Michelle George
Punta Gorda,FL
Summary
RN with over 20 years of experience within the nursing Industry. Fields of concentration consisted of patient populations in case management (telephonic and field), discharge planning, utilization review, home health, long term care/ skilled nursing, acute care, behavioral health populations. My resume reflects a wealth of knowledge within various fields of nursing. Throughout my career, I have worked multiple positions at times due to relocation per my spouse's career. Florida is now our permanent residence.
Overview
21
21
years of professional experience
1
1
Certification
Work History
RN / Case Manager/ previously Clinical Manager
Amedisys Home Health
10.2018 - Current
- Company Overview: Provides home health services
- Managing 150-200 patient case load providing Oasis review, utilization review, employee education, staff retention initiatives, quality assurance auditing, root analysis for rehospitalizations as a Clinical Manager
- As a Case Manager 30 to 40 patients managed, performing Oasis assessments, transitional care, nursing liaison for DME, medical appointments and disease process education
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
RN Utilization Review
Kepro/ Acentra
08.2021 - 09.2024
- Company Overview: Provides healthcare services including utilization review
- Performing utilization review for Colorado Medicaid services with specialty in private duty nursing- home health, pediatric long term home health division, skilled nursing- home health physical therapy and medical surgical
- Colorado Medicaid state criteria, MCG and InterQual utilized
RN Utilization Review
Shorepoint Health Care
04.2022 - 11.2022
- Company Overview: Healthcare provider offering various medical services. Utilization review position
- Inpatient and concurrent review for hospital system using Milliman/ MCG criteria
- Assessed patient conditions promptly upon admission to determine appropriate interventions and level of care for services rendered
RN Care Manager
Humana at Home
06.2017 - 03.2018
- Company Overview: Provides care management services
- Care management services provided telephonically to members within the Chronic Care Program
- Comprehensive history, mDAT and Hedis data obtained to yield positive patient outcomes
- Highly knowledgeable of Medicaid and Medicare guidelines, Coordination of medical treatment and enhancement of medication adherence
- Understanding of STARS scores, peer review and stages of grievances and appeals processes
- Provides care management services
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
RN Case Manager
Nurse on Call
05.2014 - 03.2016
- Company Overview: Home health care provider
- Responsibilities included case management of patient post hospitalization or per direct physician referral
- Skills utilized included but not limited to wound care, wound vac application, Pleuryx Drain management, I.V
- Therapy, phlebotomy, physical assessment, patient education
- Home health care provider
RN Seasonal Contract
Charlotte Regional Hospital- Health Management Associates
12.2013 - 04.2014
- Company Overview: Healthcare provider offering various medical services
- Progressive Care/ Intensive Care(PCU/ICU)- Short term seasonal contract completed on the Progressive Care Unit and the Intensive Care Unit
- Skills utilized included cardiac drip maintenance and stroke aftercare with telemetry in addition to various other complex medical conditions
- ACLS and NIH stroke scale certification enabled for practicing and floating to various units as needed during my contract
- Healthcare provider offering various medical services
RN PCU
Peace River Regional Hospital
08.2011 - 07.2012
- Company Overview: Healthcare provider offering various medical services
- Responsibilities included providing care to cardiac patients at the ICU step down level
- Skills included but were not limited to administration of non-titrating cardiac drips, telemetry, assessment and medication administration
- Healthcare provider offering various medical services
LPN
Twinbrook
01.2008 - 01.2010
- Company Overview: Long-term care facility
- Provided care as a floor nurse to long-term and rehabilitation patients, Memory Care Unit
- Duties included medication teaching, patient assessment and disease process teaching
- Long-term care facility
LPN
Imperial Manor Convalescence Center
09.2005 - 01.2008
- Company Overview: Long-term care facility
- Provided patient care as an LPN float nurse, Memory Care Unit
- Long-term care facility
LPN
Maxim
04.2005 - 12.2006
- Company Overview: Healthcare staffing agency
- Care provided on the CPTU unit (psych) at LaGrange Men's Prison to patients of various ages
- Psychiatric assessments performed, administration of psychiatric medications in addition to other medications
- Emergency treatment orders - psychiatric intramuscular injections were given such Thorazine, Haldol, Ativan and long acting decanoate injections such as Prolixin and Haldol
- Healthcare staffing agency
LPN
AMS
09.2004 - 09.2005
- Company Overview: Healthcare provider offering various medical services
- Care was provided to long term patients in various facilities
- Skills included physical assessment, medication administration and education in addition to phlebotomy
- Healthcare provider offering various medical services
Education
Bachelor of Science - Nursing
Capella University
Minneota, MN06-2016
Associate of Science - Nursing
Jefferson Communication And Technical College
Louisville, KY07-2011
Vocational - LVN/LPN - Nursing
Pacific College
Costa Mesa, CA07-2004
Skills
- Chronic disease management
- Discharge planning
- HIPAA compliance
- Multidisciplinary approach
- InterQual
- Milliman/MCG
- Care coordination
- Home care management
- Utilization review
- Inpatient and Concurrent Review
- Prior Authorization
- Medicaid Review
- Case evaluation
- Clinical assessment
- Community resources
- Quality improvement
- Case management
- Interdisciplinary collaboration
Certification
MCG Specialist
CCM- certified case manager- in the process of renewal
Timeline
RN Utilization Review
Shorepoint Health Care
04.2022 - 11.2022
RN Utilization Review
Kepro/ Acentra
08.2021 - 09.2024
RN / Case Manager/ previously Clinical Manager
Amedisys Home Health
10.2018 - Current
RN Care Manager
Humana at Home
06.2017 - 03.2018
RN Case Manager
Nurse on Call
05.2014 - 03.2016
RN Seasonal Contract
Charlotte Regional Hospital- Health Management Associates
12.2013 - 04.2014
RN PCU
Peace River Regional Hospital
08.2011 - 07.2012
LPN
Twinbrook
01.2008 - 01.2010
LPN
Imperial Manor Convalescence Center
09.2005 - 01.2008
LPN
Maxim
04.2005 - 12.2006
LPN
AMS
09.2004 - 09.2005
Bachelor of Science - Nursing
Capella University
Associate of Science - Nursing
Jefferson Communication And Technical College
Vocational - LVN/LPN - Nursing
Pacific College
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