evaluates effectiveness of the care management plan and modifies as necessary
  • Coordinates internal and external resources to meet identified needs
  • Coordinates care with members and services as needed (home health, DME, etc)
  • Conducts assessments to identify individual needs and a specific care plan to address objectives and goals as identified during assessment
  • Identify gaps and barriers in treatment plans
  • Provide patient education to assist with self-management of medical care
  • Educating members on disease process
  • Encouraging members to make healthy lifestyle changes
  • Monitors and evaluates effectiveness of the care management plan and modifies as necessary
  • Negotiate rates of reimbursement, as applicable
  • Assists in problem-solving with providers, claims or service issues.

Occupational Health Compliance Nurse Officer & COVID19 Coordinator

Yoh, A Day & Zimmerman Company
04.2020 - 05.2021
  • Supervised call center nurses in 18 locations throughout Northern and Southern California
  • Successfully managed call center nurses with escalated calls, questions on daily procedures and promoted effective teamwork
  • Planned, assigned, and directed work, appraised performance, addressed complaints and resolved problems of nursing staff
  • Demonstrated sound judgment in communicating to upper management or other departments and other employees
  • In charge of the development of new Policies and Procedures for local and state regulations for the occupational health safety team
  • Provided clinical expertise, guidance and restrictions regarding caregivers with COVID-19 according to current global, state, and local public health guidelines such as CDC, OSHA
  • Utilized NIOSH processes to reduce the risk of communicable disease transmission and provide necessary information to caregivers and management
  • Case Management of work-related illnesses / injuries exclusion from and clearance to return to work
  • Management of workplace exposures and injuries through Sedgwick claims, worker’s compensation, and accommodations
  • Management of annual medical surveillance of occupational health and safety: vaccinations, fit testing, tuberculosis, visual acuity, hearing conservation and drug screening.

Nurse Manager

Exer Urgent Care
03.2019 - 03.2021
  • Successfully managed daily clinical and nonclinical staff of 10 for a 60+ patient urgent care
  • Efficiently managed patient flow within the center through effective communication across all disciplines
  • Managed and delegated clinical assignments between clinical team and nonclinical staff
  • Triaged incoming and outgoing patients by conducting nursing assessments
  • Awarded and recognized for outstanding customer service and patient satisfaction
  • Administered direct patient care interventions within the defined scope of practice
  • Demonstrated nursing autonomy in patient care, collaborating with Emergency Department MDs for coordinated care
  • Ensured patient follow-up for positive outcomes and supports further treatment implementation when necessary.

Education

Master of Science in Nursing -

Western University of Health Sciences
07.2020

Bachelor of Science in Molecular and Cell Biology -

University of California, Merced
05.2015

Skills

  • Clinical Judgment and Decision-Making
  • Navigation of Health Care Systems
  • Strong Delegation Skills
  • Long Term Care and Disease Management
  • Interdisciplinary Collaboration
  • Care Planning
  • Facilitation of Care Coordination
  • Adaptability and Versatility
  • Regulatory Compliance
  • Multitasking
  • Teamwork
  • Problem Solving
  • Polices & Procedures
  • Performance Monitoring
  • Trend Tracking
  • Schedule Management
  • Metric & data Analysis
  • Process Improvment
  • Microsoft Outlook
  • Microsoft Word & Excel
  • Microsoft Teams
  • Micromedex
  • BLS Certified
  • EMR Systems: Epic, OHM, MediTech
  • UMWeb
  • Milliman Care Guidelines
  • SharePoint / SmarthSheets
  • ICD-10, CPT, HCPCS

Certification

  • Registered Nurse California License
  • Compact Nurse Licensure of Utah
  • Certified Nurse Case Manager

Timeline

Supervisor Team Lead of Cancer Care

HealthComp
04.2023 - Current

Certified RN Case Manager

HealthComp
08.2021 - Current

Occupational Health Compliance Nurse Officer & COVID19 Coordinator

Yoh, A Day & Zimmerman Company
04.2020 - 05.2021

Nurse Manager

Exer Urgent Care
03.2019 - 03.2021

Master of Science in Nursing -

Western University of Health Sciences

Bachelor of Science in Molecular and Cell Biology -

University of California, Merced

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Cody Canerdy