Dedicated RN Case Manager specializing in utilization review and care management. Proven skills in clinical assessment and electronic health records, ensuring timely patient interventions and improved outcomes.
Overview
6
6
years of professional experience
2
2
Certifications
Work History
RN Case Manager/Utilization Review Nurse
WVU Medicine
Weirton, West Virginia
08.2024 - Current
Evaluated patient records for medical necessity and appropriate care levels.
Applied critical thinking to assess new information and changes in patient conditions, ensuring timely and appropriate interventions.
Informed patients about benefits, coverage, and utilization processes, empowering them to navigate their care effectively.
Facilitated team meetings to evaluate treatment options for complex cases, enhancing collaborative decision-making.
Registered Nurse, Intermediate Care Unit
WVU Medicine
Weirton, West Virginia
05.2023 - 08.2024
Administered medications according to physician orders and protocols.
Educated patients and families on treatment plans and procedures to promote understanding and adherence.
Documented patient progress and interventions in electronic health records to maintain accurate and up-to-date health information.
Collaborated with multidisciplinary teams to enhance patient outcomes through comprehensive care.
LPN Charge Nurse
The Orchards at Foxcrest
Chester, West Virginia
06.2020 - 05.2023
Administered medications and monitored patient responses to ensure optimal care.
Coordinated patient admissions and discharges to streamline workflow and enhance patient experience.
Trained and mentored new nursing staff to improve team competency and patient care standards.
RN Case Manager/Utilization Review Nurse at Glenwood Regional Medical CenterRN Case Manager/Utilization Review Nurse at Glenwood Regional Medical Center