Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Crystal Godsey

Ringgold,GA

Summary

Dynamic Nurse Case Manager Lead Analyst at Cigna Healthcare with expertise in clinical assessment and care coordination. Proven track record in managing complex cases and enhancing patient outcomes through effective provider negotiations and utilization management. Adept at educating patients and families, ensuring adherence to accreditation standards while delivering compassionate care.

Overview

31
31
years of professional experience
1
1
Certification

Work History

Nurse Case Manager Lead Analyst

Cigna Healthcare
06.1999 - Current

Case Management Referral Screening and Assessment

Management of Customers with Acute, Chronic, and Catastrophic Conditions

Care Coordination

Collaborated with Physicians, Medical Directors, and Multidisciplinary teams on Plan of Care

Medical Case Management

Customer and Family referrals as appropriate

Adhered to Accrediation standards and best practices

Utilization Management

Provider Negotiations

Claims Assistance

Home Care Nurse

Family Home Care
10.1997 - 06.1999

Nurse visits in the home for Customers with Acute, Chronic,Catastrophic, and Terminal Dx

Documentation and Certification Of Plan of Care and Referrals as appropriate for customer and families

Coordinated care with Physicians,Providers, Infusion Companies, DME companies

Administration of medications and infusions

Supervisory visits for LPNs and CNAs

RN Floor Nurse

Parkridge Medical Center
06.1994 - 10.1997

Provided care to patients on a medical floor with acute deviations in their healthcare

Patient assessments

Administration of medications and blood products

Wound care

Neurological

Cardiac

Endocrine

Respiratory

Gastrointestinal

Urinary

Medical-Surgical

Education

Associate Degree In Nursing - RN Nursing

Chattanooga State Community College
Chattanooga, TN
06.1994

Skills

  • Clinical assessment
  • Care Coordination
  • Medical Case Management
  • Provider Steerage
  • Utilization Management
  • Patient and Family Education and Referrals as Appropriate
  • Provider Negotiations and Claim Assistance

Accomplishments

    Receives Cigna Champion Awards Annually

Certification

  • Registered Nurse RN licensure by individual state boards issued June 1994 TN
  • Registered Nurse issued 2008 GA and Multistate compact license expires 1/2026
  • Registered Nurse issued 2014 CA and expires 11/2025
  • Certified Case Manager CCM issued by Commission for Case Manager Certification June 2008 and expires May 2028
  • Maintains all continuing education requirements

Timeline

Nurse Case Manager Lead Analyst

Cigna Healthcare
06.1999 - Current

Home Care Nurse

Family Home Care
10.1997 - 06.1999

RN Floor Nurse

Parkridge Medical Center
06.1994 - 10.1997

Associate Degree In Nursing - RN Nursing

Chattanooga State Community College
Crystal Godsey