Summary
Overview
Work History
Education
Skills
Timeline
AdministrativeAssistant
Corrine Ashburn

Corrine Ashburn

Registered Nurse
Lancaster,Virginia

Summary

Friendly and competent Registered Nurse possessing an Associate's Degree in nursing. 12 Years of experience in Long Term Care and home health settings. Upholds high levels of patient care standards while staying abreast of nursing trends and best practices. Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. Conscientious professional with extensive experience advocating for social and economic well-being of individuals and families. Skilled at providing guidance, support and assistance. Strong communication and management skills and committed to inspiring community service. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.. Compassionate Nurse Case Manager offering 14 years of experience working with patients and families to facilitate smooth transitions following discharge from medical facilities. Committed to working collaboratively with health plan, leadership and department coordinators to achieve highest quality of patient satisfaction. Well-versed in developing individualized care plans and advocating patient welfare. Experienced with conducting thorough utilization reviews to ensure effective resource use and patient care. Utilizes clinical judgment to assess and recommend appropriate treatment plans. Track record of ensuring compliance with healthcare regulations and improving patient outcomes. Healthcare professional with substantial experience in utilization review and patient care management. Known for precision in evaluating patient treatment plans and making critical decisions to optimize resource use. Valued team collaborator with focus on achieving impactful results and adapting to dynamic healthcare environments.

Overview

15
15
years of professional experience

Work History

Utilization Review Nurse

Aetna Medicare
Richmond, VA
06.2025 - Current
  • Evaluated inpatient and outpatient cases to support appropriate level-of-care decisions and care coordination.
  • Reviewed Medicare service requests for medical necessity using utilization management guidelines and clinical criteria.
  • Collaborated with physicians, case managers, and facility staff to resolve coverage and treatment questions.
  • Interpreted clinical documentation to determine authorization status and escalation needs.
  • Documented review outcomes clearly in utilization systems to support accurate audits and continuity of care.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Assisted discharge planning efforts through prompt identification of medically stable patients who were ready for transition to alternate levels of care.

RN Case Manager

Aetna Medicaid
Richmond
05.2022 - 06.2025
  • Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
  • Improved communication between clients and providers through regular follow-ups and progress updates, ensuring alignment on care plans.
  • Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
  • Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
  • Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
  • Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
  • Identified opportunities for cost containment while maintaining quality of care, maximizing resource utilization for better patient outcomes.
  • Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
  • Enhanced communication between clients and providers through consistent follow-ups and progress updates.
  • Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
  • Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
  • Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
  • Acted as liaison between patients, families, and healthcare providers, fostering open communication and trust to enhance care coordination.
  • Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
  • Participated in quality improvement initiatives aimed at enhancing the delivery of nursing care within the organization.
  • Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
  • Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
  • Advocated for patients' rights and preferences, working diligently to align care with individual values and goals.
  • Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
  • Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
  • Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
  • Implemented patient care based on physician orders to ensure safety and quality.

Case Manager

AT HOME CARE INC
06.2011 - Current
  • Advocate for patient needs by thoughtfully addressing their concerns
  • Develop and implement individualized care plans
  • Advocated for patient needs by addressing concerns to enhance care experience
  • Liaise between patients, office staff, and physicians to effectively serve patients
  • Ensure clear and open communication with patients
  • Educate patients and their family members on necessary information and treatment options
  • Manage scheduling, charting, and discharge planning for up to 30 patients
  • Observe, chart, and report patient health concerns and developments
  • Developed and implemented individualized care plans to meet specific patient needs
  • Train new personnel in all areas of patient care and office procedures
  • Develop comprehensive treatment plans tailored to individual patient needs
  • Liaised between patients, office staff, and physicians to ensure effective patient support
  • Respond to all patient inquiries promptly and accurately to ensure understanding in a timely fashion
  • Managed transition of terminal patients to hospice facilities
  • Collaborate with other NPs and physicians and refer patients to proper specialists as needed.

Education

Associate's degree in Nursing -

Rappahannock Community College
Warsaw, VA
06-2010

Skills

  • Utilization review
  • Case Management
  • Patient support
  • Care Coordination
  • Discharge Planning
  • Regulatory Compliance
  • Referral Coordination
  • Health History Documentation
  • Patient Needs Assessment
  • Crisis Management
  • Intervention Plans
  • Case Planning
  • Documentation management
  • Case Documentation
  • Records Management
  • Scheduling
  • Time optimization
  • Management
  • Microsoft Office Suite
  • Microsoft Office proficiency
  • Analytical skills
  • Analytical Thinking
  • Self-motivation
  • Reliability
  • Attention to Detail
  • Time Management
  • Task management
  • Organization and Task prioritization
  • Effective Communication
  • Communication skills
  • Interpersonal Communication
  • Customer support
  • Client support
  • Client Advocacy
  • Patient Advocacy
  • Patient Engagement
  • Teamwork and Collaboration
  • Team Collaboration
  • Staff training
  • Staff development
  • Problem-solving skills
  • Adaptability
  • Professional conduct
  • Relationship Building
  • Community Resources
  • Written Communication
  • Problem-solving skills
  • Interpersonal Communication
  • Staff development
  • Effective Communication
  • Team Collaboration

Timeline

Utilization Review Nurse

Aetna Medicare
06.2025 - Current

RN Case Manager

Aetna Medicaid
05.2022 - 06.2025

Case Manager

AT HOME CARE INC
06.2011 - Current

Associate's degree in Nursing -

Rappahannock Community College