Sarah B. Lilly
North Myrtle Beach,SC
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Case Manager
The Windham Group
01 2023 - Current
- Home
- Manages medical rehabilitation programs within the payor setting to restore injured worker to maximum recovery and facilitate return to work
- Evaluate services of medical and rehabilitation providers and arranges for and coordinates appropriate evaluation, treatment and counseling
- Advises referral source of disability potential and cost factors on severe and high- cost injuries
Senior Nurse Consultant; Field Case Manager RN
Gallagher and Bassett Work from
03.2018 - 07.2021
- Manages medical rehabilitation programs within the payor setting to restore injured worker to maximum recovery and facilitate return to work
- Evaluate services of medical and rehabilitation providers and arranges for and coordinates appropriate evaluation, treatment and counseling
- Commutes to site visit with medical providers, injured worker, employers, referral source and other agencies involved in worker’s rehabilitation program to coordinate services and facilitate a prompt return to work
- Advises referral source of disability potential and cost factors on severe and high- cost injuries.
Axispoint Health Work
06.2015 - 09.2016
- From Home
- Telehealth Triage RN
- Field calls and direct patients through critical thinking to the appropriate level of care while following strict algorithms
- Adhere to policy and procedures for various clients and meeting standards on all levels of every call
- Maintain EMR during call with patient.
Clinical Doc. Analyst/ER RN
Dell Services/East Cooper Med. Ctr
Mt Pleasant, SC
04.2014 - 05.2015
- Audit and maintain QA/QI, Medicaid/Medicare and hospital personnel
- Provide IT assistance to hospital personnel having technical issues with hospital computer programs
- Provide assistance to users who are locked out of hospital systems and program and build new employees in hospital systems
- Provided emergency care in a community hospital setting to pediatrics, adults and geriatric patients.
Roper Hospital
Charleston, SC
01.2010 - 02.2014
- Cardiac Cath Lab RN/ Corp
- Compliance/QA/QI, Medicare/Medicaid Chart Reviewer
- Provide care for patients in the cardiac cath lab receiving moderate sedation for LHC’s, RHC’s, Interventional Cardiology and electrophysiology
- Wide knowledge of diagnostic and interventional procedure for heart complications and failure
- Perform general nursing duties: responsible for pre, intra and post procedural care for cardiac patients
- Practice critical thinking, participates in CPR and defibrillation
- Confident with pacemaker and ICD placement
- Evaluate audit findings and clinical data according to appropriate clinical criteria
- Hedis
certified RN/Cath Lab RN/Nurse Case Manager/Liaison
NHRMC/Liberty Home Care and Hospice
Wilmington, NC
05.2005 - 05.2009
- Monitor, circulate and scrub interventional cardiac procedures
- Monitored patients’ hemodynamics and vitals
- Administered inpatient chemotherapy
- Mentored new nurses to hospice departmental practices, utilized assessment, intervention and teaching skills to maximize patient comfort level and quality of life
- Assisted with transition from hospital discharge to home hospice
- Responsible for quarterly Medicare/Medicaid audits
- Maintain EMR through Oasis
- Provided nursing case management to include developing and implementing an appropriate nursing plan of care
- Completed appropriate documentation daily
- Reported and monitored significant changes in patients’ conditions while coordinating with the physician and interdisciplinary team on a regular basis.
Utilization Review RN
Lighthouse Behavioral Health Hospital
Myrtle Beach, SC
01.2018
- Compared service levels with patient medical records to verify that medical necessities were being met
- Ensure that patient receives correct level of treatment at the appropriate time
- Review patient files to consider admission time, duration of stay and discharge planning
- Abstracting data from medical charts and records to justify length of stay and documentation regarding patients continued hospitalization.
Education
Associates Degree Nursing -
Southeastern Community College
Whiteville, NCMAY.2005
Skills
- Emotional intelligence
- Personal care needs
- Indirect Patient Care
- Appointment Scheduling
- High level of autonomy
- Patient evaluation
- Patient and family advocacy
- Care Plan Development
- Case management
- Medical recordkeeping
- Patient Management
- Setting up referrals
- Managing deadlines
- Patient Assessments
Certification
- Registered Nurse License (RN) -SC and MA State Board of Nursing.
Timeline
Senior Nurse Consultant; Field Case Manager RN
Gallagher and Bassett Work from
03.2018 - 07.2021
Utilization Review RN
Lighthouse Behavioral Health Hospital
01.2018
Axispoint Health Work
06.2015 - 09.2016
Clinical Doc. Analyst/ER RN
Dell Services/East Cooper Med. Ctr
04.2014 - 05.2015
Roper Hospital
01.2010 - 02.2014
certified RN/Cath Lab RN/Nurse Case Manager/Liaison
NHRMC/Liberty Home Care and Hospice
05.2005 - 05.2009
Case Manager
The Windham Group
01 2023 - Current
Associates Degree Nursing -
Southeastern Community College