KAITLYN MONHEIM
Summary
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
16
16
years of professional experience
Work History
Stay-At-Home-Mother
Self Employed
06.2023 - Current
- Organized daily schedules for 3 children aged 3-7 years
- Facilitated social interaction for children by organizing play dates and extracurricular activities
- Managed household finances, bill payments, budget tracking, and identified cost-saving opportunities for a household of 5
Quality Assurance Nurse Specialist
Maximus NY
10.2021 - 06.2023
- Train new hires on aspects of job duties; Review and provide feedback on progress of trainees; Analyze UAS recommended scores in relation to Nurse Assessor determinations; Develop and complete reports that track and trend activities and outcomes; Examine cases at random for completeness, accuracy and consistency; Collect data related to assessments and assessment outcomes; Examine data for outliers and research such cases, Act as an advisor to UAS staff (Uniform Assessment System) staff on all quality assurance and compliance issues related to the UAS project; Attend Fair Hearing cases and prepare case packets; Adjudicate involuntary disenrollment decisions, plan enrollment denial decisions; Review and adjudicate external MLTC plan variances; Utilize computer programs such as UAS and MAXeb
Utilization Review Nurse
Nascentia Health Options MLTC
10.2018 - 02.2020
- Evaluate health care services within MLTC for the purpose of monitoring quality of care and controlling cost; Act as a safeguard against unnecessary and inappropriate medical care; Determine if services are medically necessary or if services are inadequate for member needs; Educate Care Managers and MLTC staff on proper utilization of MLTC services; Review record for concurrent, prior service authorizations, denials and service reductions; Review cost of services at recertification; Send approval and Notice of Action letters; Handle appeal and fair hearing requests
RN Case Manager
iCircle Care MLTC
10.2016 - 10.2018
- Implement an appropriate quality and cost-effective plan that utilizes all resources available to meet member needs; Manage caseload of 50-75 members under a collaborative process of assessing physical, social and environmental factors; Utilize evidence-based health strategies to prevent hospitalization and inappropriate utilization of emergency room visits; Assist the member in reaching his/her optimum level of wellness, self-care management, and functional capabilities
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Managed patients recovering from medical or surgical procedures.
RN Enrollment Nurse
iCircle Care MLTC
05.2015 - 10.2016
- Conduct UAS assessments, while following specific Medicaid Managed Long-Term Care plan guidelines for qualifying potential members; Maintain productivity for weekly enrollments which included explaining iCircle's benefits and services, coordination of care, process of enrollment, qualifications and requirements for enrollment; Develop a specific plan that ensures potential MLTC member maintains a safe, healthy, lifestyle
- Evaluated patient histories, complaints, and current symptoms
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission
RN Case Manager
Lifetime Care
04.2013 - 05.2015
- Conduct UAS assessments for Monroe Plan, and Monroe County DSS; Create PCA (Personal Care Assistant)/CDPAS (Consumer Directed Personal Assistance Services) plan of care recommendations based on comprehensive assessment (UAS) and physician orders; Manage caseload of complex, chronic, medical patients; Responsible for coordinating and organizing patient care with patient, family, multiple healthcare disciplines, and physicians; Manage Dr. Beatrice Deshommes of RGH's OPD Clinic: A diverse, chronic and acute, community patient caseload; Attend bi-weekly meetings with clinic staff, to discuss plan of care, progress, specific concerns and patient needs
- Communicated with healthcare team members to plan, implement and enhance treatment strategies
- Managed patients recovering from medical or surgical procedures
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies
Registered Nurse
Rochester General Hospital 5400: PPCU
05.2012 - 04.2013
- Provide skilled nursing care on an acute 26 bed step-down unit specialized in progressive pulmonary care; Deliver care to patient requiring long term mechanical ventilation; Management of chronic and acute pulmonary diseases
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies
- Managed patients recovering from medical or surgical procedures
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices
- Implemented care plans for patient treatment after assessing physician medical regimens
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions
Licensed Practical Nurse
Private Duty Nurse
11.2011 - 04.2013
- Deliver in-home services to medically fragile patients using LPN Medicaid ID number for billing purposes
- Documented accurate and complete patient information to address patient problems and expected outcomes
- Performed routine evaluations of each patient's status, needs, and preferences
Licensed Practical Nurse
Home Care of Rochester
05.2010 - 11.2011
- Deliver home care nursing in accordance to physician orders and case manager instruction, to patients in community setting and also to population living in alternative housing; delivered care based upon goal oriented patient care plan
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management
- Documented accurate and complete patient information to address patient problems and expected outcomes
- Cared for wounds, provided treatments, and assisted with procedures
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery
- Administered medications and injections to patients.
- Monitored patient health conditions to report changes to assigned physician
- Provided patient education on health care issues and prescribed medications
Licensed Practical Nurse
Rochester General Hospital 5800
06.2008 - 05.2010
- Provide exceptional service to patients and families on 38 bed medical/surgical unit; Administer medications, prepare equipment and assist during treatments and procedures
- Administered controlled narcotics, inserted IVs, and performed catheterizations
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery
- Delivered updates in patient status to charge nurse, recording changes in medical records
- Assisted with admissions, appointments, transfers, and discharges
- Coordinated patient transfers to other facilities.
- Responded to patient requests with appropriate clinical and personal assistance
- Monitored patient health conditions to report changes to assigned physician
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
Education
Bachelor Degree in Nursing -
St. John Fisher College
01.2018
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01.2014
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01.2013
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01.2012
Associates Degree in Nursing -
Excelsior College
01.2012
Licensed Practical Nurse -
Isabella Graham Hart School of Practical Nursing
01.2008
Skills
- Patient Management
- Care Planning
- Wound Care
- Chronic Disease Management
- Case Management
- Precepting
- Care Plan Development
- Medication and IV administration
- Insurance plan expert
- Intravenous therapy
- Intake and discharge
- Patient Assessment
- Patient education and counseling
- Coordinating referrals
- High level of autonomy
Timeline
Stay-At-Home-Mother
Self Employed
06.2023 - Current
Quality Assurance Nurse Specialist
Maximus NY
10.2021 - 06.2023
Utilization Review Nurse
Nascentia Health Options MLTC
10.2018 - 02.2020
RN Case Manager
iCircle Care MLTC
10.2016 - 10.2018
RN Enrollment Nurse
iCircle Care MLTC
05.2015 - 10.2016
RN Case Manager
Lifetime Care
04.2013 - 05.2015
Registered Nurse
Rochester General Hospital 5400: PPCU
05.2012 - 04.2013
Licensed Practical Nurse
Private Duty Nurse
11.2011 - 04.2013
Licensed Practical Nurse
Home Care of Rochester
05.2010 - 11.2011
Licensed Practical Nurse
Rochester General Hospital 5800
06.2008 - 05.2010
Bachelor Degree in Nursing -
St. John Fisher College
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Associates Degree in Nursing -
Excelsior College
Licensed Practical Nurse -
Isabella Graham Hart School of Practical Nursing
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