Summary
Overview
Work History
Education
Skills
Certification
Timeline
BusinessAnalyst
Shelley Betz

Shelley Betz

Castle Rock,CO

Summary

Dedicated Registered Nurse with 20+ years of experience in a variety of nursing roles. Dynamic, self-motivated individual who possesses the ability to acclimate easily in varied work environments and establish and maintain rapport with team members and clients.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Medical Case Manager

CorVel
03.2022 - 08.2023
  • Provides medical case management to individuals through communications with the patient, the physician, other health care providers, the employer and the referral source.
  • Provides assessment, planning, implementation and evaluation of patient’s progress.
  • Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness.
  • Attends doctor and specialty provider visits, hospital and/or long-term facility discharge planning conferences for the purpose of developing an effective plan of care.

Manager, Clinical Services

Correctional Health Partners
10.2018 - 05.2020
  • Responsible for daily operations of Case Management/Prior Authorization for Third Party Administrator, across all lines of business.
  • Maximized performance by monitoring daily activities and mentoring team members.
  • Improved operational process and business frameworks to enhance resource utilization and reduce waste.
  • Established and updated work schedules to account for changing staff levels and expected workloads.
  • Onboarded new employees with training and new hire documentation.
  • Prepared and presented comprehensive reports to upper management, covering issues and recommendations.

Clinical Implementation Consultant

AmerisourceBergen
10.2015 - 12.2017
  • Responsible for Implementing Intellidose, TxM software for OP Oncology Infusion Clinics.
  • Researched clients' practice workflow & processes to customize implementation measures for minimal disruption to operations.
  • Product expert providing remote/ onsite training to Administration, Billing, End-users, Nursing and Providers as designated by each practice.
  • Communicated effectively with third-party personnel involved in implementation efforts, coordinating activities to maximize progress.

Registered Nurse

Cox Health Systems
09.2005 - 08.2014
  • Replacement staff on various Acute Care Units, OP Ambulatory Care Center and Long-term Rehab Care Units as scheduling required.
  • Organized and managed care of patients undergoing various therapies and procedures.
  • Established positive trusting relationships with varied physicians and team members throughout hospital.
  • Ability to work in high stress environments while being flexible and adapting to change daily.

Education

Certification - Licensed Esthetician

School of Botanical And Medical Aesthetics
Denver, CO
04.2024

Associates Degree - Science of Nursing

St John's School of Nursing
Springfield, MO
12.2003

Skills

  • Direct Patient Care
  • Patient Assessments
  • Customer Service
  • Care Plan Development
  • EMR Systems

Certification


  • Chemical Peels, Dermaplaning, Microdermabrasion and Microneedling, School of Botanical & Medical Aesthetics - anticipated completion date April 2024

Timeline

Medical Case Manager

CorVel
03.2022 - 08.2023

Manager, Clinical Services

Correctional Health Partners
10.2018 - 05.2020

Clinical Implementation Consultant

AmerisourceBergen
10.2015 - 12.2017

Registered Nurse

Cox Health Systems
09.2005 - 08.2014

Certification - Licensed Esthetician

School of Botanical And Medical Aesthetics

Associates Degree - Science of Nursing

St John's School of Nursing

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Shelley Betz