Jessica Swartzendruber
3139 Woodward Ave, Detroit,MI
Summary
Proactive and goal-oriented Licensed Practical Nurse with 9+ years experience in the medical field, encompassing expertise in direct patient care, transition of care, case management, and concurrent review. I aspire to leverage my extensive nursing background and degree in Healthcare Administration to transition into a role focused on my current and new skills. My career objectives are underpinned by a strong commitment to compassionate patient care and a drive for professional growth in the healthcare sector.
Overview
7
7
years of professional experience
Work History
Transition of Care Nurse
Aetna- CVS Health
05.2024 - 01.2025
- Conducted telephonic consultations with members and executed post-discharge assessments.
- Developed and implemented individualized patient care plans.
- Provided clinical guidance to determine appropriate interventions and support based on member health status (including: liaison with providers, condition management/education, medication oversight, community and company resource allocation).
- Participated in weekly interdisciplinary care team meetings.
Contracted Telephonic Nurse
Insight Global
05.2024 - 11.2024
- Conducted telephonic consultations with members and executed post-discharge assessments.
- Developed and implemented individualized patient care plans.
- Provided clinical guidance to determine appropriate interventions and support based on member health status (including: liaison with providers, condition management/education, medication oversight, community and company resource allocation).
- Participated in weekly interdisciplinary care team meetings.
Concurrent Review Nurse
EviCore Healthcare by Evernorth
10.2021 - 05.2024
- Contacted providers, state agency offices and applicants to obtain information and records needed to conduct comprehensive clinical review of case and final determination.
- Reviewed and documented relevant information into data system applications.
- Determined and authorized services for patients in accordance with guidelines and regulations.
- Collaborated with facilities to formulate comprehensive care plans and management strategies.
- Oversaw care provision and resource utilization by conducting weekly patient rounds with medical directors.
Transition of Care Nurse
Cigna Medical Group
09.2019 - 10.2021
- Conducted telephonic consultations with members and executed post-discharge assessments.
- Developed and implemented individualized patient care plans.
- Provided clinical guidance to determine appropriate interventions and support based on member health status (including: liaison with providers, condition management/education, medication oversight, community and company resource allocation).
- Traveled weekly to multiple primary care clinics to conduct interdisciplinary care team meetings.
LPN Charge Nurse
Kalkaska Memorial Health Center
07.2018 - 09.2019
- Rotated providing direct patient care in a multi-specialty facility including long term care, skilled nursing, inpatient rehab, memory care, assisted living, and emergency room.
- Administered medications and injections to patients.
- Provided complex wound care.
- Monitored patient health conditions to report changes to assigned physician.
- Developed and implemented individualized patient care plans.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Delegated assignments and provided clinical supervision to other team members.
Education
LPN Certificate - Nursing
Northwestern Michigan College
Traverse City, MI05-2018
Bachelor of Science - Healthcare Administration
Capella University
Detroit, MI02-2025
Skills
- Pursuit of learning
- Strong understanding of medical terminology
- Discharge planning
- Case management
- Utilization review management
- Reviewing patient medical charts
- Electronic health records (EHR) systems- EPIC, Cerner, Med Compass
- Time management
- Teamwork and leadership
- Conducting meetings and public speaking
- Patient education and advocacy
- Attention to Detail
Timeline
Transition of Care Nurse
Aetna- CVS Health
05.2024 - 01.2025
Contracted Telephonic Nurse
Insight Global
05.2024 - 11.2024
Concurrent Review Nurse
EviCore Healthcare by Evernorth
10.2021 - 05.2024
Transition of Care Nurse
Cigna Medical Group
09.2019 - 10.2021
LPN Charge Nurse
Kalkaska Memorial Health Center
07.2018 - 09.2019
LPN Certificate - Nursing
Northwestern Michigan College
Bachelor of Science - Healthcare Administration
Capella University
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