Karen Stevens
Bridgeport
Summary
Experienced Registered Nurse with 20+ years in clinical and administrative capacities. Has worked within the healthcare industry the last 7 years telecommute in case management. Proven to be skilled in virtual patient assessment, Electronic Health Record and communication. Skilled in problem resolution and has worked collaboratively with multidisciplinary teams to attain favorable outcomes. Committed to providing accessible and empathetic care via digital platforms and other settings.
Overview
22
22
years of professional experience
Work History
Clinical Coordinator
Montefiore Diamond Care
Yonkers
01.2014 - 12.2021
- Company Overview: Medical Management Dept
- Assess member's care needs through telephonic case management and collaboration with primary care physicians
- Provides continuous Care management across the community, acute care, and long term care settings.
- Collaborates with the interdisciplinary care teams, other health care providers, family members and third party payers across all health settings to ensure optimum delivery and coordination of services to members
- Develops, monitors, evaluates Care plan measures, outcomes and makes modifications base upon changes in members' health.
- Reviews outcomes of the UAS assessments;
- Processes approved authorizations of covered services within regulatory guidelines every 6 months and ongoing as appropriate.
- Medical Management Dept
Care Management Supervisor
Village Care Max
NY
11.2012 - 11.2013
- Supervised and managed the activities of care management staff, ensuring coordination and communication across members of the Interdisciplinary Care Team.
- Ensured that assessments, care plans, care management activities, and complaints and appeals, are documented in the care management system.
- Processed requests for authorization of covered services within regulatory guidelines.
- Applied plan approved clinical criteria in processing requests for authorization and communicated with the Medical Director for medical review.
- Lead Interdisciplinary Care Team meetings and ensured participation of team members in the plan of care.
Team Manager- VNS CHOICE
Visiting Nurse Service of New York
Bronx
09.2009 - 11.2012
- Managed an interdisciplinary health care team of 12-15 clinicians.
- Provided administrative and staff support to the regional operations of VNS CHOICE.
- Ensured that ongoing care management were provided by staff, through a collaborative process of assessment, planning, and facilitation.
- Reviewed specific care management issues with interdisciplinary team, focusing on problem solving, early identification and response to actual or potential quality issues or complaints, approvals requiring next level authorization.
- Involved in performance improvement and progressive discipline staff when appropriate. Oversight of utilization management, health education and case management activities including compliance with reporting and regulatory requirements.
Nurse Consultant
Visiting Nurse Service of New York
Bronx
11.2001 - 09.2009
- Assessed plans and provides intensive and continuous care management across acute, home, and long term care settings.
- Developed and negotiated care plans with members, families and Physicians.
- Collaborated and negotiated with interdisciplinary teams, other health care providers, family members and third party payers across all health settings to ensure optimum delivery and coordination of services to members.
- Monitored and evaluated the effectiveness of the care plans in reaching desired outcomes; made modifications based on changes in member's health as needed.
Staff Nurse1/PD Nurse
NYU Medical Center
NY
02.2000 - 06.2003
- Conduct assessments, form care plans, implement and evaluated interventions
- Administered medications, monitor patient vitals, observe progress and report outcomes as appropriate
- Collaborate with providers and the interdisciplinary team to deliver safe, compassionate, patient-centered care in compliance With NY State Nurse Practice Act and NYU standards
Education
Bachelors - Nursing Science
College of New Rochelle
Westchester, New YorkSkills
- Care coordination
- Interdisciplinary teamwork
- Utilization management
- Effective communication
- Patient advocacy
Awards
- Initiative Awards, 2012
- ROSE Award, 2010, Achieved 30/31 Quality measures
- ABDC awards, 2002-2008, Above and Beyond the Call of Duty
Personal Information
Title: RN, BSN
Timeline
Clinical Coordinator
Montefiore Diamond Care
01.2014 - 12.2021
Care Management Supervisor
Village Care Max
11.2012 - 11.2013
Team Manager- VNS CHOICE
Visiting Nurse Service of New York
09.2009 - 11.2012
Nurse Consultant
Visiting Nurse Service of New York
11.2001 - 09.2009
Staff Nurse1/PD Nurse
NYU Medical Center
02.2000 - 06.2003
Bachelors - Nursing Science
College of New Rochelle