Michelle Kotlinski
Cranberry TWP,PA
Summary
Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Nurse Case Manager
AmeriHealth Caritas
09.2019 - Current
- Analyzed data from various sources including claims information, laboratory results and medication histories to identify potential risks or gaps in care.
- Assessed patient needs, identified health problems and provided appropriate interventions to improve outcomes.
- Provided education to patients and their families on disease management, medications and other treatments.
- Maintained accurate documentation of all case management activities in accordance with regulatory standards.
- Participated in interdisciplinary team meetings to coordinate care for complex cases.
- Attended continuing education courses related to case management topics such as chronic illness management, utilization review techniques and ethical considerations.
Nurse Supervisor/Staffing
Favorite Healthcare Staffing
04.2019 - 05.2022
- Developed and implemented policies and procedures to ensure compliance with state regulations.
- Provided guidance, mentoring, and coaching to nursing staff in the unit.
- Collaborated with other departments to coordinate patient care services across the organization.
- Prepared reports on quality assurance metrics such as infection rates, medication errors.
Case Manager & RN Staffing
Emerald Home Health & Staffing
04.2001 - 04.2019
- Collaborated with medical professionals to coordinate treatment plans for clients.
- Assessed patients to determine their physical condition, health status and needs.
- Provided direct patient care including wound dressing, administering medication and IV therapy.
- Monitored patient vitals post-surgery, managed medical equipment and administered medications and IVs.
- Developed care plans complete with effective nursing measures to improve patients' mental and physical health.
Inpatient Case Manager/Utilization Review Nurse
United Healthcare Insurance
11.2016 - 01.2019
- Recommended alternate levels of care when necessary such as assisted living facilities or outpatient therapy programs.
- Attended continuing education classes and workshops related to Inpatient Case Management.
- Planned and coordinated discharge from care facility to patient's home.
- Assessed patient medical records to determine the appropriateness of requested services and procedures.
Education
BSN GPA 3.98 - Nursing
Grand Canyon University
Phoenix, AZ07-2023
Diploma - Registered Nurse
Shadyside School of Nursing
Pittsburgh, PA04-1992
Skills
- Utilization reviews
- Disease management
- Policy Adherence
- Care Coordination
- Regulatory Compliance
- Patient Care and Education
Certification
- Registered Nurse PA RN328197L
- Medical-Surgical Nurse Board Certification BC0316489
- Certified Case Manager CCM 4247223
Accomplishments
- CCMC Symposium 2022 Presenter
- Honorable US Air Force Veteran
- Sigma Theta Tau/Sigma Honor Society
Timeline
Nurse Case Manager
AmeriHealth Caritas
09.2019 - Current
Nurse Supervisor/Staffing
Favorite Healthcare Staffing
04.2019 - 05.2022
Inpatient Case Manager/Utilization Review Nurse
United Healthcare Insurance
11.2016 - 01.2019
Case Manager & RN Staffing
Emerald Home Health & Staffing
04.2001 - 04.2019
BSN GPA 3.98 - Nursing
Grand Canyon University
Diploma - Registered Nurse
Shadyside School of Nursing