Kelli Butler
Pearl River,USA
Summary
Spearheaded comprehensive care plan coordination for diverse populations, including individuals with mental health, substance abuse, and social service needs.
Overview
11
11
years of professional experience
1
1
Certification
Work History
RN Case Manager
UnitedHealth Group
03.2025 - Current
- Conduct comprehensive clinical assessments to determine appropriate level of care and medical necessity. Collaborate with physicians, hospital staff, and providers to coordinate services and ensure continuity of care. Review documentation for accuracy, completeness, and alignment with insurer requirements. Educate patients and families on care plans, benefit coverage, available resources, and discharge options. Identify care gaps, barriers to treatment, and opportunities for cost-effective interventions. Document all case actions and clinical decisions in compliance with regulatory standards and organizational policies. Facilitate prior authorizations, appeals, and post-service reviews when required. Work collaboratively with interdisciplinary teams to support safe transitions of care and reduce readmission risk.
RN Case Manager
University Medical Center New Orleans LCMC Health
01.2023 - 03.2025
- Accomplishes clients care by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; coordinates care and monitors cases. Works with physicians, social workers, families, and human services providers to ensure safe discharge. Mentors staff members and assists leadership with orienting newly hired staff members.
Home Health Travel RN Case Manager
SkyBridge Healthcare
06.2021 - 01.2023
- Facilitates needs of Home Health Agency in need of staffing. RN collaborates with physicians and other health care professionals to plan care, frequently visits patients to evaluate condition, provides support to family and patients according to needs of patient, administer medication, completes wound care, venipuncture, and assessments per MD orders. Attends weekly meetings to discuss patient’s process and decisions to recert/discharge. Monitors patients for any change in change in care that requires MD notification or change in current POC.
Travel Hospice Rn
Supplemental Health Care
08.2022 - 11.2022
- RN collaborates with physicians and other health care professionals to plan care, frequently visits patients to evaluate condition, provides comfort and support to family and patients according to needs of patient, helps administer medication, helps families cope with nearing loss and provides postmortem support, notifies doctor of patient’s condition when necessary and alleviates sudden symptoms of end-stage disease.
Hospice RN Case Manager
St. Tammany Parish Hospital
12.2019 - 11.2021
- RN collaborates with physicians and other health care professionals to plan care, frequently visits patients to evaluate condition, provides comfort and support to family and patients according to needs of patient, helps administer medication, helps families cope with nearing loss and provides postmortem support, notifies doctor of patient’s condition when necessary and alleviates sudden symptoms of end-stage disease.
RN Triage Nurse
Intellatriage
02.2021 - 09.2021
- Receives calls from Hospice patients and families. Provides support, medication instruction, refills, scheduling and education.
Admit Nurse
Compassus Hospice Care
01.2019 - 12.2019
- Evaluate patient for hospice eligibility, assess diseases progression, assess vital signs, educate families on hospice protocol, medications and caregiver role, order medications and DME, complete admission paperwork, communicate with IDT staff about each individual patient.
Hospice Nurse
St. Catherine’s Hospice
01.2018 - 01.2019
- RN collaborates with physicians and other health care professionals to plan care, frequently visits patients to evaluate condition, provides comfort and support to family and patients according to needs of patient, helps administer medication, helps families cope with nearing loss and provides postmortem support, notifies doctor of patient’s condition when necessary and alleviates sudden symptoms of end-stage disease.
Home Health RN
Egan Home Health & Hospice
03.2017 - 01.2018
- Rn provides routine and acute assessments, skilled care and teaching to chronically ill and newly diagnosed patients. Rn provides wound care, IV therapy and lab draws. Maintains professional and caring interactions with clients.
Registered Nurse
Slidell Memorial Hospital
11.2016 - 03.2017
- Thorough assessments, monitor cardiac function, placement of telemetry and ekgs, assess vital sign changes, communicate with patients, families, doctors and other medical staff about patient changes and adjustments needed, prepare patients for procedures, monitor respiratory functions and communicate changes to respiratory, monitor patients labs, keep wounds clean and change dressings as needed.
Registered Nurse
North Oaks Health System
06.2015 - 11.2016
- Thorough assessments, monitor cardiac function, placement of telemetry and ekgs, assess vital sign changes, communicate with patients, families, doctors and other medical staff about patient changes and adjustments needed, prepare patients for procedures, monitor respiratory functions and communicate changes to respiratory, monitor patients labs, keep wounds clean and change dressings as needed.
Education
Bachelor of Science - Nursing
University of Louisiana
Lafayette, LA12.2024
Associates of Science - Nursing
Delgado Community College Charity School of Nursing
New Orleans, LA05.2015
Skills
- Supported family and team members in achieving project goals through effective communication and collaboration Assisted in resolving conflicts and fostering a positive team environment Contributed to team success by sharing knowledge and resources
- Demonstrated proficiency in various computer applications and software systems
- Oversaw team operations and ensured adherence to organizational standards
- Delivered exceptional customer service by addressing inquiries and resolving issues promptly
- Formulated comprehensive care plans to address patient needs and enhance health outcomes
- Oversaw patient monitoring to ensure timely identification of health changes
- Demonstrated adaptability in dynamic environments to meet evolving challenges
- Managed comprehensive medical documentation processes to ensure accuracy and compliance
- Assisted patients in accessing telehealth services Supported healthcare providers in delivering remote consultations Facilitated communication between patients and medical staff
- Demonstrated effective presentation skills to convey complex information clearly
- Spearheaded quality improvement initiatives to enhance operational efficiency
- Directed team initiatives to foster collaboration and drive project success
- Facilitated resolution of conflicts to foster a collaborative work environment
- Utilized Microsoft Outlook to manage daily schedules and coordinate meetings effectively Supported team communication through organized email correspondence
- Utilized medical terminology to enhance communication and documentation accuracy within healthcare settings
- Facilitated comprehensive discharge planning processes to ensure smooth transitions for patients
- Assisted in maintaining accurate medical records for patient care Supported healthcare teams by organizing and updating patient information Contributed to efficient record-keeping processes to enhance service delivery
- Oversaw care management processes to ensure optimal patient outcomes
- Utilized Microsoft Excel to assist in data entry and organization Supported team members in generating reports and analyzing data trends Contributed to maintaining accurate records and documentation
- Delivered compassionate hospice care to enhance patient comfort and dignity
- Executed daily routines to ensure operational efficiency
- Assisted teams in utilizing SharePoint for document management and collaboration Supported users in navigating SharePoint features to enhance productivity Contributed to the organization of project files within SharePoint for easy access
- Executed accurate data entry processes to ensure information integrity
- Demonstrated exceptional communication skills in interactions with patients
- Supported teams in understanding and applying NCQA standards to improve healthcare quality Assisted in the preparation of documentation to meet NCQA compliance requirements Collaborated with colleagues to facilitate training sessions on NCQA guidelines
- Oversaw comprehensive medication management processes to ensure patient safety and adherence
- Assisted in conducting thorough assessments of acute and critical situations Supported teams in identifying key issues and developing actionable solutions Collaborated with healthcare professionals to enhance patient care protocols
- Assisted individuals in navigating Medicare options Provided support in understanding benefits and coverage details Helped clients complete necessary enrollment forms
- Managed care and treatment plans for geriatric patients
- Conducted comprehensive interviews to assess candidate qualifications and fit
- Assisted in developing care plans for patients Supported healthcare teams in implementing treatment strategies Collaborated with staff to monitor patient progress
- Executed comprehensive wound care management protocols to ensure optimal patient recovery
- Executed phone triage to efficiently assess and prioritize incoming calls
- Prioritized and managed triage processes to ensure efficient patient care
- Optimized scheduling and prioritization of tasks to enhance productivity
- Facilitated collaborative efforts among team members to achieve project goals
- Implemented good clinical practice standards to ensure compliance and enhance patient safety
- Ensured compliance with HIPAA regulations to protect patient privacy and confidentiality
- Assisted in onboarding new employees by providing orientation materials and resources Supported new hires in understanding company policies and procedures Facilitated introductions to team members and key stakeholders
- Delivered comprehensive patient care by assessing needs and implementing treatment plans
- Assisted in managing electronic medical record systems to streamline patient data access Supported healthcare teams in utilizing EMR systems for improved patient care Contributed to training staff on EMR functionalities to enhance operational efficiency
- Oversaw comprehensive care strategies for geriatric patients
- Managed inpatient care operations to ensure optimal patient outcomes
- Ensured adherence to HIPAA regulations to safeguard patient information
- Enhanced physiology knowledge through continuous learning and application
- Triage
- Chronic disease management
- Discharge planning
- HIPAA compliance
- Multidisciplinary approach
Certification
- RN License
- Compact State Nurse License
- BLS Certification
- CPR Certification
- Driver's License
Timeline
RN Case Manager
UnitedHealth Group
03.2025 - Current
RN Case Manager
University Medical Center New Orleans LCMC Health
01.2023 - 03.2025
Travel Hospice Rn
Supplemental Health Care
08.2022 - 11.2022
Home Health Travel RN Case Manager
SkyBridge Healthcare
06.2021 - 01.2023
RN Triage Nurse
Intellatriage
02.2021 - 09.2021
Hospice RN Case Manager
St. Tammany Parish Hospital
12.2019 - 11.2021
Admit Nurse
Compassus Hospice Care
01.2019 - 12.2019
Hospice Nurse
St. Catherine’s Hospice
01.2018 - 01.2019
Home Health RN
Egan Home Health & Hospice
03.2017 - 01.2018
Registered Nurse
Slidell Memorial Hospital
11.2016 - 03.2017
Registered Nurse
North Oaks Health System
06.2015 - 11.2016
Associates of Science - Nursing
Delgado Community College Charity School of Nursing
Bachelor of Science - Nursing
University of Louisiana