Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Macy Beashore

Savannah,MO

Summary

Registered Nurse with a strong background in critical care, hospice case management, and home health case management, seeking to transition into utilization review. Experienced in patient assessment, care coordination, treatment planning, and documentation. Skilled in collaborating with multidisciplinary teams to ensure appropriate levels of care and compliance with clinical guidelines. Adept at evaluating medical necessity, interpreting clinical data, and supporting patient outcomes through evidence-based practice.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Hospice Registered Nurse Case Manager

Three Oaks Hospice
Saint Joseph, MO
09.2024 - Current
  • Coordinate end-of-life care with interdisciplinary teams to ensure holistic, patient-centered care.
  • Conducted detailed clinical assessments to establish hospice eligibility and medical necessity.
  • Managed care plans, symptom control, medication regimens, and compliance documentation.
  • Acted as a liaison between the patient, family members and hospice staff, physicians regarding treatment options or prognosis updates.
  • Created and applied tailored care plans that would meet each patient's individualized needs.

Sales Representative

Medical Mutual
Saint Joseph, MO
07.2023 - Current
  • Educated Medicare-eligible clients on plan benefits, eligibility requirements, and enrollment guidelines in accordance with CMS guidelines.
  • Conducted a detailed needs assessment to match beneficiaries with appropriate health plans, emphasizing coverage, utilization, and compliance.
  • Interpreted and explained complex Medicare plan documentation, helping clients navigate prior authorizations and referrals—skills directly transferable to utilization review.
  • Maintained up-to-date knowledge of CMS policies, regulatory changes, and state-level requirements impacting plan eligibility and utilization.
  • Developed and maintained relationships with existing clients to ensure customer satisfaction.

Home Health Nurse Case Manager

Freudenthal Home Health
11.2022 - 09.2024
  • Reviewed documentation and patient needs to ensure alignment with the plan of care and UR principles.
  • Partnered with physicians and other case managers to create effective discharge and treatment plans.
  • Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
  • Conducted risk assessments in home environments to ensure patient safety.

Registered Nurse, Intensive Care Unit

Mosaic Life Care
01.2022 - 03.2024
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, administration of hemodynamic stabilizing drips, and monitoring life support equipment.
  • Monitored patients' respiratory status, monitoring blood pressure and ventilator operation in order to make adjustments to promote patient stabilization.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment, while managing rapidly changing conditions.
  • Observed patients' vital signs and administered physician-prescribed medications and treatments.
  • collaborated across disciplines and ensured accurate records for clinical audits and transitions of care.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
  • Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.

Patient Care Associate, Emergency Room

Mosaic Life Care
07.2021 - 12.2021
  • Obtained biological specimens for ordered tests and prepared for laboratory transport.
  • Documented residents' mental status, sleep and eating patterns in medical record books.
  • Maximized preventive care utilization to reduce hospital burden and help eliminate readmissions.
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.

Education

Bachelor of Science in Nursing - Minor in Biology

Missouri Western State University
Saint Joseph, MO

Skills

  • Critical decision-making
  • Hemodynamic monitoring understanding
  • Medication administration
  • Regulatory compliance (HIPAA, URAC, NCQA)
  • Compassionate
  • Strong verbal and written communication
  • Task and work prioritization
  • Emergency Interventions
  • Diagnostic and interventional procedures
  • EMR review and clinical documentation
  • Composed and tenacious

Certification

  • Compound State Registered Nurse License
  • Licensed Missouri Life Insurance Agent
  • Licensed Missouri Accident and Health Agent
  • Critical Care Registered Nurse (CCRN)
  • Advanced Cardiac Life Support (ACLS)
  • Trauma Nursing Core Course (TNCC)
  • Crisis Prevention Institute (CPI)

Timeline

Hospice Registered Nurse Case Manager

Three Oaks Hospice
09.2024 - Current

Sales Representative

Medical Mutual
07.2023 - Current

Home Health Nurse Case Manager

Freudenthal Home Health
11.2022 - 09.2024

Registered Nurse, Intensive Care Unit

Mosaic Life Care
01.2022 - 03.2024

Patient Care Associate, Emergency Room

Mosaic Life Care
07.2021 - 12.2021

Bachelor of Science in Nursing - Minor in Biology

Missouri Western State University

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