Jenny M. Meyer
Pittsburgh,PA
Summary
Transplant Nurse Case Manager seeking opportunity to transition into new pilot role as Transplant UM Nurse Case Manager.
Overview
17
17
years of professional experience
Work History
Registered Nurse-Transplant Case Manager
Cigna Health Care
Pittsburgh, PA
12.2019 - Current
- Manage and provide whole-person case management for complex transplant cases for customers undergoing solid organ, stem cell, and CAR-T therapies for end-stage organ failure and hematology/oncology diagnoses.
- Review medical necessity, prior authorizations, coverage policies and MCG criteria to ensure appropriate care and benefit utilization.
- Collaborate with Medical Directors and multidisciplinary team to support treatment planning, positive outcomes and cost-effective care solutions.
- Utilize case management software, knowledge exchange systems, and insurance platforms to manage workflows and documentation.
- Maintain multiple dedicated accounts while consistently achieving quality and productivity metrics.
- Support team operation through precepting new hires, moderating multidisciplinary calls, tracking acuity, and participating in the Team lead upskill program.
Professional Staff Nurse
UPMC Mercy Hospital
Pittsburgh, PA
06.2009 - 11.2019
- Participated in the overall care for patients with coronary, post-surgical, ventilator-dependent and complex intensive care needs in a high acuity Medical-Surgical Intensive Care Unit.
- Managed advanced therapies including intra-aortic balloon pumps (IABP), swan-ganz catheters, continuous renal replacement therapy, (CRRT), invasive hemodynamic monitoring and basic nursing care.
- Served as charge nurse overseeing patient acuity, staffing, care progression, and unit operations.
- Collaborated with multidisciplinary teams and leadership while functioning as a clinical resource in the absence of the director.
Education
Bachelor of Science - Nursing
Ohio University
Athens, OH06-2019
Associates Degree - Nursing
Community College of Allegheny County
West Mifflin, PA01-2007
Skills
- Transplant Case Management
- Medical Necessity Review
- Prior Authorizations
- MCG Guidelines and Coverage Policies Review
- Care Coordination
- Medication Reconciliation
- Leadership and Precepting
- Multidisciplinary Collaboration
Timeline
Registered Nurse-Transplant Case Manager
Cigna Health Care
12.2019 - Current
Professional Staff Nurse
UPMC Mercy Hospital
06.2009 - 11.2019
Associates Degree - Nursing
Community College of Allegheny County
Bachelor of Science - Nursing
Ohio University