Summary
Overview
Work History
Education
Skills
References
Timeline
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Shielie Hollinger-Novero

Las Vegas,NV

Summary

Dedicated RN Case Manager with 16 years of experience in case management and patient advocacy. Expertise in discharge planning and utilization review, with a strong focus on regulatory compliance. Track record of driving positive patient outcomes and ensuring continuity of care through effective system navigation.

Overview

26
26
years of professional experience

Work History

Rn Observation Case Manager

HCA
Las Vegas, Nevada
12.2010 - Current

Classified patient admissions by evaluating documentation and charts for accuracy.

Requested admission orders from physicians to ensure regulatory compliance.

Coordinated interdepartmental collaboration to facilitate timely testing and procedures.

Maintained extensive knowledge of various insurance types, including Medicare's two-midnight rule and Managed Care Medicare.

RN Case Manager

Centennial Hills Hospital
Las Vegas, Nevada
03.2007 - 12.2010
  • Advocated for patients' needs, facilitating access to healthcare and community resources.
  • Developed comprehensive discharge plans for patients transitioning from acute care to home or alternate facilities.
  • Participated in multidisciplinary rounds, collaborating on complex case discussions with healthcare team members.
  • Regularly communicated with family members about patient care requirements and progress toward established goals.

RN Case Manager

Summerlin Medical Center
Las Vegas, Nevada
09.2005 - 02.2007
  • Analyzed financial information to determine insurance coverage eligibility before service initiation.
  • Facilitated communication among patients, families, physicians, and healthcare teams.
  • Coordinated care by effectively communicating with patients, families, and healthcare providers.

Orthopedic Registered Nurse

North Vista Hospital | Las Vegas
Las Vegas, Nevada
06.2000 - 08.2005
  • Administered medications and monitored patient responses to ensure optimal care.
  • Maintained safe environment for patients and staff through strict infection control measures.
  • Facilitated continuity of care by communicating patient information during shift change reports.
  • Instructed patients on pre-and post-operative care, including diet modifications and self-care techniques.

Oncology Register Nurse

United Healthcare Regional Medical Center
Wichita Falls, Texas
05.1999 - 05.2000
  • Monitored patient vital signs and communicated changes to medical team.
  • Educated patients and families on health management and disease prevention strategies.

Administered chemotherapy, immunotherapy, and other cancer treatment modalities.

Managed treatment side effects to enhance patient comfort.

Delivered effective pain management interventions for optimal patient care.

Education

Bachelor of Science - Nursing

Midwestern State University
Wichita Falls, TX
05-1999

Skills

Utilization review and case management

InterQual and MCG guidelines

Insurance compliance and regulations (Medicare,Medicaid, Commercial)

Clinical documentation and necessity reviews

Collaboration with physicians and insurance providers

Electronic health records management( Meditech,Midas,Careport, Nate Tempo

Healthcare resource management

Effective communication skills

Critical analysis abilities

Basic life support certification

References

References available upon request.

Timeline

Rn Observation Case Manager

HCA
12.2010 - Current

RN Case Manager

Centennial Hills Hospital
03.2007 - 12.2010

RN Case Manager

Summerlin Medical Center
09.2005 - 02.2007

Orthopedic Registered Nurse

North Vista Hospital | Las Vegas
06.2000 - 08.2005

Oncology Register Nurse

United Healthcare Regional Medical Center
05.1999 - 05.2000

Bachelor of Science - Nursing

Midwestern State University