Diane Filipkowski
Clinton,NY
Summary
Experienced with patient care coordination and case management. Utilizes communication and organizational skills to ensure comprehensive care plans. Track record of patient advocacy and efficient resource utilization.
Overview
4
4
years of professional experience
Work History
RN Case Manager
St. Elizabeth Medical Center
08.2017 - 08.2021
- Perform medical necessity reviews for inpatient admissions.
- Determine appropriate level of care and assist with discharge planning.
- Work with insurance carriers to validate coverage and prevent denials.
- Document findings in electronic health records and utilization review platforms.
- Provide guidance to physicians on documentation best practices.
- Assist in reducing unnecessary hospital readmissions.
Education
Diploma - Nursing
Crouse Irving School of Nursing
Syracuse, NY01.1991
Skills
- Utilization review
- Case management
- Accurate documentation
- Care coordination
- Discharge planning
- Case evaluation
Timeline
RN Case Manager
St. Elizabeth Medical Center
08.2017 - 08.2021
Diploma - Nursing
Crouse Irving School of Nursing
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