Summary
Overview
Work History
Education
Skills
Extracurricular Activities
Certification
Timeline
RegisteredNurse
Cynthia Cornell

Cynthia Cornell

Registered Nurse
Duncannon,Pa.

Summary

Patient-oriented Nurse with 43 years of diverse experience in direct patient care, staff supervision and department operations, Case management and insurance authorizations. Skilled at multitasking and prioritizing current daily assignments while assisting new staff. Offering expertise with clinical reviews, insurance verifications and authorizations for hospitalized patients as well as for LTACH, Acute Rehabs and Skilled Nursing facilities. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about use of EMR systems, TrueCare system & InterQual system. Knowledgeable of medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Overview

43
43
years of professional experience
1
1
Certification

Work History

Concurrent Review Nurse

Capital BlueCross
06.2014 - Current
  • Provided ongoing education to nursing staff regarding best practices in concurrent review processes, enhancing overall team performance.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Implemented quality improvement initiatives within the concurrent review process, leading to more accurate and efficient decision making.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Improved patient outcomes by conducting thorough concurrent reviews and recommending appropriate care plans.
  • Managed complex cases effectively, coordinating with multidisciplinary teams to ensure seamless delivery of care across continuum.
  • Achieved timely authorizations for services by maintaining strong relationships with insurance company representatives and advocating for patients'' needs.
  • Evaluated patient histories, complaints, and current symptoms.
  • Optimized resource utilization by assessing appropriateness of medical treatments and making recommendations for alternative courses of action when necessary.
  • Enhanced interdisciplinary collaboration by participating in daily rounds, discussing patient cases, and providing clinical input.

Registered Nurse - Clinical Supervisor

Intrepid Healthcare Systems
09.2012 - 01.2014
  • In charge of running office: scheduling, orders, education, assist with hiring, as well as seeing patients in their home.
  • Chart reviews/audits for quality & medical necessity, ICD-9 coding, Performance Improvement & Quality Improvements.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
  • Successfully managed challenging situations involving patients or families, employing conflict resolution skills to address concerns professionally and effectively.
  • Assisted in the development of policies and procedures related to clinical practice standards, ensuring alignment with best practices and accreditation requirements within the healthcare industry.

Registered Nurse - Disease Management Case Manager

Assurance Staffing
06.2012 - 09.2012
  • Call Access Plus members to educate them on their diseases and medication
  • Equipped patients with tools and knowledge needed for speedy and sustained recovery.
  • Provided support for patients and families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
  • Help make appointments, arrange transportation, equipment, and refer to specialists to ensure compliance with medical care.

Home Care Insurance Liaison Nurse

Pinnacle Health
01.2002 - 01.2011
  • Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Negotiated with insurers to secure industry-leading health insurance coverage for clients.

Nurse Reviewer (state Contract for Department of Public Welfare)

Pinnacle Health
01.2001 - 01.2002
  • Reviewed charts of teens in Residential Treatment Facilities to ensure safe care and proper/safe use of restrains
  • On-site visits to the Residential Treatment Facilities to assess the facility, staff, teens, and documentation.
  • Assisted in reducing hospital readmissions through careful evaluation of discharge plans and follow-up care recommendations for high-risk patients.
  • Collaborated with interdisciplinary teams to develop strategies aimed at improving overall health outcomes for patient populations with high rates of chronic conditions.
  • Played an integral role in the success of organizational initiatives aimed at improving access to care for underserved patient groups by identifying potential disparities during case reviews and offering recommendations for improvements.

Registered Nurse - Home Care Nurse

Pinnacle Health
01.1994 - 01.2001
  • Initiated evening shift in 1994.
  • Initiated Rehabilitation/Restorative Nursing program in 1996.
  • Team Leader for Medical team for 2 years then transitioned to a Team Leader for the Intake Team for 2 more years.
  • Recorded details regarding therapies to keep patient charts updated.
  • Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
  • Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.

Registered Nurse - Floor Nurse

Harrisburg Hospital: Pinnacle Health
01.1989 - 01.1994
  • Night shift charge nurse for a 38 bed medical-surgical unit.
  • Orientation of new staff.
  • Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
  • Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Managed patients recovering from medical or surgical procedures.

Licensed Practical Nurse - Floor Nurse

Harrisburg Hospital: Pinnacle Health
01.1981 - 01.1989
  • Medical Surgical nursing floor: Neurology, Urology, Orthopedics.
  • Used aseptic techniques to provide sterilized wound care and dressing applications.
  • Promoted a culture of teamwork through active participation in unit meetings, performance improvement initiatives, and collaborative problem-solving efforts.
  • Increased patient satisfaction scores by consistently delivering high-quality nursing care tailored to individual needs and preferences.
  • Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
  • Took samples to complete diagnostic and routine assessment tests.

Education

Associate of Applied Science - Registered Nurse

Harrisburg Area Community College
Harrisburg, PA
06.1989

Licensed Practical Nurse - Licensed Practical Nurse

Harrisburg Steelton-Highspire Technical School
Harrisburg
09.1981

Skills

  • ICD-10
  • Interdisciplinary Collaboration
  • HIPAA Compliance
  • Clinical assessment
  • EMR / EHR
  • Managed Care
  • Medicare knowledge
  • Care Coordination
  • Microsoft Office
  • Decision-Making
  • Utilization review
  • Quality Improvement
  • Case Management
  • Strong Clinical Judgment
  • Accurate Documentation

Extracurricular Activities

Girl Scout Leader for 13 years mentoring 2 girls to earning their Gold Awards Assisted/mentored my son in Boy Scouts for 13 years & helped him earn his Eagle Scout rank

Certification

  • Registered Nurse License - 1989
  • Licensed Practical Nurse License - 1981

Timeline

Concurrent Review Nurse

Capital BlueCross
06.2014 - Current

Registered Nurse - Clinical Supervisor

Intrepid Healthcare Systems
09.2012 - 01.2014

Registered Nurse - Disease Management Case Manager

Assurance Staffing
06.2012 - 09.2012

Home Care Insurance Liaison Nurse

Pinnacle Health
01.2002 - 01.2011

Nurse Reviewer (state Contract for Department of Public Welfare)

Pinnacle Health
01.2001 - 01.2002

Registered Nurse - Home Care Nurse

Pinnacle Health
01.1994 - 01.2001

Registered Nurse - Floor Nurse

Harrisburg Hospital: Pinnacle Health
01.1989 - 01.1994

Licensed Practical Nurse - Floor Nurse

Harrisburg Hospital: Pinnacle Health
01.1981 - 01.1989

Associate of Applied Science - Registered Nurse

Harrisburg Area Community College

Licensed Practical Nurse - Licensed Practical Nurse

Harrisburg Steelton-Highspire Technical School

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