Jennifer Hackett
Joshua,USA
Overview
12
12
years of professional experience
Work History
UM Nurse Consultant
CVS Aetna
Joshua, Texas
06.2024 - Current
- Experience with post acute and inpatient cases for initial and concurrent reviews. While utilizing NCQA,CMS, and MCG criteria to review cases for medical necessity.
- Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
- Developed, implemented and evaluated patient care plans to ensure best practices in nursing.
- Evaluated patients' conditions through physical examination, laboratory tests and diagnostic imaging results.
Case Manager
Palm Medical Centers
Florida/Fort Worth, Texas
11.2023 - 06.2024
- Coordinates the plans of care for hospital and nursing home patients from admission to discharge to ensure continuation of care
- Admit new patients by reviewing records and conducting intake interviews
- Communicate daily with hospital staff and nursing home admissions and discharge for statistical and cost management purposes
- Monitor cases by verifying client’s attendance, evaluate the treatment and the response
- Determine need for any further needs such as medical, psycho-social, or psychiatric type needs
- Close communication with office staff, patients, families, providers in clinics and providers across the different levels of care
- In addition, to weekly meetings with providers
Utilization Management Post Acute Lead
Silverback/SWHR Resources
Farmers Branch, Texas
05.2019 - 11.2023
- Experience with post acute and inpatient cases for initial and concurrent reviews. While utilizing NCQA,CMS,and MCG criteria to review cases for medical necessity.
- Supervises7 nurses and social workers on one team
- Manages and approves SNF, IRF, and LACH requests
- Ran team meetings for extended lengths of stays and meetings for discharge planning and referrals etc
- Monitor and revise job aids for the post-acute team
- Acts as the liaison for hospitals needing to expedite SNF, IRF and LTACH referrals for discharges
- Monitor daily reports for cases being close to turn around time
- Fill in for other supervisor and manager when out on PTO or assist with cases as needed from both teams due to staff PT
RN Utilization Review Case Manager
Silverback/SWHR Resources
05.2019 - 06.2021
- Experience with post acute and inpatient cases for initial and concurrent reviews. While utilizing NCQA,CMS, and MCG criteria to review cases for medical necessity.
- Reviewed inpatient, SNF, IRF, LTACH requests for appropriate level of care utilizing MCG criteria
- Took cases to a physician for review as needed
- Attended extended length of stay meetings and lightning rounds
RN ADON
Senior Care Centers
Crowley, TX
05.2018 - 05.2019
- Responsible for the following areas: infection control for staff and residents, weight loss/program and implementing the needed interventions, weekly skin/Braden assessments, making the weekly schedule for the facility for CNAs, Nurses, and CMAs, attending IDT meetings as needed and covering PTO for the MDS nurses within the facility, and covering for the other ADON and DON when they were on PTO
- Covered open shifts within the facility for the following positions: CNA, Nurse, and CMAs where I completed the following things: Administered medications, started IVs, applied dressing for wound care, collected lab specimens, charted on patients every two hours, perform CPR as needed, and supervise CNAs and CMAs in addition to other tasks as assigned to me
RN Charge Nurse
Immanuel Healthcare
Fort Worth, TX
10.2017 - 05.2018
- Administered medications, started IVs, applied dressing for wound care, collected lab specimens, charted on patients every two hours, perform CPR as needed, and supervise CNAs and CMAs in addition to other tasks as assigned to me
RN/LVN Charge Nurse
Glen Rose Nursing and Rehab Center
Glen Rose, TX
08.2013 - 10.2017
- Administered medications, started IVs, applied dressing for wound care, collected lab specimens, charted on patients every two hours, perform CPR as needed, and supervise CNAs and CMAs in addition to other tasks as assigned to me
Education
Bachelor’s Degree - Nursing
Grand Canyon University
Associate’s Degree - Nursing
McLennan Community College
LVN Diploma -
North Central Texas College
Timeline
UM Nurse Consultant
CVS Aetna
06.2024 - Current
Case Manager
Palm Medical Centers
11.2023 - 06.2024
Utilization Management Post Acute Lead
Silverback/SWHR Resources
05.2019 - 11.2023
RN Utilization Review Case Manager
Silverback/SWHR Resources
05.2019 - 06.2021
RN ADON
Senior Care Centers
05.2018 - 05.2019
RN Charge Nurse
Immanuel Healthcare
10.2017 - 05.2018
RN/LVN Charge Nurse
Glen Rose Nursing and Rehab Center
08.2013 - 10.2017
Bachelor’s Degree - Nursing
Grand Canyon University
Associate’s Degree - Nursing
McLennan Community College
LVN Diploma -
North Central Texas College