Janice M. Chivers
Pequea,PA
Summary
To obtain a part time position as a Case Management RN and/or Triage Nurse Specialist
Overview
17
17
years of professional experience
1
1
Certification
Work History
Telephonic Nurse Case Manager
Gallagher Bassett Workers Compensation
05.2022 - Current
- Responsible for assessing injured workers and coordinating care for injury and facilitating return to work.
- Communicate with injured workers and providers to ensure timely care and treatment plans and communicate with adjustors, employers, and attorneys on projected needs and potential return to work.
- Assess and apply ODG guidelines to determine projected appropriate treatments and timelines for return to work and Maximum Medical Improvement.
- Coordinate with injured worker for community resources and participating providers to meet treatment needs.
- Facilitating safe and timely return to work and coordinating with employers on light duty release options and alternate return to work plans.
- Anticipating long term care needs and potential maximum medical improvement based on temporary versus permanent disability needs.
Home Health Behavioral Health RN
Amedisys
12.2020 - 07.2022
- Responsible for assessing and monitoring mental status, mood, anxiety, behaviors, coping, medication compliance, side effects and adverse effects and collaborating with patients, physicians, facility staff, and family members to develop and implement a plan of care tailored to meet the needs of each individual patient within the community.
- Case Manager for each individual client to anticipate needs and assist patient and families in finding community resources to facilitate least restrictive living environment.
- Communicate client needs to providers, social services, and family as needed to maintain safe and appropriate living environment.
Case Management Outcomes Coordinator
Wellspan York Hospital
11.2018 - 12.2020
- Responsible for facilitating throughput on a trauma/neuro/stroke/orthopedic unit.
- Rounds with attending physicians to determine a safe discharge plan for patients within the inpatient setting.
- Coordinates with all discharge planners including physicians, bedside nurses, case management RNs, and social work.
- Collects data and organizes metrics to analyze readmissions and 10 day length of stay to prevent readmissions and long length of stay.
- Analyze metrics for complex care needs and advocate for safe discharge planning and advance needs for diagnoses.
Home Health Behavioral Health RN
Amedisys
04.2014 - 11.2018
- Responsible for assessing and monitoring mental status, mood, anxiety, behaviors, coping, medication compliance, side effects and adverse effects and collaborating with patients, physicians, facility staff, and family members to develop and implement a plan of care tailored to meet the needs of each individual patient within the community.
- Case Manager for each individual client to anticipate needs and assist patient and families in finding community resources to facilitate least restrictive living environment.
- Communicate client needs to providers, social services, and family as needed to maintain safe and appropriate living environment.
Utilization Review Nurse/Pre-Authorization Coordinator
Coventry Health/Aetna
01.2014 - 04.2014
- Performed initial preauthorizations for acute and non-acute services for a large network of providers in PA, OH, and WV.
- Used Interqual and Medicare guidelines to determine medical necessity of services.
Nurse Case Manager and Nurse Care Coordinator
Preferred Health Care
02.2011 - 10.2013
- Performed Prospective, Initial, Concurrent, and Retrospective reviews of inpatient, elective surgical, therapies, durable medical equipment, and home health care as well as chemotherapeutic and transplant medical reviews using Interqual and Milliman guidelines.
- Collaborated with a medical director to complete medical reviews per URAC guidelines.
- Collaborated with physicians and other healthcare providers to assess, plan, implement, coordinate, monitor, and evaluate options and services to meet individual client needs to promote quality and cost effective outcomes for each client.
- Responsible for designing and implementing treatment plans tailored for each individual client to promote the best possible care and client outcome.
- Determined cost analyses for additional care needs including stop loss potential and risk stratification for stop loss and re-insurance.
Clinical Nurse, Behavioral Health, RN
Wellspan York Hospital BHS
01.2009 - 02.2011
- Provided and coordinated care to patients in the behavioral health setting; applied principles of relationship-based care; acted as a primary nurse for patients on the unit; applied patient data for outcome-based treatment plan formulation.
- Served on the unit Clinical Practice Counsel from May 2009-January 2011.
Education
RN-BSN Program -
Chamberlain University
09.2025
RN-BSN Program - undefined
South University
Savannah, Georgia10.2010
Associate Degree in Arts - Nursing
Harrisburg Area Community College
Lancaster, Pennsylvania01.2008
High School Diploma - undefined
York County High School
York, Pennsylvania01.1992
Skills
- Clinical judgment
- Healthcare systems navigation
- Clinical assessment
- Data entry
Certification
Associate Degree in Arts in Nursing, HACC, 2008-12-15, 2009-03
Timeline
Telephonic Nurse Case Manager
Gallagher Bassett Workers Compensation
05.2022 - Current
Home Health Behavioral Health RN
Amedisys
12.2020 - 07.2022
Case Management Outcomes Coordinator
Wellspan York Hospital
11.2018 - 12.2020
Home Health Behavioral Health RN
Amedisys
04.2014 - 11.2018
Utilization Review Nurse/Pre-Authorization Coordinator
Coventry Health/Aetna
01.2014 - 04.2014
Nurse Case Manager and Nurse Care Coordinator
Preferred Health Care
02.2011 - 10.2013
Clinical Nurse, Behavioral Health, RN
Wellspan York Hospital BHS
01.2009 - 02.2011
RN-BSN Program - undefined
South University
Associate Degree in Arts - Nursing
Harrisburg Area Community College
High School Diploma - undefined
York County High School
RN-BSN Program -
Chamberlain University
Awards
- Part-time Dean’s List, Harrisburg Area Community College, 2004-2005, 2005-2006, 2006-2007
- Graduated with Honors, HACC Nursing Program
- Award for most consistent/highest GPA, HACC Nursing Program
Community Service
- Volunteer Nurse, Penn Manor High School, Performing vision and hearing screenings, 2011, 2012
- Volunteer Walker/Participant/Fundraiser, Light the Night Walk, 2008, 2009
- Co-chair, organizer, and co-founder, Drew Benefit, 1998, 1999, 10000, The York Cancer Center, Cancer Patient Help Fund
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