Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
Generic

Mary Jeanne Bush

Wesley Chapel,FL

Summary

Experienced professional with a strong background in nursing and healthcare management, specializing in Medicare and Medicaid precertification and inpatient management. Demonstrated ability to conduct utilization reviews and coordinate care effectively, ensuring compliance with clinical documentation standards. Proven track record in care management, facilitating seamless patient transitions and optimizing resource utilization. Skills in critical thinking enable the extraction of essential information to enhance nursing practices and patient outcomes.

Overview

34
34
years of professional experience

Work History

Nurse Medical Management, Senior

Anthem (initially Amerigroup)
04.2021 - 01.2022

Licensed Utilization Review, Team Lead

Anthem (initially Amerigroup)
05.2014 - 04.2021

Licensed Utilization Review, RN

Anthem (initially Amerigroup)
09.2013 - 05.2014

Nursing House Supervisor, RN

Chesapeake Regional Medical Center
10.2011 - 09.2013

Emergency Dept - RN

Chesapeake Regional Medical Center
09.2001 - 10.2011

Rapid Response/Stroke Team, RN

Chesapeake Regional Medical Center
05.2008 - 04.2010

Clinical Research Coordinator, RN

Virginia Vascular Associates
Virginia Beach, Virginia
10.1991 - 09.2001

Vascular Nurse Specialist, RN

Virginia Vascular Associates
Virginia Beach, Virginia
10.1991 - 09.2001

Float/Resource Pool, LPN

Sentara Norfolk General Hospital
06.1989 - 10.1991

5A Vascular/Ophthalmology, LPN

Sentara Norfolk General Hospital
06.1988 - 06.1989

Education

Associate in Applied Science - Nursing

New York Regents College - SUNY

Chesapeake Technical Center

Skills

  • Excellent critical thinking skills and ability to decipher and extract critical information and apply to nursing role Most recent experience related to insurance Medicare/Medicaid precert and inpatient management
  • Utilization review
  • Care coordination
  • Clinical documentation
  • Care management

Personal Information

Title: Registered Nurse

Timeline

Nurse Medical Management, Senior

Anthem (initially Amerigroup)
04.2021 - 01.2022

Licensed Utilization Review, Team Lead

Anthem (initially Amerigroup)
05.2014 - 04.2021

Licensed Utilization Review, RN

Anthem (initially Amerigroup)
09.2013 - 05.2014

Nursing House Supervisor, RN

Chesapeake Regional Medical Center
10.2011 - 09.2013

Rapid Response/Stroke Team, RN

Chesapeake Regional Medical Center
05.2008 - 04.2010

Emergency Dept - RN

Chesapeake Regional Medical Center
09.2001 - 10.2011

Clinical Research Coordinator, RN

Virginia Vascular Associates
10.1991 - 09.2001

Vascular Nurse Specialist, RN

Virginia Vascular Associates
10.1991 - 09.2001

Float/Resource Pool, LPN

Sentara Norfolk General Hospital
06.1989 - 10.1991

5A Vascular/Ophthalmology, LPN

Sentara Norfolk General Hospital
06.1988 - 06.1989

Associate in Applied Science - Nursing

New York Regents College - SUNY

Chesapeake Technical Center
Mary Jeanne Bush