Felice Jordahl
Plymouth Meeting,PA
Overview
41
41
years of professional experience
1
1
Certification
Work History
Clinical Team Leader, Utilization Management
Aetna, a CVS Health Company
Woonsocket, RI
05.2015 - Current
- Supervised a team of clinical staff, ensuring quality standards and compliance with regulations.
- Ensure compliance with turn-around-times and proactively monitor areas for Medical Director Review.
- Assessed staff workloads and ensured appropriate staffing levels were maintained at all times.
- Coordinated with other healthcare professionals to ensure continuity of care for patients with complex needs.
- Trained and mentored all new staff to our team.
Utilization Review Nurse
Aetna, a CVS Health
Hartford, CT
09.2004 - 05.2015
- All aspects of Utilization management
Weekend Registered Nurse
Aetna, a CVS Health
Bluebell, PA
04.1996 - 09.2005
- Coordinated all care needed for the Medicare and commercial members that occurred during after hours and weekends. This isncludes precertification, homecare, skilled nursing facilities and transportation of members.
RN Case Manager
Corporate Health administrators, US Healthcare
Bluebell, PA
10.1994 - 05.1996
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Provided emotional support and counseling to patients dealing with chronic illness or end-of-life issues.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Monitored and evaluated effectiveness of treatment plans and interventions.
- Collaborated with physicians, nurses and other healthcare professionals to ensure optimal patient outcomes.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
Transplant Coordinator/National Medical Excellence
US Healthcare
Bluebell, PA
09.1991 - 10.1994
- Coordinated lung and heart transplants for members of an insurance carrier.
- Coordinated care for members needing expertise care, that was not available in their home area. That included discussing cases with facilities, physicians and members.
ICU Clinical Nurse
Hahnemann Hospital
Philadelphia, PA
09.1984 - 09.1991
- All nursing responsibilities for the ICU patients. That included patients in the medical ICU, medical step-down ICU and cardio-thoracic intensive care units.
Staff Nurse
Presbyterian Hospital
Pittsburgh , PA
05.1983 - 09.1984
- Staff nurse on post- op surgical floor
Education
Bachelor of Arts - Nursing
University of Pittsburgh
Pittsburgh, PA04-1983
Skills
- Utilization Review
- Case Management
- Documentation Review
- Team Collaboration
- Attention to Detail
- EMR and Microsoft Office Software
- Interpersonal Communication
- Problem-Solving
- Multitasking
- Coaching and Mentoring
- Training and Development
Certification
- CCM- certified case manager
- PA nursing license
Timeline
Clinical Team Leader, Utilization Management
Aetna, a CVS Health Company
05.2015 - Current
Utilization Review Nurse
Aetna, a CVS Health
09.2004 - 05.2015
Weekend Registered Nurse
Aetna, a CVS Health
04.1996 - 09.2005
RN Case Manager
Corporate Health administrators, US Healthcare
10.1994 - 05.1996
Transplant Coordinator/National Medical Excellence
US Healthcare
09.1991 - 10.1994
ICU Clinical Nurse
Hahnemann Hospital
09.1984 - 09.1991
Staff Nurse
Presbyterian Hospital
05.1983 - 09.1984
Bachelor of Arts - Nursing
University of Pittsburgh
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