Megan Kenny

• Directed workflow for Utilization Management clinical and non-clinical teams to ensure compliance to New York State Medicaid regulations and timeframes
• Created operating processes and procedures to improve quality, consistency and overall patient care

Maternity Nurse Case Manager

• Collaborated with members and providers to improve health and access to medical care
• Consulted and coordinated with healthcare team members to assess, plan, implement and evaluate patient care plans
• Overcame barriers that impacted access to care

Utilization Review Nurse

• Complete complex medical necessity and level-of-care reviews for requested services using clinical judgment. health plan guidelines, medical policy and InterQual or MCG criteria
• Exceeded productivity requirements and achieved 100% on internal audits
• Contributed to weekly multidisciplinary rounds to improve patient care while ensuring cost effectiveness

• Managed care of critically ill, premature and transitioning newborns.
• Skilled at invasive procedures such as IV starts and blood draws.
• Assisted with complex procedures such as intubation, umbilical line placement, and lumbar punctures to ensure optimal patient outcomes.
• Managed ventilator settings and monitored patients'' respiratory status closely to optimize oxygenation and minimize complications.
• Mentored new nurses in the NICU, fostering a supportive environment for learning and professional growth.
• Performed comprehensive assessments of neonatal patients, identifying subtle changes in condition that required medical intervention or modification of treatment plans.
• Delegated appropriate patient assignments as Team Leader.
• Supported and educated parents in crisis.
• Instructed parents on newborn care
• Carried out comprehensive care focused on patient needs and goals.