Dawn Seitzinger
Tampa
Summary
Dynamic Nurse Case Manager with extensive experience in care coordination and utilization review. Known for fostering collaborative relationships with healthcare providers to ensure timely interventions and optimal patient outcomes, while maintaining rigorous compliance with industry standards.
Overview
2026
2026
years of professional experience
Work History
Nurse Case Manager
CareNu/Assurity DCE
Tampa
01.2021 - Current
- Conduct comprehensive assessments, develop individualized care plans, and coordinate medical and supportive services across the continuum of care.
- Evaluate member health status, resource utilization, treatment options, and support and long-term goals to ensure appropriate, cost-effective care.
- Perform utilization review activities and collaborate with PCPs, specialists, and ancillary providers to meet treatment and socioeconomic needs.
- Maintain accurate documentation of assessments, authorizations, and clinical data within multiple medical management systems.
- Promote quality outcomes, timely interventions, and continuous monitoring of member progress.
Manager, Concurrent Review
Beacon Health Solutions
Tampa
2020 - 2021
- Led a team of 6 nurses and 4 coordinators who were responsible for inpatient and SNF concurrent authorization review.
- Recruited, trained, coached, and evaluated staff; provided ongoing mentoring and performance development.
- Made recommendations regarding hiring, promotions, corrective actions, and compensation adjustments.
- Established performance goals and monitored productivity, quality, and compliance with plan requirements.
- Partnered with Vice President and CMO to define departmental goals, workflows, and strategies.
Manager, UM Precertification
Freedom Health and Optimum Health
Tampa
2011 - 2020
- Supervised a team of 20 nurses performing precertification reviews across Medicare and Medicaid product lines.
- Conducted quarterly audits of nurses' activities and assured adherence to CMS and InterQual standards.
- Completed performance reviews, merit recommendations, and staff development plans.
- Collaborated closely with Medical Directors on complex authorizations requiring clinical escalation.
- Ensured medical necessity determinations aligned with Medicare/Medicaid criteria and organizational policies to support cost-effective, high-quality care delivery.
Education
LPN -
Erwin Vo Tech
Tampa, FL03-1993
Skills
- Care coordination
- Utilization review
- Medical management systems
- Quality improvement
- Authorizations processing
- Healthcare regulations
- Compliance monitoring
- Performance evaluations
- Effective communication
- Clinical assessment
SKILLS
30 years of experience in hospital settings, dialysis centers, HMO environments and family practice/primary care. Strong foundation in patient assessment, chronic disease management and interdisciplinary communication.
Timeline
Nurse Case Manager
CareNu/Assurity DCE
01.2021 - Current
Manager, Concurrent Review
Beacon Health Solutions
2020 - 2021
Manager, UM Precertification
Freedom Health and Optimum Health
2011 - 2020
LPN -
Erwin Vo Tech