Registered Nurse
Open To Work
JULIA C. WHEELER
AmeriHealth Caritas of Ohio
Wapakoneta,OH
Work Preference
Job Search Status:
Open to work
Work Type
Full Time
Location Preference
Remote
Minimum Desired Compensation
$85000/yr
27
Years of experience
Compassionate Registered Nurse experienced in case management, Medicaid, and utilization management. Delivered high-quality patient care through effective interdisciplinary coordination and strong provider relations. Focused on enhancing patient outcomes while maintaining regulatory compliance and managing diverse caseloads.
Work History
Case Manager
1 Year 5 Months- Developed individualized care plans and collaborated with providers and community partners to address unique client needs.
- Coordinated comprehensive care plans for clients with diverse needs.
- Coordinated care for Medicaid members with complex medical and social needs to enhance access and quality of services.
- Assessed client situations to identify barriers to health and wellness.
- Collaborated with healthcare providers to ensure timely and effective service delivery for clients.
Staff Nurse, Wound & Ostomy (Part-Time)
8 Years- Administered wound/ostomy care services in inpatient, outpatient, and home settings
- Administered medications and treatments as prescribed by healthcare providers.
- Monitored patient vital signs and reported changes to the medical team.
- Educated patients and families on health management and recovery plans.
Wound & Ostomy Nurse (Casual/Part-Time)
12 YearsAccount Executive I, Provider Services
2 Years- Liaised with provider networks to resolve claims, authorization, and policy issues, ensuring timely and accurate resolutions
- Educated providers on workflows and quality initiatives, enhancing overall provider satisfaction
- Managed client relationships to ensure satisfaction and retention.
- Developed tailored healthcare solutions for diverse client needs.
- Collaborated with cross-functional teams to streamline account management processes.
Admission Coordinator, Inpatient Rehab
3 Years- Oversaw referrals and admissions processes, and facilitated smooth transitions of care.
- Coordinated patient scheduling to optimize clinic workflow and minimize delays.
- Managed inventory of medical supplies to ensure availability for staff needs.
- Facilitated communication between departments to support patient care initiatives.
Case Manager
3 Years- Coordinated inpatient caseloads and discharge planning to ensure seamless interdisciplinary care
- Coordinated care plans for diverse populations within community health programs.
- Assessed client needs and developed personalized service strategies for effective support.
- Collaborated with healthcare providers to ensure comprehensive service delivery.
Clinical Coordinator
3 Years- Coordinated daily operations, patient flow, and clinical documentation for high-volume wound center, ensuring optimal patient care and efficiency
- Coordinated patient care plans with multidisciplinary teams at a specialized wound care facility.
- Managed scheduling and patient flow to optimize clinic operations and reduce wait times.
- Educated patients on wound care practices and post-treatment instructions to ensure compliance.
Home Care Nurse
3 YearsCritical Care Nurse
3 YearsEducation
BSN
ADN
Skills
Case Management
Care Coordination
Care Management
Medicaid management
Utilization Review
Complex Care Planning
Chronic Disease Management
Interdisciplinary Collaboration
Provider Education
Documentation & Compliance
Credentials
RN Compact License
References
References available upon request.
Timeline
Case Manager
AmeriHealth Caritas of Ohio
01.2025 - 06.2026Read More
Account Executive I, Provider Services
AmeriHealth Caritas of Ohio
01.2023 - 01.2025Read More
Admission Coordinator, Inpatient Rehab
Upper Valley Medical Center (UVMC)
01.2020 - 01.2023Read More
Case Manager
Upper Valley Medical Center (UVMC)
01.2017 - 01.2020Read More
Clinical Coordinator
Healogics Wound Care Center
01.2014 - 01.2017Read More
Staff Nurse, Wound & Ostomy (Part-Time)
Upper Valley Medical Center (UVMC)
01.2006 - 01.2014Read More
Home Care Nurse
St. Rita’s Medical Center
01.2003 - 01.2006Read More
Wound & Ostomy Nurse (Casual/Part-Time)
St. Rita’s Medical Center
01.2002 - 01.2014Read More
Critical Care Nurse
St. Rita’s Medical Center
01.1999 - 01.2002Read More
University of Phoenix
BSN
01.2011Read More
Rhodes State College
ADN
01.1997Read More