Lisa Rosati
New Castle,PA
Summary
Professional with strong background in multiple areas of nursing. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment and resource coordination. Reliable and results-focused, with commitment to achieving positive outcomes. Proactive and resourceful with strong knowledge of community resources. Strong communicator with passion for helping others.
Overview
27
27
years of professional experience
Work History
Case Manager/Utilization Review RN
Sharon Regional Medical Center
New Castle, USA
06.2013 - Current
- Coordinates the overall interdisciplinary plan of care for a patient, from admission to discharge
- Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively
- Reviews medical records for medical necessity, appropriate level of care, and length of stay
- Obtains initial authorizations for hospitalized patients
- Performs concurrent review of patients clinical information for continued hospitalization
- Obtains authorization for skilled level of care and acute inpatient rehab
- Will be responsible to cover the case management department for my direct supervisor in her absence
- Proficient in using Interqual Criteria for appropriate level of care
Transition Coordinator/Discharge Planner
UPMC Health Plan
04.2011 - 05.2013
- Responsible for care coordination and health education with identified health plan members through face to face collaboration with members and their caregivers and providers
- Identified members medical, behavioral, and social needs and barriers to care, and developed a comprehensive care plan that assisted members to close gaps in preventive care
- Identified barriers to care, and supported the members self-management of chronic illness based on clinical standards of care
- Collaborated and facilitated care with other medical management staff, other departments, providers, community resources and caregivers to provide additional support
Lead Registered Nurse
MedExpress Urgent Care
01.2008 - 04.2011
- Assisted the practitioner with examinations, procedures, and other duties
- Responsible for screening and triaging patients and updating medical records
- Collected and documented vital signs
- Collected and prepared specimens for laboratory analysis
- Reviewed and properly handled test results
- Responsible for training of new hires, maintained employee competencies, and responsible for inventory and supplies of the clinic
Registered Nurse
Ellwood City Hospital
01.2002 - 01.2008
Oncology Nurse
Northside Medical Center
01.2002 - 07.2002
Registered Nurse
Jameson Memorial Hospital
01.1998 - 01.2002
Education
Bachelors in Science - Nursing
Carlow College
Pittsburgh, PA12.2007
License -
Jameson School of Nursing
New Castle, PA06.1998
Skills
- Insurance authorization-Acute, skilled, Inpatient Rehab
- Knowledge of EMR
- Knowledge of Interqual Criteria for hospital admission
- Utilization review
- Problem-solving
- Time management
Timeline
Case Manager/Utilization Review RN
Sharon Regional Medical Center
06.2013 - Current
Transition Coordinator/Discharge Planner
UPMC Health Plan
04.2011 - 05.2013
Lead Registered Nurse
MedExpress Urgent Care
01.2008 - 04.2011
Oncology Nurse
Northside Medical Center
01.2002 - 07.2002
Registered Nurse
Ellwood City Hospital
01.2002 - 01.2008
Registered Nurse
Jameson Memorial Hospital
01.1998 - 01.2002
License -
Jameson School of Nursing
Bachelors in Science - Nursing
Carlow College