Kelly Ann Krambeck
Monticello,Iowa
Summary
Compassionate nurse with extensive experience in chronic disease management, patient education, and health promotion. Proven ability to communicate effectively and demonstrate empathy while solving complex problems. Highly motivated and adaptable, with a strong work ethic and exceptional interpersonal skills. Skilled in working independently and rapidly acquiring new competencies.
Overview
21
21
years of professional experience
Work History
Utilization Review /Telephonic Nurse Case Manager
Sedgwick
05.2017 - Current
- Reviewed clinical information and performed utilization management in accordance with ODG guidelines.
- Evaluated precertification requests for medical necessity, ensuring alignment with treatment guidelines.
- Referred cases lacking medical necessity to peer review or medical director for evaluation.
- Reviewed patient records to guarantee compliance with insurance guidelines and standards.
- Analyzed treatment plans to ensure adherence to best practices and regulatory requirements.
House Supervisor
Finley UnityPoint
Dubuque, Iowa
12.2016 - 05.2017
- Assessed staffing needs, made staffing decisions, placed float staff, and monitored nursing unit performance to ensure optimal patient care.
- Conducted rounds throughout hospital to evaluate patient care quality and safety, addressing patient, staff, and visitor concerns with effective solutions.
- Ensure compliance with hospital policies, rules, and regulations to maintain high standards of care and safety.
- Determine/verify bed assignments, evaluate utilization of personnel/supplies/equipment for optimum effectiveness and working conditions.
ICU RN
Finley UnityPoint
Dubuque, Iowa
01.2015 - 01.2017
- Cared for critically ill patients, provided advanced life support, assisted physicians with procedures, and responded to rapid response calls throughout the hospital.
- Mentored new employees and college students in clinical practices, enhancing their clinical skills and integration into the team.
Resource RN
Finley UnityPoint
Dubuque, Iowa
01.2012 - 01.2015
- Managed comprehensive patient care across Medical/Surgical, Rehab, Gero-Psych, ICU, Cardiac Rehab, ER, and Interventional Radiology.
- Achieved cross-training in ICU, Cardiac Rehab, Interventional Radiology, and ER to enhance clinical versatility.
- Precepted new employees and nursing students, facilitating onboarding and skill development.
- Achieved recognition as clinical nurse I (CN1) through professional development program.
- Contributed to HCAHPS committee by collaborating on patient experience initiatives.
Home Health Nurse
Jackson County Regional Health Center
Maquoketa, Iowa
01.2008 - 01.2012
- Conducted comprehensive assessments and observations for in-home patients, managed dressing changes, and provided instruction on wound vacs and IV medication administration to enhance patient care.
- Supervised CDAC staff to uphold high standards of quality care for patients in home settings.
Medical Nurse Case Manager
Hines & Associates
Dubuque/Bellevue
01.2006 - 01.2008
- Liaised with patients, families, and healthcare personnel to coordinate prompt and effective healthcare services.
- Conducted utilization reviews with Milliman to assess appropriateness of healthcare services delivered.
- Ensured cost-effectiveness of healthcare services such as medications, in-patient stay, LTAC, Home Health, DME, surgeries, using Milliman.
OR Nurse/ER Nurse
Jackson County Regional Health Center
Maquoketa, Iowa
01.2005 - 01.2006
- Circulated, scrubbed, and educated patients on pre-operative procedures to enhance patient understanding and comfort.
- Monitored patient vital signs during procedures to maintain safety and comfort.
- Assisted surgical teams by preparing instruments and ensuring sterile environments.
- Assessed patient conditions in high-pressure emergency situations.
- Utilized advanced medical equipment to support patient needs.
Education
ADN - Nursing
Northeast Community College
Peosta, Iowa01-1997
Skills
- Medical coding
- Mentorship and leadership
- Nursing assessments
- Treatment planning
- Care coordination
- Utilization management and review
- Interdisciplinary collaboration
- Clinical judgment
- Data entry and management
- Problem-solving
References
References provided upon request
Credentials
- RN
- CCM
Awards Accolades
- Annual Caring Heart Award
- Nominated for Daisy Award
Timeline
Utilization Review /Telephonic Nurse Case Manager
Sedgwick
05.2017 - Current
House Supervisor
Finley UnityPoint
12.2016 - 05.2017
ICU RN
Finley UnityPoint
01.2015 - 01.2017
Resource RN
Finley UnityPoint
01.2012 - 01.2015
Home Health Nurse
Jackson County Regional Health Center
01.2008 - 01.2012
Medical Nurse Case Manager
Hines & Associates
01.2006 - 01.2008
OR Nurse/ER Nurse
Jackson County Regional Health Center
01.2005 - 01.2006
ADN - Nursing
Northeast Community College