Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kelly Hauser

Pottstown,PA

Summary

Skilled utilization review nurse with knowledge of admission, continue stay and observation reviews assessment. Many years experience in case management and utilization review. Dedicated and well-qualified RN offering proven skills. Detail-oriented, responsive, and proficient.

Overview

33
33
years of professional experience
1
1
Certification

Work History

Utilization Review Nurse

Pottstown Hospital-
Pottstown, PA
01.2020 - Current

Utilization review for Med/Surg, ICU, Telemetry, and Psychiatric patients using Interqual criteria. Conduct reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.

Focus on daily observation review for appropriate status. Ensure that determination is received for all cases and that all denials are forwarded to the denial team.

Case Manager

Pottstown Hospital
Pottstown, PA
01.1998 - 01.2020

Utilization review and discharge planning for patients on

Telemetry and Intensive Care Unit. Coordinating care for patients, families, and the medical team services arranged, including acute/skilled rehab, long-term care hospital, and home care. Served as preceptor and covered for the manager when needed.

Staff Nurse

Pottstown Hospital
Pottstown, PA
06.1991 - 01.1998

Comprehensive care for patients on Telemetry and Medical-Surgical units. Coordination and assessment of patients with physician and medical team. Served as preceptor and resource nurse. During this time, I was certified to teach CPR and first aid. CPR was taught to staff and the public as needed.

Education

HCPro Medicare Boot Camp

HCPro
01-2020

HCPro Medicare Boot Camp Utilization Review

HCPro
11-2017

Bachelor of Nursing

Temple University
Philadelphia, PA
06-1991

Skills

  • Interpersonal and written communication
  • HIPAA Compliance
  • Plan of care support
  • Utilization Management
  • Discharge planning coordination
  • Knowledge of Interqual
  • Knowledge of provider portals

Certification

RN License# RN315955L

CCMC certification since 2008 -Certificate number-00066728 expires 11/2028

Timeline

Utilization Review Nurse

Pottstown Hospital-
01.2020 - Current

Case Manager

Pottstown Hospital
01.1998 - 01.2020

Staff Nurse

Pottstown Hospital
06.1991 - 01.1998

HCPro Medicare Boot Camp

HCPro

HCPro Medicare Boot Camp Utilization Review

HCPro

Bachelor of Nursing

Temple University
Kelly Hauser