Summary
Overview
Work History
Education
Skills
Timeline
Generic

Emily Pitman

Chattanooga,TN

Summary

Experienced Registered Nurse with a proven track record in critical care nursing and utilization management. Possess a strong commitment to patient-focused care and a meticulous approach to administrative reviews. Proven team player with a results-driven mindset and a history of collaborating effectively with clinical and non-clinical staff. Seeking to leverage extensive clinical expertise to excel in a role that demands a keen eye for detail, strong organizational skills, and a commitment to upholding the highest standards of care coordination.

Overview

12
12
years of professional experience

Work History

Clinical Review Manager; Senior Care Division

Blue Cross Blue Shield Of TN
08.2018 - Current
  • Lead clinical review manager specializing in case review according to CMS guidelines, encompassing inpatient, skilled nursing facility, inpatient rehab facilities, and long-term acute care hospitals.
  • Expertise in reviewing outsourced spinal cases.
  • Generate benefit letters and NOMNCS for skilled nursing facility denial decisions.

UM Nurse Clinician for Blue Cross Blue Shield of T

Adecco Medical & Science
02.2018 - 08.2018

Registered Nurse Critical Care Coordinator, Trauma

Erlanger Health System
09.2015 - 02.2018
  • Specialized in trauma resuscitation at a Level 1 Trauma Center, collaborating closely with attending physicians and residents during resuscitation and stabilization procedures.
  • Integral member of the rapid response/code team, contributing expertise in interventions such as intubation, chest tube insertion/removal, cricothyrotomy, and massive blood transfusion.
  • Assisted in training of Resident Medical Doctors.

Registered Nurse, STICU

Erlanger Health System
01.2013 - 09.2015
  • Managed 12-bed Shock Trauma Intensive Care Unit, offering continuous monitoring and expert care for trauma, neurologic, renal, and medical patients.
  • Skilled in Continuous Renal Replacement Therapy (CRRT), collaborating with doctors to develop comprehensive care plans and process improvements.

Registered Nurse, IMCU

Erlanger Health System
01.2012 - 01.2013

Staffed and charged 21-bed Intermediate Care Unit, providing crucial care and health maintenance for post-traumatic patients transitioning from the ICU.

Education

Master of Science - Nursing Leadership And Management

Western Governors University
Salt Lake City, UT
07.2022

Associate of Applied Science - Registered Nurse

Northwest Shoals Community College
Muscle Shoals, AL
05.2011

Skills

  • Utilization Management
  • Clinical Judgment
  • Team Collaboration
  • Medicare Guideline Knowledge
  • Referral Initiation
  • Medical Rounds

Timeline

Clinical Review Manager; Senior Care Division

Blue Cross Blue Shield Of TN
08.2018 - Current

UM Nurse Clinician for Blue Cross Blue Shield of T

Adecco Medical & Science
02.2018 - 08.2018

Registered Nurse Critical Care Coordinator, Trauma

Erlanger Health System
09.2015 - 02.2018

Registered Nurse, STICU

Erlanger Health System
01.2013 - 09.2015

Registered Nurse, IMCU

Erlanger Health System
01.2012 - 01.2013

Master of Science - Nursing Leadership And Management

Western Governors University

Associate of Applied Science - Registered Nurse

Northwest Shoals Community College
Emily Pitman