SUSAN KARLEWICZ

Home visits and exams to five Well Med patients daily, blood draws, medication reconciliation and teaching, attempt to catch illness early to prevent emergency room visits

• Administered medications accurately and safely, reducing medication errors and adverse reactions.
• Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
• Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
• Administered medications via oral, and intramuscular injections and monitored responses.
• Communicate with approximately 15 high risk patients weekly via phone assessment to check on health status and medication compliance.

• Manager of large case management department with 28 employees.
• Participate in daily huddle meetings.
• Perform utilization review audits
• Handle internal issues within department
• Perform employee evaluations

• Manages time and workload to ensure both business and patient needs are met, effectively communicate with diverse healthcare professionals and patients. Saw about 30 patients a day depending on the census.
• Collaborate with ED doctors regarding criteria for admissions vs observations; conducts discharge planning and assessment for frequent admits
• Was able to prevent admissions by setting up services in the home such as intravenous antibiotics or admission into skilled nursing facilities for rehabilitation.
• Builds relationships and educates patients and provides resources
• Also, a member of the Ethics Committee

• Oversaw and perform precertification for approximately 20 cases daily including, surgical procedures, testing, hospital admissions, SNF admits and concurrent review; actively collaborated with Medical Directors, case managers, patients, and families, to ensure excellent care and services, utilizing InterQual criteria
• Managed workload to consistently meet critical deadlines, ensured compliance and accurate documentation

• Effectively oversees case management and transitional care services for a large population of Medicare and private insurance clients; regularly provides in-home visits; performs accurate home safety evaluations, medication reconciliations and DME assessments. I usually saw about three patients a day and had phone assessments with five patients.
• Assess patient for medication side effects and determine interventions
• Pro-actively communicates with primary care physicians regarding assessment findings; ensures cases are followed through completion
• Two patients I assisted were written up in case studies in Banner's Journal magazine.

• Evaluated patient progress and adjusted care plans, accordingly, ensuring continuity of care across all healthcare settings, seeing 30 patients a day.
• Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
• Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
• Improved patient outcomes by consistently providing comprehensive assessments and developing tailored discharge plan..
• Determine if patient meets criteria for continued stay utilizing criteria and if not discuss with MD plan of care.

Discharge planning and utilization review on a 25 bed unit.

Nursing supervisor in charge of a 270-bed hospital.

Onsite case management duties for Cigna patients that were hospitalized. I reviewed charts to ensure patient met criteria for inpatient and concurrent review stay. Assisted hospital case managers with any discharge planning needs.

Manager of a 44-bed medical-surgical unit.

General staff nurse duties on a 44-bed medical- surgical unit. At that time, we had the capacity for four ventilator patients, gave standard chemotherapy, infused Lasix and dopamine drips.