Karen C. Reynoldson
Topeka
Summary
Nurse with over 25 years of diverse nursing experience in various healthcare environments, skilled at multitasking, interdisciplinary collaboration, excellent time management, and demonstrates strong teamwork.
Overview
28
28
years of professional experience
1
1
Certification
Work History
RN Case Manager
University of Kansas St. Francis Campus
Topeka, KS
09.2020 - Current
- Coordinated patient care plans to address medical, social, and emotional needs.
- Assessed patient conditions and implemented interventions for improved health outcomes.
- Collaborated with interdisciplinary teams to optimize resource utilization and care delivery.
- Developed educational materials for patients and families on disease management strategies.
Rehab Liaison/Nurse Navigator, PPS Coordinator
The University of Kansas Health System St Francis Campus
Topeka, KS
03.2019 - 09.2020
- Responsible for the coordination of patient care especially across specialties and service lines through the admissions process including functional assessment, identifying CMS diagnosis, and planning.
- Provide quality customer service to patients, families, coworkers, and other members of the interdisciplinary health care team to create a professional and respectful environment
- Facilitated patient transitions between rehabilitation and acute care settings.
- Collaborated with multidisciplinary teams to optimize patient care plans.
NURSE COORDINATOR – CREDENTIALING
Blue Cross Blue Shield of Kansas
Topeka, Kansas
01.2017 - 01.2019
- Performs thorough, timely and accurate review of the credentialing and recredentialing applications for primary care physicians, referral specialists, consultants, allied health professionals, and organizational practitioners.
- Approves credentialing status based on written criteria or makes referral/recommendations to the Credentialing committee.
- Responsible for the accurate storage and tracking of practitioner’s credentialing information.
NURSE CONSULTANT
Blue Cross Blue Shield of Kansas
Topeka, Kansas
01.2013 - 01.2017
- Provide nursing expertise to medical review staff for precertification and alternative care review activity.
- Independently conducts reviews for medical necessity and contract eligibility. Coordinates activities with providers, physicians, consultants, members and management. Determine through independent medical knowledge when medical consultant expertise is required.
- Proficient in the application of InterQual medical criteria, and the web based precertification system.
STAFF NURSE ON POST SURGICAL UNIT
Manhattan Surgical Hospital
Manhattan, KS
01.2012 - 01.2013
- Conducted assessments to evaluate patient needs, adapting care approaches accordingly.
- Administered medications and monitored patient vital signs to ensure optimal recovery.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
STAFF NURSE ON LABOR/DELIVERY AND POSTPARTUM UNIT
St. Francis Hospital
Topeka, KS
01.2006 - 01.2012
STAFF NURSE, MEDICAL-SURGICAL UNIT
St. Luke’s South Hospital
Overland Park, KS
01.2001 - 01.2006
STAFF NURSE, MEDICAL POST-SURGICAL UNIT
Stormont Vail Regional Medical Center
Topeka, KS
01.1998 - 01.2001
Education
Baccalaureate Degree of Nursing -
Washburn University
Topeka, KS12-1998
Skills
- Discharge planning
- Care coordination
- Home care management
- Community resources
- Multidisciplinary approach
Certification
- Registered Nurse, Kansas State Board of Nursing
- BLS
Timeline
RN Case Manager
University of Kansas St. Francis Campus
09.2020 - Current
Rehab Liaison/Nurse Navigator, PPS Coordinator
The University of Kansas Health System St Francis Campus
03.2019 - 09.2020
NURSE COORDINATOR – CREDENTIALING
Blue Cross Blue Shield of Kansas
01.2017 - 01.2019
NURSE CONSULTANT
Blue Cross Blue Shield of Kansas
01.2013 - 01.2017
STAFF NURSE ON POST SURGICAL UNIT
Manhattan Surgical Hospital
01.2012 - 01.2013
STAFF NURSE ON LABOR/DELIVERY AND POSTPARTUM UNIT
St. Francis Hospital
01.2006 - 01.2012
STAFF NURSE, MEDICAL-SURGICAL UNIT
St. Luke’s South Hospital
01.2001 - 01.2006
STAFF NURSE, MEDICAL POST-SURGICAL UNIT
Stormont Vail Regional Medical Center
01.1998 - 01.2001
Baccalaureate Degree of Nursing -
Washburn University