SALLY WILSON
Summary
Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Conscientious professional with extensive experience advocating for social and economic well-being of individuals and families. Skilled at providing guidance, support and assistance. Strong communication and management skills and committed to inspiring community service.
Overview
16
16
years of professional experience
Work History
Travel Hospital Case Manager
Straub Clinic & Hospital
888 S King St Honolulu HI 96814
01.2024 - Current
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Advocated for social and community service programs to increase awareness and funding.
- Utilized trauma-informed approach to promote healing and empowerment for clients.
- Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
- Facilitated successful transitions between levels of care by developing detailed discharge plans and coordinating resources.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Registered Nurse Case Manager
Ascension Via Christi
Wichita, KS
10.2023 - 01.2024
- Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
- Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
- Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
- Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
- Arranged placement of patients in facilities appropriate for level of care requirements.
- Assisted families in navigating complex healthcare systems, providing guidance on available services and support options.
- Coordinated transportation services for patients, ensuring seamless transfers from hospital to their next destination or in-home care provider.
- Collaborated with interdisciplinary teams to ensure optimal patient care and smooth transitions between healthcare providers.
- Evaluated patients'' needs upon admission, working closely with the medical team to develop appropriate discharge plans accordingly.
- Managed caseloads effectively, prioritizing high-risk cases for more intensive support during the transition period following discharge from the hospital setting.
- Coordinated transfer of out-of-area patients into in-network facilities.
Utilization Review Registered Nurse
ASCENSION VIA CHRISTI
WICHITA, KS
02.2020 - 10.2023
- Converts observation to inpatient admission and conversely, inpatient admission to observation and communicates change to team and others as indicated.
- Mediates between physicians and insurance companies to avoid denials by monitoring patient plan of care and intervening as needed to assure timely completion of care at an appropriate level of care.
- Optimized resource allocation within the healthcare facility by accurately reviewing cases for level-of-care determinations according to established criteria sets.
- Monitors payor authorization for continued stay.
- Facilitates patient flow during the inpatient stay, identifies and proactively addresses potential denials of payment.
- Expedited discharge planning processes through timely completion of utilization reviews that identified necessary services, supports, or referrals postdischarge.
- Assisted in maintaining regulatory compliance by staying up-to-date on Medicare, Medicaid, and commercial insurance requirements for utilization review activities.
- Enhanced the efficiency of the utilization review process by collaborating with interdisciplinary teams and streamlining communication channels.
- Established strong working relationships with insurance representatives, fostering open communication channels for efficient resolution of coverage issues or disputes related to medical necessity determinations.
- Collaborated with physicians to develop appropriate care plans based on utilization review findings that were both medically necessary and costeffective.
- Served as a liaison between healthcare providers, insurance companies, and patients for efficient resolution of coverage issues or denials following a utilization review assessment.
- Provided accurate documentation of all utilization review findings, ensuring a clear audit trail for future reference or analysis.
- Collaborated with financial counselors to ensure accurate billing practices based on clinical documentation from utilization reviews.
- Performed prior authorization review of services requiring notification.
- Performed admission reviews based for medical necessity based upon MCG and InterQual specification.
PRN STAFF REGISTERED NURSE
CAMBER CHILDREN'S MENTAL HEALTH HOSPITAL
WICHITA, KS
07.2021 - 01.2023
- Relief Charge, Intake, Admission, et complete discharges
- Monitors & implements patient care plans
- Work within an interdisciplinary team, towards holistic care for our patients
- Administers and notes reactions to psychotropic drugs and other medications
- Assists in maintaining a safe and secure environment for staff and patients
- Arranges further medical attention when necessary.
STAFF REGISTERED NURSE
ASCENSION VIA CHRISTI ST. JOSEPH GERI-PSYCH
WICHITA, KS
01.2019 - 02.2020
- Admit / discharge assessment, along with daily shift assessments
- Monitors & implements patient care plans
- Work within an interdisciplinary team, towards holistic care for our patients
- Floor RN duties including but not limited to IV access, medication administration, holistic patient care assessment and treatments, wound care.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Consistently maintained accurate documentation of all relevant information related to patient progress, treatments administered and other pertinent data.
- Achieved timely medication administration by utilizing effective time management skills and prioritizing critical tasks.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
REGISTERED NURSE
ST ANTHONY SENIOR BEHAVIORAL HEALTH HOSPITAL
WICHITA, KS
08.2018 - 12.2019
- Manage, administer, and record all patient care
- Monitors & implements the patient care plans
- Direct supervision of Certified Nurse Aides
- Floor RN duties including but not limited to IV access, medication administration, holistic patient care assessment and treatments, wound care.
RN - NAVIGATOR
ASCENSION VIA CHRISTI TRANSITIONAL CLINIC
WICHITA, KS
04.2014 - 01.2019
- RN Case Management improves patient outcomes including quality of life, mortality, readmission rates and patient satisfaction
- Coordinates efforts for treatment and promotes quality improvement and educational efforts
- Compiles data, tracks outcomes, and makes recommendations for process improvement
- Provides referrals/support for follow-up care for patients who are uninsured or under-insured
- Clinic RN duties including but not limited to IV access, medication administration, holistic patient care assessment and treatments, wound care
- Clinical Practice RN serving as a lead resource in the development of new models of care and readmission reduction programs
- Development of the clinic process to support a relationship-based patient-centered care approach.
PRN REGISTERED NURSE
HEALTHBACK HOME HEALTH OF KANSAS
WICHITA, KS
02.2018 - 04.2018
- Educate patients and their families related to disease management
- Coordinate with Occupational Therapists, Physical Therapists, Physicians and anyone else involved in the patient's care plan, make recommendations for devices or tools that might improve the patient's quality of life
- Assess patients' condition during every visit and chart your observations, perform evaluation tasks, including vital signs and medication review, administer medication as prescribed by the patient's physician, set medication planner, dress or redress open wounds and assess progress.
STAFF NURSE
LARKSFIELD PLACE LONG-TERM CARE
WICHITA, KS
11.2013 - 04.2014
- Nursing process including assessments and care plan
- Assist with ADL's medication administration
- Assist wound care physician with wound care, daily wound dressing changes
- Direct communication with physicians, and families, concerning resident's health conditions.
RN STAFF NURSE
HUTCHINSON REGIONAL MEDICAL CENTER
HUTCHINSON, KS
08.2013 - 12.2013
- Nursing process; assessments, care plans, education for patients and families, and discharging education
- Implements interventions based upon the physician's medical plan and standards of care including medication and treatments with knowledge of therapeutic intent
- Promote teamwork through collaboration, positive communication and role modeling, respecting the individuality of each patient, resident, family members and fellow staff.
CLINIC NURSE / INTERIM CLINIC MANAGER
VIA CHRIST HOPE
WICHITA, KS
03.2011 - 04.2013
- Nursing process; assessments, care plans, education for patients and families
- Clinic/Triage RN duties including but not limited to IV access, medication administration, holistic patient care assessment and treatments, wound care, venipuncture lab draws
- Assisted with procedures at the bedside including but not limited to lancing wounds
- Utilizes critical thinking to appropriately delegate tasks and evaluate the effectiveness of care.
PRN CORRECTIONAL CARE STAFF NURSE
CONMED - SEDGWICK COUNTY DETENTION FACILITY
WICHITA, KS
08.2009 - 04.2013
- Assisted with procedures at the bedside including but not limited to suture removal, injections, starting IV's, administering IV antibiotics
- First responder in emergency situations
- Care across the continuum including patients with mental illness
- Treatment of patients with trauma injuries, chest pain and drug overdoses.
LPN STAFF NURSE
FAMILY HEALTH AND REHAB
WICHITA, KS
02.2008 - 01.2009
- Basic Nursing process including assessments and care plans
- Assist with ADL's, medication administration
- Assist wound care physician with wound care, daily wound dressing changes
- Assigned nursing assignments to nurses and nurse assistants
- Direct communication with physicians, and families, concerning resident's health conditions.
Education
BACHELOR OF SCIENCE IN NURSING -
HESSTON COLLEGE
12.2019
NURSING- PRE-PATHWAY -
COWLEY COMMUNITY COLLEGE
12.2019
ASSOCIATE DEGREE IN NURSING -
PRATT COMMUNITY COLLEGE
05.2010
LICENSED PRACTICAL NURSING TECHNICAL CERTIFICATE -
WICHITA AREA TECHNICAL COLLEGE - WICHITA STATE
05.2008
Skills
- Case Management
- Discharge Planning
- Utilization review
- InterQual Milliman Clinical Guideline (MCG)
- Cerner EPIC
- Interdisciplinary Collaboration
- Positive Attitude
- Problem-Solving
- Organization and Multitasking
- Decision-Making
- Conflict Resolution
- Care Coordination
- Referral Coordination
- Chronic Disease Management
- Patient Assessments
- Case Documentation
- MS Office
- Certified in CPR/AED
- Community Resources
Accomplishments
- Possess an active BLS Provider CPR & AED Certification - Renewal date 07/31/2025
- Possess an active Compact Kansas Registered Nurse License - Renewal date 04/30/2025
- Possess an active Hawaii Registered Nurse License - Renewal date 06/30/2025
- Possess an active California Registered Nurse License - Renewal date 05/31/2025
Timeline
Travel Hospital Case Manager
Straub Clinic & Hospital
01.2024 - Current
Registered Nurse Case Manager
Ascension Via Christi
10.2023 - 01.2024
PRN STAFF REGISTERED NURSE
CAMBER CHILDREN'S MENTAL HEALTH HOSPITAL
07.2021 - 01.2023
Utilization Review Registered Nurse
ASCENSION VIA CHRISTI
02.2020 - 10.2023
STAFF REGISTERED NURSE
ASCENSION VIA CHRISTI ST. JOSEPH GERI-PSYCH
01.2019 - 02.2020
REGISTERED NURSE
ST ANTHONY SENIOR BEHAVIORAL HEALTH HOSPITAL
08.2018 - 12.2019
PRN REGISTERED NURSE
HEALTHBACK HOME HEALTH OF KANSAS
02.2018 - 04.2018
RN - NAVIGATOR
ASCENSION VIA CHRISTI TRANSITIONAL CLINIC
04.2014 - 01.2019
STAFF NURSE
LARKSFIELD PLACE LONG-TERM CARE
11.2013 - 04.2014
RN STAFF NURSE
HUTCHINSON REGIONAL MEDICAL CENTER
08.2013 - 12.2013
CLINIC NURSE / INTERIM CLINIC MANAGER
VIA CHRIST HOPE
03.2011 - 04.2013
PRN CORRECTIONAL CARE STAFF NURSE
CONMED - SEDGWICK COUNTY DETENTION FACILITY
08.2009 - 04.2013
LPN STAFF NURSE
FAMILY HEALTH AND REHAB
02.2008 - 01.2009
BACHELOR OF SCIENCE IN NURSING -
HESSTON COLLEGE
NURSING- PRE-PATHWAY -
COWLEY COMMUNITY COLLEGE
ASSOCIATE DEGREE IN NURSING -
PRATT COMMUNITY COLLEGE
LICENSED PRACTICAL NURSING TECHNICAL CERTIFICATE -
WICHITA AREA TECHNICAL COLLEGE - WICHITA STATE