Heather Burch
Toms River
Summary
Compassionate and detail-oriented Registered Nurse with experience in acute care, pediatric rehabilitation, and cardiovascular nursing, transitioning into a Case Manager RN role. Strong background in care coordination, discharge planning, utilization review, and interdisciplinary collaboration. Skilled in evaluating patient needs, facilitating safe transitions of care, and ensuring compliance with CMS guidelines, payer requirements, and evidence-based practice. Proven ability to advocate for patients while optimizing outcomes, reducing readmissions, and supporting efficient resource utilization.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Charge Registered Nurse
Children's Specialized Hospital
03.2023 - Current
- Coordinate comprehensive care for complex pediatric patients, ensuring alignment with long-term care plans and discharge goals.
- Assisted in developing individualized care plans for children with complex needs.
- Ensure accurate and thorough clinical documentation to support medical necessity and reimbursement.
- Communicated effectively with families regarding patient status and care plans.
- Collaborate with multidisciplinary teams including therapy, social work, and physicians to support care coordination and transition planning.
- DAISY Award Recipient (April 2025).
Registered Nurse, Operating Room
Deborah Heart And Lung Center
08.2021 - 01.2024
- Collaborated with surgical and perioperative teams to ensure efficient patient flow and appropriate level of care.
- Maintained detailed documentation to support clinical accuracy, compliance, and reimbursement processes.
- Applied clinical judgment to support patient safety and adherence to evidence-based practices.
- Assisted in coordinating perioperative care needs and communicating patient status across care teams.
- Precepted staff, reinforcing clinical standards, documentation practices, and workflow efficiency.
Registered Nurse, Cardiac Stepdown
Jersey Shore University Medical Center
03.2022 - 03.2023
- Managed complex patients requiring telemetry and ventilator support, focusing on care progression and discharge readiness.
- Coordinated with providers and ancillary services to support timely discharges and transitions of care.
- Performed comprehensive patient assessments and participated in care planning and utilization review processes.
- Educated patients and families on disease management, medications, and follow-up care to reduce readmissions.
- Ensured compliance with hospital policies, CMS guidelines, and patient safety standards.
Education
Bachelor of Science - Nursing
William Paterson University of New Jersey
Wayne, NJSkills
- Discharge Planning & Transitions of Care
- Utilization Review & Medical Necessity
- Interdisciplinary Collaboration
- Patient & Family Education
- Clinical Documentation Review
- Quality Improvement & Readmission Reduction
- CMS & Insurance Guidelines Compliance
- Care Planning & Resource Management
- EPIC & Meditech EMR Systems
- Critical Thinking & Problem Solving
Certification
- Registered Nurse (RN), New Jersey
References
References available upon request.
Timeline
Charge Registered Nurse
Children's Specialized Hospital
03.2023 - Current
Registered Nurse, Cardiac Stepdown
Jersey Shore University Medical Center
03.2022 - 03.2023
Registered Nurse, Operating Room
Deborah Heart And Lung Center
08.2021 - 01.2024
Bachelor of Science - Nursing
William Paterson University of New Jersey