Isatou Canteh
Aubrey,TX
Summary
Seasoned Registered Nurse with over 8 years of clinical experience caring for adults in an acute care hospital setting. Expertise in clinical review, utilization management, and care coordination with strong knowledge of NCQA standards, Medicare/Medicaid regulations, and managed care requirements. Adept at leading interdisciplinary teams, conducting concurrent and retrospective chart reviews, determining medical necessity, and ensuring regulatory compliance. Skilled communicator with proven ability to balance patient advocacy, provider collaboration, and payer requirements to optimize outcomes and reduce avoidable costs.
Overview
12
12
years of professional experience
1
1
Certification
Work History
RN Care Manager
Devoted Medical
02.2024 - Current
- Conduct clinical reviews and ensure compliance with medical necessity guidelines for admissions, transitions, and discharge planning.
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.
- Collaborate with physicians and interdisciplinary teams to develop and adjust patient care plans aligned with payer and organizational goals.
- Supervise and train clinical staff to maintain high standards of accountability and professional development.
- Facilitate acquisition of authorizations and coordinate care across hospitals, rehab centers, and home health settings.
- Excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication
RN Care Manager
Southwestern Health Resources
01.2023 - 12.2023
- Performed concurrent chart reviews to assess medical necessity, close gaps in care, and ensure appropriate utilization.
- Educated patients and families on chronic disease management, improving compliance and reducing readmissions.
- Partnered with providers to align care with ACO Reach, SNP, and DSNP program requirements.
- Advocated for patients while balancing payer requirements and clinical appropriateness.
- Remote
Resource Nurse (Float Pool)
Methodist Dallas Medical Center
12.2020 - 06.2023
- Conducted rapid clinical assessments across med-surg and critical care units to ensure appropriate admission status and timely care.
- Collaborated with case managers and physicians to determine level of care and discharge readiness.
- Provided leadership as charge/resource nurse, mentoring staff and ensuring compliance with hospital policies and regulatory standards.
Acute Care RN
Medical City Las Colinas
06.2020 - 12.2020
- Managed high-acuity patients, determining safe care transitions and collaborating on discharge planning.
- Coordinated with interdisciplinary teams to reduce unnecessary admissions and promote appropriate utilization.
Acute Care RN
Rhode Island Hospital
04.2018 - 04.2020
- Oversaw patient care from admission through discharge with focus on compliance and proper documentation.
- Ensured HIPAA compliance and accurate medical record documentation to support clinical review.
Registered Nurse
Swedish Medical Center
11.2016 - 03.2018
- Managed acute med-surg patients; liaised between patients, providers, and payers to optimize care and reimbursement.
Registered Nurse (Charge Nurse)
Fairfax Behavioral Health
03.2015 - 12.2017
- Directed clinical staff on psychiatric floor; ensured regulatory compliance and proper documentation for reviews and audits.
Registered Nurse
Shoreline Health & Rehab
03.2014 - 05.2015
- Delivered skilled nursing care for sub-acute patients; coordinated discharges and documented medical necessity for continued services.
Education
Master of Science - Nursing Administration
University of Texas At Arlington
Arlington, TX05.2024
Bachelor of Science - Nursing
University of Washington Bothell
Bothell, WA01.2015
Associate of Science - Nursing
The Gambia College School of Nursing & Midwifery
01.2010
Skills
- Clinical Review & Utilization Management
- Medicare/Medicaid & NCQA Compliance
- Prior Authorization & Appeals Review
- Staff Supervision & Training
- Transition of Care & Complex Case Management
- Interdisciplinary Team Collaboration
- Quality Assurance & Performance Improvement
Certification
- Registered Nurse Compact State License – Active, exp. Sept 2027
- ACLS | BLS Provider
Timeline
RN Care Manager
Devoted Medical
02.2024 - Current
RN Care Manager
Southwestern Health Resources
01.2023 - 12.2023
Resource Nurse (Float Pool)
Methodist Dallas Medical Center
12.2020 - 06.2023
Acute Care RN
Medical City Las Colinas
06.2020 - 12.2020
Acute Care RN
Rhode Island Hospital
04.2018 - 04.2020
Registered Nurse
Swedish Medical Center
11.2016 - 03.2018
Registered Nurse (Charge Nurse)
Fairfax Behavioral Health
03.2015 - 12.2017
Registered Nurse
Shoreline Health & Rehab
03.2014 - 05.2015
Bachelor of Science - Nursing
University of Washington Bothell
Associate of Science - Nursing
The Gambia College School of Nursing & Midwifery
Master of Science - Nursing Administration
University of Texas At Arlington