Sarah Moore
Grove City
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Utilization Management Nurse Consultant
CVS Health - Aetna
Remote
10.2025 - Current
- Collaborated with healthcare providers to optimize patient care outcomes and resource utilization.
- Utilized MCG and CMS criteria to assess treatment appropriateness and accurately interpret insurance benefits.
Directed members to suitable healthcare providers and community resources, enhancing care accessibility. - Applied clinical expertise in coordinating care with facilities and providers.
- Engaged with medical directors to ensure accurate claims processing and appropriateness of care.
- Conducted comprehensive pre-certification and concurrent reviews to ensure compliance with NCQA standards, company policies, and quality assurance protocols.
- Facilitated member access to necessary healthcare services while maintaining cost-effectiveness.
Staff RN
OhioHealth
Berger Hospital
06.2025 - Current
- Quality patient care experience for Intensive Care acuity patients on telemetry monitoring.
- Collaborated with interdisciplinary teams to optimize patient outcomes and ensure quality care standards.
- Administration of oral and intravenous medications
- Titration of critical intravenous medications
- Experience with difficult patients and complex situations, developing problem-solving and organizational skills
- Computer IHIS charting system
- Performed patient education.
RN Case Manager - Remote
CVS Health - Aetna
01.2025 - 10.2025
- Conduct comprehensive assessments and ongoing evaluations for members with chronic conditions, complex needs, or recent hospitalizations to ensure appropriate care coordination and resource utilization.
- Develop and implement individualized care plans in collaboration with patients, families and multidisciplinary teams to improve health outcomes and reduce healthcare costs.
- Utilize clinical expertise and evidence-based practice guidelines to support members through transitions of care, medication adherence and preventative health initiatives.
- Serve as a liason between providers, members, and internal departments to facilitate communication and timely interventions.
- Document all case activity in compliance with NCQA standards, company policies, and quality assurance protocols.
Registered Nurse - Operating Room
The Ohio State University Wexner Medical Center
05.2024 - 01.2025
- Prepare and maintain the sterile field, ensuring all instruments and supplies are sterile and ready for use
- Assist surgeons and surgical teams with procedures, including scrubbing, circulating, and documenting surgical activities
- Collaborate with anesthesiologists, surgeons, and other healthcare professionals to ensure optimal patient care and safety
- Provided intraoperative care to patients undergoing various types of surgery
- Handle emergencies and unexpected situations with a calm and systematic approach
- Computer IHIS charting system.
Registered Nurse - Corrections Healthcare Unit
The Ohio State University Wexner Medical Center
10.2019 - 05.2024
- Quality patient care experience to Medical-Surgical and Progressive
- Care acuity patients on telemetry monitoring
- Administration of oral and intravenous medications
- Experience with difficult patients and complex situations, developing problem-solving and organizational skills
- Computer IHIS charting system
- Performed patient education
- Collaborated with team in patient care
- Implemented infection control techniques in all patient interactions
- Charge nurse responsibilities including overseeing a team of six nurses and two patient care associates, ensuring adherence to guidelines.
Registered Nurse - Labor and Delivery Unit
Licking Memorial Health Systems
09.2018 - 08.2019
- Management of labor, delivery, postpartum and newborn care
- Scrubbed and assisted physician as part of Cesarean surgical deliveries
- Prepared delivery and surgical suites for pending deliveries through Cesarean and vaginal births
- Educated patients and their support person regarding subsequent activities and expectations toward optimal readiness in progression to delivery in compliance with Baby Friendly Hospital Initiative criteria.
Patient Care Associate - Corrections Healthcare Unit
The Ohio State University Wexner Medical Center
07.2013 - 09.2018
- Quality patient care experience to Medical-Surgical and Progressive
- Care acuity patients obtaining vitals, blood draws, assisting in activities of daily living, intake and outputs
- Experience with difficult patients and complex situations, developing problem-solving and organizational skills
- Computer IHIS charting.
Patient Care Associate - Neuro Intermediate Care Unit
Mount Carmel West Hospital
04.2012 - 07.2013
- Quality patient care experience to patients obtaining vitals, urethral catheter insertion, assisting in activities of daily living, intake and outputs
- Experience with difficult patients and complex situations, developing problem-solving and organizational skills
- Computer IHIS charting.
Education
Bachelor of Science - Nursing
Capella University
11.2026
Associate Degree - Nursing
Central Ohio Technical College
08.2018
Skills
- Quality Improvement
- Professionalism and Ethics
- Teamwork
- Time Management
- Patient Safety
- Effective Communication
- Critical Thinking Abilities
- Patient Advocacy
Certification
- Registered Nurse - Ohio Board of Nursing, RN.455519, August 2018-present
- Advanced Cardiac Life Support Certification (ACLS), July 2019-present
- Medical-Surgical Certification, ANCC, May 2021- present
ACCOLADES
Awarded Simpson-Wellington Clinical Excellence Award, Alpha Delta Nu Honor Society - Alpha Beta Chapter - President
Timeline
Utilization Management Nurse Consultant
CVS Health - Aetna
10.2025 - Current
Staff RN
OhioHealth
06.2025 - Current
RN Case Manager - Remote
CVS Health - Aetna
01.2025 - 10.2025
Registered Nurse - Operating Room
The Ohio State University Wexner Medical Center
05.2024 - 01.2025
Registered Nurse - Corrections Healthcare Unit
The Ohio State University Wexner Medical Center
10.2019 - 05.2024
Registered Nurse - Labor and Delivery Unit
Licking Memorial Health Systems
09.2018 - 08.2019
Patient Care Associate - Corrections Healthcare Unit
The Ohio State University Wexner Medical Center
07.2013 - 09.2018
Patient Care Associate - Neuro Intermediate Care Unit
Mount Carmel West Hospital
04.2012 - 07.2013
Bachelor of Science - Nursing
Capella University
Associate Degree - Nursing
Central Ohio Technical College