Hi, I’m
Sharon Woronka
PORT SAINT LUCIE,FL
Summary
Accomplished Clinical Review Nurse with a proven track record at AmeriHealth Caritas, enhancing nursing practices through professional development and mentorship. Excelled in HIPAA compliance and care coordination, significantly improving patient care and confidentiality. Demonstrated exceptional organizational skills and team collaboration, fostering professional growth and ensuring regulatory compliance.
Overview
15
years of professional experience
Work History
AmeriHealth Caritas
Clinical Review Nurse
02.2017 - Current
Job overview
- Strengthened nursing practice through ongoing professional development and staying current on best practices in clinical review.
- Provided mentorship to junior nurses seeking guidance on best practices related to clinical review, fostering growth within the profession as a whole.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
WellCare
Discharge Coordinator
08.2015 - 09.2016
Job overview
- Coordinated transportation services for patients, ensuring seamless transfers from hospital to their next destination or in-home care provider.
- Arranged placement of patients in facilities appropriate for level of care requirements.
- Evaluated patients'' needs upon admission, working closely with the medical team to develop appropriate discharge plans accordingly.
- Promoted a collaborative environment among colleagues by sharing best practices for efficient coordination across departments involved in the discharge process.
Aetna
Clinical Review Nurse
04.2015 - 08.2015
Job overview
- Strengthened nursing practice through ongoing professional development and staying current on best practices in clinical review.
- Provided mentorship to junior nurses seeking guidance on best practices related to clinical review, fostering growth within the profession as a whole.
- Maintained strict adherence to HIPAA regulations during all clinical review activities, ensuring patient confidentiality was upheld at all times.
- Improved patient care by conducting thorough clinical reviews and recommending evidence-based interventions.
- Ensured compliance with regulatory standards through meticulous documentation and timely reporting of clinical review findings.
- Adhered to strict timelines for case completion while maintaining a high level of accuracy and attention to detail during the review process.
Canaide
Clinical Review Nurse
08.2012 - 02.2015
Job overview
- Strengthened nursing practice through ongoing professional development and staying current on best practices in clinical review.
- Provided mentorship to junior nurses seeking guidance on best practices related to clinical review, fostering growth within the profession as a whole.
- Managed caseload efficiently while maintaining strict confidentiality of sensitive information per HIPAA regulations.
- Adhered to strict timelines for case completion while maintaining a high level of accuracy and attention to detail during the review process.
Eqhealth Solutions
Clinical Review Nurse
04.2011 - 08.2012
Job overview
- Strengthened nursing practice through ongoing professional development and staying current on best practices in clinical review.
- Provided mentorship to junior nurses seeking guidance on best practices related to clinical review, fostering growth within the profession as a whole.
KEPRO
Clinical Review Nurse
01.2010 - 04.2011
Job overview
- Strengthened nursing practice through ongoing professional development and staying current on best practices in clinical review.
- Provided mentorship to junior nurses seeking guidance on best practices related to clinical review, fostering growth within the profession as a whole.
Education
St Charles County Community College, Cottleville, MO
Associate of Science from Nursing
05-1997
Skills
- HIPAA Compliance
- Medical record review
- Patient confidentiality
- Care Coordination
- Strong Clinical Judgment
- Organizational Skills
- Team Collaboration
- Utilization review
Timeline
Clinical Review Nurse
AmeriHealth Caritas
02.2017 - Current
Discharge Coordinator
WellCare
08.2015 - 09.2016
Clinical Review Nurse
Aetna
04.2015 - 08.2015
Clinical Review Nurse
Canaide
08.2012 - 02.2015
Clinical Review Nurse
Eqhealth Solutions
04.2011 - 08.2012
Clinical Review Nurse
KEPRO
01.2010 - 04.2011
St Charles County Community College
Associate of Science from Nursing
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