Katherine Cyr RN
3971 S Ivanhoe Terrace Inverness
Summary
Experienced Registered Nurse specializing in care coordination and patient advocacy. Achievements include improving client engagement and optimizing service delivery through strong critical thinking and communication skills. Proficient in regulatory compliance and fostering multidisciplinary collaboration to achieve superior patient outcomes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
RN Case Manager
Aetna, a CVS Health
Inverness
06.2023 - Current
- Coordinate patient care plans across interdisciplinary teams.
- Manage ongoing communication with patients and families regarding care progress.
- Utilize electronic health record systems for tracking patient information.
- Advocate for patients' access to necessary medical services and resources
- Provide guidance in regards to service denials, peer to peer, and appeals.
- Provided mentorship to new case managers in best practices and procedures.
- Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
- Reviewed clinical data including lab results, radiology reports and vital signs to assess appropriateness of treatments.
- Participated in career development programs such as mentorship and job shadowing.
RN HSS Clinical Coordinator
UnitedHealthcare
Inverness
10.2019 - 06.2023
- Care coordination for Managed Care Long Term Care Medicaid members via telephonic and face to face monthly contact.
- Evaluated members needs and arrange for services to maintain member in lowest level of care environment.
- Collaborated with Utilization review team to obtain insurance authorization and continued to monitor needs for services during member contacts.
- Created, reviewed, and updated plan of care per AHCA contractual deadlines.
- Transitioned members to a higher or lower level of care setting as needed.
- 701B certified.
- Staff preceptor and piloted new programs
RN Long Term Care Case Manager
Wellcare
05.2019 - 10.2019
- Managed the needs of Long Term Care Medicaid members.
- Evaluated service needs, obtain authorization approval, staff services, and assure continued member satisfaction with care.
Home Health Case Manager/Patient Care Supervisor/DON
Baycare Homecare
Crystal River
06.2018 - 04.2019
- Assured compliance with Medicare and state/federal guidelines.
- Proficient at Oasis documentation, bedside care skills, education of complex health conditions, and case management of home based patients.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Directed, supervised, and evaluated medical and clerical personnel.
RN HSS Clinical Coordinator
United Health Care
Inverness
02.2016 - 06.2018
- Managed services for members enrolled in Long Term Care Managed Care Medicaid Program.
- Oversaw adherence to federal, state and company requirements and regulations.
- Excelled at recognizing potential nursing facility members that are candidates for transition to home setting with services or Assisted living Placement.
- Worked closely with transition team and completed role playing skit to help staff increase nursing facility transitions.
- ICUE electronic charting system Subject Matter Expert and preceptor.
Supervisor, Intake Coordinator, Field Case Manager
Citrus Home Health at Citrus Memorial Hospital, Home Health
Inverness
04.2012 - 12.2015
- Ensured clinical documentation is comprehensive and submitted timely and assure Medicare compliance guidelines.
- Performed Oasis chart reviews.
- Collaborated with Director of Nursing as Assistant Director of Nursing role to develop programs targeting nurse education, overall departmental competencies, individual performance, patient safety and service-related issues.
- Prepared staff schedules and oversaw weekly patient census.
- Processed home health intake referrals and arrange for DME and home infusion services.
- Assisted in obtaining insurance authorization.
- Provided direct patient care and case management to patients in home setting.
Registered Nurse
Citrus Memorial Hospital
11.2010 - 04.2012
- Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
- Telemetry experience
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Oversaw patient admissions and discharges
Education
Bachelor of Science - Nursing
Western Governors University
03.2020
Associate Degree - Nursing
Central Florida Community College
05.2010
Skills
- Compact Multistate RN License
- RN license NY, OR, CA, HI, MI, MN, DC, IL, AK, MA, NV
- Critical Thinking and problem solving
- Multitasking and Attention to detail
- Telephonic remote experience
- Microsoft Office Suite, Outlook, Medcompass, ATV, CEC
- Claims review
- Motivational Interviewing
- Regulatory Compliance
- Multidisciplinary Team Collaboration
- Coach, mentor, preceptor
- Time Management
Certification
- Compact Multistate License Florida Registered Nurse License RN 9310507 - Issued: 7/6/2010 Expiration: 4/30/2028
Active RN license NY, OR, CA, HI, MI, MN, DC, IL, AK, MA, NV
Timeline
RN Case Manager
Aetna, a CVS Health
06.2023 - Current
RN HSS Clinical Coordinator
UnitedHealthcare
10.2019 - 06.2023
RN Long Term Care Case Manager
Wellcare
05.2019 - 10.2019
Home Health Case Manager/Patient Care Supervisor/DON
Baycare Homecare
06.2018 - 04.2019
RN HSS Clinical Coordinator
United Health Care
02.2016 - 06.2018
Supervisor, Intake Coordinator, Field Case Manager
Citrus Home Health at Citrus Memorial Hospital, Home Health
04.2012 - 12.2015
Registered Nurse
Citrus Memorial Hospital
11.2010 - 04.2012
Bachelor of Science - Nursing
Western Governors University
Associate Degree - Nursing
Central Florida Community College