Katarzyna (Kathy) Szelag
Schaumburg,IL
Summary
Experienced, driven and dynamic Registered Nurse Clinical Care Manager with extensive experience in case management and utilization review. Proven ability to enhance patient flow and implement effective discharge plans while fostering strong communication among interdisciplinary teams. Skilled in navigating Medicare, Medicaid and private payors with a commitment to compliance, cost efficiency and improved quality of care. Enthusiastic, eager, and highly motivated to embrace new career opportunities.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Clinical Care Manager
Endeavor Northwest Community Healthcare
Arlington Heights, IL
01.2017 - Current
- Managed efficient patient flow, developed and implemented proactive discharge plans, and facilitated timely transition to next level of care
- Coordinated patient care plans with interdisciplinary healthcare teams and participated in daily multi disciplinary huddles to address potential barriers and concerns
- Facilitated communication between patients, families, and healthcare providers
- Prepared initial and concurrent insurance reviews for various patient populations including adult medical/surgical, pediatric, neonatal, and obstetrics
- Coordinated insurance denial process on designated units
- Collaborated with physician advisors to capture appropriate initial and continued patient admission status (inpatient/obs/outpt)
- Ensured compliance with healthcare regulations and organizational policies and procedures
- Maintained ongoing education in Medicare, Medicaid, and private payor guidelines
Registered Nurse
Northwest Community Hospital
Arlington Heights, IL
06.2002 - 01.2017
- Within the scope of nursing practice, provided direct patient care, stabilized patients and determined next course of action
- Administered medications and treatments according to established protocols and guidelines
- Led successful team comprised of RNs, LPNs, and ancillary staff by assuming the role of charge nurse/team lead
- Educated patients and families on health management and treatment options
- Trained and oriented new staff on hospital policies, procedures, and best practices in nursing care
Certified Nursing Assistant
Northwest Community Hospital
Arlington Heights, IL
01.2001 - 06.2002
- Worked closely with nurses and other members of healthcare team to deliver safe and quality care to patients and families in a hospital setting
- Documented patient information accurately in electronic health records system
- Trained new nursing assistants on best practices and hospital policies consistently
Education
Master of Science - Nursing (MSN)
Grand Canyon University
Phoenix, AZ01-2016
Bachelor of Science - Nursing (BSN)
Olivet Nazarene University
Bourbonnais, IL01-2007
Associate of Science - Nursing (RN)
William Rainey Harper College
Palatine, IL01-2002
Skills
- Case management and care coordination
- Utilization review
- Solid and clear understanding of healthcare industry
- Strong interpersonal and communication skills
- Comfortable navigating various patient populations, from pediatrics to geriatrics, and obstetrics
- Experienced with Medicare, Medicaid, and private payers
- Excellent documentation skills and attention to detail
- Strong problem-solving and critical-thinking skills
- Ability to multitask and embrace change
- Compliance with regulatory guidelines
- Proficient in MCG (Milliman Guidelines)
- Ability to work independently and set priorities
- Efficient workload management
- Mentoring and training
- HIPAA compliance
Languages
Polish
Native/ Bilingual
Spanish
Limited
Certification
- Registered Professional Nurse (State of Illinois -Active)
- Accredited Case Manager -RN (Active - Expires May 2027)
Timeline
Clinical Care Manager
Endeavor Northwest Community Healthcare
01.2017 - Current
Registered Nurse
Northwest Community Hospital
06.2002 - 01.2017
Certified Nursing Assistant
Northwest Community Hospital
01.2001 - 06.2002
Master of Science - Nursing (MSN)
Grand Canyon University
Bachelor of Science - Nursing (BSN)
Olivet Nazarene University
Associate of Science - Nursing (RN)
William Rainey Harper College