Katie Munson
Ferndale,WA
Summary
Experienced Case Manager with a background in Utilization Management. A varied work experience that provides quality patient care, discharge transitions of care knowledge, and the ability to effectively communicate with providers and patients.
Overview
18
18
years of professional experience
Work History
RN Care Management
Peace Health
02.2018 - Current
- Float Care Management: August 2023-Present. Floats to all hospital floors, from the ER to the ICU, as a Care Manager. Utilizing my background in Utilization Management for Medicare compliance, I collaborate with providers, vendors, patients, and their families for successful discharge planning. Problem-solving skills and the ability to communicate effectively for transitions of care are among my strengths as a CM.
- July 2019–current: ER Care Management: Initially cross-trained from UR to ER CM role. Honed skills in applying UM to ED admissions, recommending bed status orders, and overall educating ED providers on Medicare guidelines for admission.
- Utilization Review: 2018-Aug 2023: 4 years of experience in the UR department. Proficient in InterQual, communication with secondary review providers, the appeal and denial process for various insurances, and Medicare FFS regulations.
Wound Care Nurse
Peace Health Wound Healing Center
08.2010 - 01.2018
- Admitting and discharge nurse
- Assesses newly referred patients for nurse visits on appropriate wound care treatment, including the most fiscally responsible option for all parties involved.
- Collaborate with other nurses and wound care physicians to assess and change treatments to accelerate wound healing.
- Conducted the initial assessment of new patients and developed individualized treatment plans.
- Coordinated treatment plan discussions with a range of health care providers, including home health agencies, nursing homes, PCPs, hospitals, and surgical specialists.
RN Neurology Case Manager
Peace Health Neurology
04.2008 - 08.2010
- Managed care for over 200 patients under a neurologist's supervision, prioritizing and triaging needs.
- Coordinated outpatient care plans for patients with Alzheimer’s disease, Parkinson’s disease, Multiple Sclerosis, seizure disorders, spinal cord injuries, mental illnesses, and head trauma across all age groups.
- Managed insurance communications, completing appeals and prior authorizations to secure necessary patient services.
Pediatric Home Health Nurse
Avail Home Health
11.2008 - 04.2008
- Managed all medical needs of patient during shifts, including handling medical emergencies independently.
- Coordinated with patient’s teachers, behavioral and occupational therapists, primary doctor, and specialists to address treatment needs.
- Visited Children’s hospital monthly for ongoing evaluation and input on treatment for patient’s complex medical needs.
Education
CCM Certification-pending
Fundamentals of Wound Care Course -
University of Washington
01.2013
Associates Degree - Nursing
Skagit Valley College
01.2007
Skills
- Utilization management
- Care coordination
- Case management
- Discharge planning
- Effective communication
- Medicare compliance
Timeline
RN Care Management
Peace Health
02.2018 - Current
Wound Care Nurse
Peace Health Wound Healing Center
08.2010 - 01.2018
Pediatric Home Health Nurse
Avail Home Health
11.2008 - 04.2008
RN Neurology Case Manager
Peace Health Neurology
04.2008 - 08.2010
CCM Certification-pending
Fundamentals of Wound Care Course -
University of Washington
Associates Degree - Nursing
Skagit Valley College