Summary
Overview
Work History
Education
Skills
Certification
Volunteer work
References
Timeline
Generic

Erika Kaback

Westerville

Summary

Passionate nurse with several years of experience in diverse healthcare settings and care units who brings demonstrated clinical expertise, leadership skills and technical knowledge. Quality-driven and efficient with strong interpersonal abilities.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Utilization Management Quality Nurse

Quantum Health
Dublin
10.2019 - 01.2025
  • Provided guidance to new employees regarding policies and procedures within the organization.
  • Ensured that all documentation was accurate and up-to-date according to established guidelines.
  • Maintained personal and team compliance with medical reviews, and provided appropriate determinations.
  • Provided education to nurses, and helped mentor them with professional growth.

Utilization Managment Nurse

Quantum Health
Dublin
05.2017 - 10.2019
  • Educated healthcare providers on utilization review processes, criteria, and best practices.
  • Ensured compliance with federal, state, and accreditation requirements related to utilization management.
  • Provided feedback to healthcare providers on clinical documentation improvement to support utilization review.
  • Determined medical necessity and cost-effectiveness of services through utilization review processes.
  • Performed pre-certification, and retrospective reviews for outpatient and inpatient services.

Registered Nurse Case Manager

Aetna
New Albany
09.2014 - 05.2017
  • Developed patient care plans, overall patient health assessments and evaluations.
  • Acted as an advocate for patient rights during hospital stays or other clinical encounters.
  • Provided emotional support to patients and their families during difficult times.
  • Collaborated with physicians on patient medications, medical needs and performance.

Staff RN/Charge Nurse PICU

Nationwide Children Hospital
Columbus
08.2012 - 08.2014
  • Provided bedside care for critically ill pediatric patients.
  • Provided support and education to the patient's caregivers.
  • Provided support to the staff nurses.
  • Managed bed placement, as well as staffing needs.
  • Collaborated with the Phyicians and other care team members to optimally care for patients.

Education

Associate of Science - Nursing

Columbus State Community College
Columbus, OH
05-2008

Bachelor of Science - Psychology

The Ohio State University
Columbus, OH
12-2000

Skills

  • Compliance regulations
  • Medical necessity determination
  • Quality assurance
  • Team collaboration
  • Staff education
  • Emotional support
  • Mentorship
  • Clinical judgment
  • Nursing staff development
  • RN case management
  • Patient education
  • Advanced cardiac life support
  • HIPAA protocol adherence
  • Patient management
  • Telemetry and advanced cardiac care
  • Care coordination
  • IV therapy management

Certification

  • RN License in the state of OH
  • Tele Certified
  • ACLS and BLS trained

Volunteer work

  • Cooking and serving meals at the Ronald McDonald House
  • Deliver Meals on Wheels
  • Mid-Ohio Food Bank
  • Race support for marathons, 5ks, and triathlons

References

References available upon request.

Timeline

Utilization Management Quality Nurse

Quantum Health
10.2019 - 01.2025

Utilization Managment Nurse

Quantum Health
05.2017 - 10.2019

Registered Nurse Case Manager

Aetna
09.2014 - 05.2017

Staff RN/Charge Nurse PICU

Nationwide Children Hospital
08.2012 - 08.2014

Associate of Science - Nursing

Columbus State Community College

Bachelor of Science - Psychology

The Ohio State University

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Erika Kaback