MICHELLE SCHAEFER
NORTH OLMSTED,OH
Summary
Experienced registered nurse with a demonstrated history of working with medically underserved communities. Extensive knowledge of CMS and NCQA gained through various positions. Proficient in Utilization Review (MCG, InterQual), Electronic Medical Record (EMR), Microsoft Excel, and Microsoft Office. Strong commitment to advocating for patients throughout the care continuum. Over 20 years of experience in obstetrics and gynecology nursing. Successfully facilitated patient care in labor and delivery, prioritizing safety and comfort. Strong background in patient assessments and emergency interventions, maintaining high standards of care.
Overview
25
25
years of professional experience
Work History
BSN, RN Associate Manager Call Center
CVS/Oak Street Health
Remote
06.2023 - Current
- Supervise a team and responsible for performance management and providing feedback and collaboration with manager of team.
- Provide daily direction and communication to advocates to ensure patient calls are answered in a timely, efficient, and knowledgeable manner.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Reduced employee turnover by fostering a positive work environment and providing ongoing feedback to staff members.
- Fostered culture of continuous improvement, encouraging team to suggest and implement process enhancements.
- Oversaw compliance with industry regulations and company policies, ensuring safe and legal operational environment.
- Optimized scheduling to ensure full coverage during peak hours without overstaffing, balancing customer service with cost efficiency.
Health Nurse
Alterwood Health Management
03.2022 - 06.2023
- Perform Utilization Review of Outpatient Prior Authorization requests for Medicare Part B including, Medications, Radiology, Procedures and DME. Negotiate Single Case Agreements. Assist members with locating in network providers and community resources. Collaborate with case management, medical director, and facility social workers to ensure safe and timely transition to next level of care.
Utilization Review Nurse
Medical Mutual
01.2020 - 03.2022
- Perform utilization review of concurrent inpatient admissions including skilled nursing facilities, long term acute care facilities and inpatient rehab facilities. Assist members with locating in network providers and community resources. Collaborate with case management, medical director, and facility social workers to ensure safe and timely transition to next level of care.
BSN, RN Supervisor-Transitional Care Coordinator
University Hospitals
09.2014 - 08.2020
- Discharge planning, assisting patients and family members with discharge to appropriate next level of care including home health care, Skilled nursing facilities, and acute Rehab. Collaborate with case management, physicians and ancillary teams to ensure safe and effective transition to next level of care. Scheduling for care coordination dept. Processed payroll. Mentored staff. Conducted interviews. Provided oversight to satellite facilities. Organized team meetings.
Care Coordinator OB/GYN
Cleveland Clinic
06.2019 - 01.2020
- Coordinate care for Women’s Health patient’s including referral to specialists, scheduling appointments, arranging out of state travel, scheduling in office procedures, surgery, and pharmaceutical needs. Collaborate with case management, physicians, and ancillary teams to ensure safe and effective care is provided throughout the continuum.
LPN-RN
Cleveland Clinic
10.2006 - 09.2013
- Primary office nurse OB/Gyn office, LPN/RN Birthing Center Lakewood Hospital. RN
LPN
Lake Hospital Systems
09.2000 - 10.2006
- Direct Care LPN In Labor and Delivery, Post-Partum, Ante partum and Newborn Nursery
- Maternal Child Health Ashtabula County Medical Center.
Education
BSN - undefined
Ohio University
05.2017
Associates Degree in Nursing - undefined
Huron School of Nursing/Cuyahoga Community College
05.2011
Skills
- -Works autonomously
- -Able to multitask
- -Able to prioritize at a fast pace
- -Works well with a team, open to collaboration
Timeline
BSN, RN Associate Manager Call Center
CVS/Oak Street Health
06.2023 - Current
Health Nurse
Alterwood Health Management
03.2022 - 06.2023
Utilization Review Nurse
Medical Mutual
01.2020 - 03.2022
Care Coordinator OB/GYN
Cleveland Clinic
06.2019 - 01.2020
BSN, RN Supervisor-Transitional Care Coordinator
University Hospitals
09.2014 - 08.2020
LPN-RN
Cleveland Clinic
10.2006 - 09.2013
LPN
Lake Hospital Systems
09.2000 - 10.2006
BSN - undefined
Ohio University
Associates Degree in Nursing - undefined
Huron School of Nursing/Cuyahoga Community College