Kimberly SUH
Bayside,NY
Summary
Attentive RN Case Manager with over 8 years of successful experience in utilization review and discharge planning . Recognized consistently for performance excellence and contributions to success in case management. Willing to take action and adopt new opportunities and tough challenges with a sense of urgency and high energy. Passionate about continued professional development related to case management, utilization review and clinical coordinating.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Experienced RN Care Manager
NYU Langone Health- Tisch Hospital
02.2021 - Current
- Assesses patient needs in collaboration with the interdisciplinary team to develop a comprehensive management plan, documenting the assessment and plan in Epic and Allscripts.
- Coordinates, negotiates, procures, and manages care of patients by providing focused care coordination across acute care continuum.
- Discusses estimated length of stay, treatment and discharge plan with the attending physician and patient/family. Initiates discharge planning at the time of admission, and continues throughout the inpatient stay.
- Collaborates daily with interdisciplinary team for assigned patients to discuss patient care planning and care facilitation.
- Coordinates and ensures that the interdisciplinary plan of care and the discharge plan are consistent with the patient’s clinical course, continuing care needs and covered services.
- Prepares and updates PRI, using Allscripts, to reflect current changes in patient status.
- Communicates promptly and effectively with responsible medical, nursing and ancillary staff to ensure documentation adequately reflects patient clinical status, admission status and need for continued stay.
RN Case Manager /Clinical Care Coordinator RN
Amsterdam Nursing Home And Rehab
03.2014 - 02.2021
- Reviewed PRIs of prospective admission cases based on medical necessity and approved admissions for short term skilled rehabilitation or inpatient hospice level (GIP) cases.
- Performed regular concurrent review including care plan and discharge planning and coordinated necessary services.
- Partnered with physicians, social workers, rehab therapists, nutritionists and nursing supervisors to develop and implement individualized care plans.
- Collaborated with affiliated hospitals ; HSS and NYP for Medicare bundled payment initiative called Comprehensive Care for Joint Replacement (CJR) model and Mount Sinai Health system for CarePort.
- Completed PRIs as necessary for transfer resident to another SNF or MLTC authorization purposes.
- Utilization reviewed with finance department and communicated with case managers of insurance carriers (HMO/MLTC) for discharge planning and authorization update.
- Reviewed patient condition and progress to accurately document updates and Planned /completed MDS for billing purposes.
RN Resident Assessment Utilization Manager
Jewish Home Lifecare
09.2012 - 02.2014
- Updated and followed up clinical documentation and Coordinate discharge planning for Medicare & managed care patients in Cardiac rehab unit.
- Assessed residents and complete MDS 3.0 assessments for all OBRA and Medicare assessments in timely manner.
- Facilitated and participated in comprehensive care plan team meeting ensuring that care plan accurately reflects residents needs.
Experienced Clinical Nurse Manager
Cabrini Center for Nursing & Rehabilitation
06.2011 - 06.2012
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals, including physicians, case managers and social workers.
- Supported patient care excellence via planning and interpretation of programs.
Patient-focused Unit manager/Nursing Supervisor
A. Holly Patterson Extended Care Facility
01.2008 - 03.2011
- Demonstrated by 3 years of experience in Geriatric and Dialysis unit with excellent communication skills
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals, including physicians, case managers and social workers.
Registered Nurse /Clinical Research Nurse
Seoul National University Hospital
05.1997 - 05.2005
- Completed clinical rotations in Med-Surg, Oncology, Neurology, Pediatrics and OB-GYN.
- Participated in multinational clinical trial of international pharmacy company.
- Managed care for post-operative, post-chemotherapy patients through discharge.
Education
Case Manager - Case Management
Best in Class Case Management Seminar
Mullahy & Associates, LLC06.2015
Continuing Education - Refresher Nursing Course
Anne Arundel Community College
Arnold, MD08.2007
Bachelor of Science - Nursing
Seoul National University
Seoul, South Korea02.1997
Skills
- Case Management / Utilization Review
- Participation in discharge planning
- EMR/Epic / Computer skills
- PRI Assessor / MDS RAC-CT
- BLS provider
- Fluent in ENGLISH / KOREAN
Certification
Current NYS RN, PRI Assessor, MDS 3.0 RAC-CT , Healthcare provider BLS
Timeline
Experienced RN Care Manager
NYU Langone Health- Tisch Hospital
02.2021 - Current
RN Case Manager /Clinical Care Coordinator RN
Amsterdam Nursing Home And Rehab
03.2014 - 02.2021
RN Resident Assessment Utilization Manager
Jewish Home Lifecare
09.2012 - 02.2014
Experienced Clinical Nurse Manager
Cabrini Center for Nursing & Rehabilitation
06.2011 - 06.2012
Patient-focused Unit manager/Nursing Supervisor
A. Holly Patterson Extended Care Facility
01.2008 - 03.2011
Registered Nurse /Clinical Research Nurse
Seoul National University Hospital
05.1997 - 05.2005
Case Manager - Case Management
Best in Class Case Management Seminar
Continuing Education - Refresher Nursing Course
Anne Arundel Community College
Bachelor of Science - Nursing
Seoul National University