Registered Nurse Care Manager
Kimberly Creech
Duke University and Health Systems
Hillsborough,NC
1
Certification
30
Years of experience
Compassionate nursing professional with 30 years of experience in telemetry, utilization review, and care management. Recognized for strong assessment skills, interdisciplinary collaboration, and timely discharge planning. Focused on improving patient outcomes through coordinated, well-documented care. Energetic Nurse Aide with thirty years of experience providing comprehensive support and care to patients. Committed to increasing treatment knowledge through hands-on learning for professional development. Skillful in solving complex problems and staying calm in emergency situations. Expertise in case management and utilization review.
Work History
Registered Nurse Care Manager
5 Years 3 Months- Coordinated discharge planning activities, arranging home health services and post-hospital follow-up appointments to ensure seamless transitions of care.
- Worked with physicians, social workers, and case managers on discharge planning.
- Reviewed patient histories, symptoms, and referrals to inform nursing care decisions and enhance patient outcomes.
- Tracked care transitions and updated plans in electronic health record systems.
- Facilitated referrals to social service agencies, connecting patients with necessary resources for improved recovery support.
- Taught patients and families about medications, follow-up care, and treatment instructions.
- Provided emotional support to families dealing with difficult situations involving illness or death.
- Attended continuing education classes to stay abreast of current trends in healthcare delivery systems.
Utilization Review Nurse
3 Years 3 Months- Reviewed inpatient cases for Duke Regional Hospital using InterQual and MCG guidelines.
- Coordinated medical necessity reviews with physicians, case managers, and payers.
- Evaluated admission, observation, and discharge status for appropriate level of care.
- Documented utilization findings in Epic and hospital compliance records.
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Communicated authorization needs with insurance representatives and care teams.
- Prepared denial appeals and supporting clinical documentation for payer review.
- Collaborated with Duke Regional Hospital staff on care transitions and utilization planning.
- Tracked review requests, payer responses, and clinical authorization updates daily.
- Maintained up-to-date knowledge of health plan benefits, policies, procedures, regulations, coding guidelines.
Clinical Nurse 2/Telemetry Registered Nurse
14 Years 6 Months- Assessed patient conditions and updated nursing care plans at Duke Regional Hospital.
- Administered medications and monitored reactions following hospital safety protocols.
- Utilized strong assessment skills to determine necessary patient care.
- Performed physical assessments, wound care, IV therapy, and other nursing interventions.
- Documented care notes in electronic health records with accuracy and clarity.
- Coordinated with physicians and care teams on treatment and discharge plans.
- Responded to urgent changes and supported bedside interventions across hospital units.
- Analyzed laboratory results and implemented appropriate interventions accordingly.
- Educated patients and families on medications, recovery, and home care.
- Trained new nursing staff on workflows, charting, and patient care standards.
- Adhered to ethical standards of practice while providing compassionate care.
Education
Bachelor of Science - Nursing
Skills
Case management
Care coordination
Discharge planning
Utilization review
Epic documentation
InterQual criteria
Patient advocacy
Certification
- Nursing Case Management
Timeline
Registered Nurse Care Manager
Duke University and Health Systems
08.2021 - CurrentRead More
Utilization Review Nurse
Duke Regional Hospital
05.2018 - 08.2021Read More
Clinical Nurse 2/Telemetry Registered Nurse
Duke Regional Hospital
11.2003 - 05.2018Read More
Eastern Kentucky University
Bachelor of Science from Nursing
Read More