Syeda Amna Shehzad
Utilization Review RN
Royersford
Summary
Accomplished Case Manager bringing extensive experience connecting clients with resources. Offers organizational skills and multitasking abilities required to effectively coordinate resources, prioritize cases and manage high-volume daily workloads. Organized Case Manager offering deep understanding of operational procedures and standards. Keeps unit operating smoothly with well-coordinated staff, supplies and documentation. Brings history of accomplishment in Utilization Review RN position. Compassionate Registered Nurse and Case Manager guides and counsels clients in navigating systemic processes and paperwork. Drives access to resources through continued networking and research into community offerings. Advocates on client behalf to remove barriers and foster quality outcomes. Devoted RN and Case Manager participates in networking activities designed to meet client's identified needs. Displays professional level of empathy for participants and respect for cultural differences while forming impactful relationships. Knowledgeable management program leader successful at leading staff and directing operations. Meet program objectives by setting goals, directing staff and increasing fundraising. Coordinate resources to meet all needs and maintain budget objectives. Talented case management skills at completing daily assignments and contributing to team success. Always willing to take on any task. Adapts quickly to new needs and policies. Stays on top of demands in fast-paced environments by effectively using slow periods. Maintains organized, clean and safe work areas with diligent attention to important details. Willing to take on any task to support team and help business succeed. Offers strong management and teamwork abilities. Reliable candidate ready to take on challenges using problem-solving and task prioritization skills to help team succeed. Dependable employee seeking opportunity to expand skills and contribute to company success. Considered hardworking, ethical and detail-oriented. Dedicated professional with demonstrated strengths in customer service, time management and trend tracking. Good at troubleshooting problems and building successful solutions. Excellent verbal and written communicator with strong background cultivating positive relationships and exceeding goals. Knowledgeable medical services professional with natural leadership talent and progressive healthcare career. Achieve financial, operational and care delivery goals with effective oversight of teams and resources. Tech-savvy and proactive with good sense of business operations and patient care needs. Willing to take on any task to support team and help business succeed. Offers strong support to the staff, making collaboration among the staff, effective communication abilities.
Overview
4
4
years of professional experience
4
4
Certifications
3
3
Languages
Work History
Peer to Peer RN Manager
R1 Rcm
11.2024 - 06.2025
- Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
- Managed care from admission to discharge.
- Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
- Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively.
- Streamlined documentation processes to ensure accurate record-keeping and compliance with regulatory standards.
- Participated in professional development opportunities regularly to stay current on best practices in the field of nursing.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Controlled costs to keep business operating within budget and increase profits.
- Cross-trained existing employees to maximize team agility and performance.
- Maintained professional, organized, and safe environment for employees and patrons.
- Developed and maintained relationships with customers and suppliers through account development.
Utilization Review Nurse
Medical Review Institute of America
07.2024 - 10.2024
- Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.
- Optimized hospital stays by monitoring admissions for appropriateness based on established clinical guidelines while considering each patient''s unique circumstances.
- Supported organizational growth and development through effective collaboration with interdisciplinary teams focused on improving the quality, safety, and efficiency of healthcare delivery.
- Enhanced team efficiency with development of streamlined review processes.
- Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
- Improved patient outcomes by meticulously reviewing patient records to ensure appropriate care levels.
- Implemented continuous improvement program for utilization review process, leading to better healthcare management.
Case Manager
Independence Blue Cross
09.2023 - 07.2024
- Coordinated and provided care that is safe, timely, effective, efficient, equitable, and client-centered
- Handle case assignments, draft service plans, review case progress and determine case closure
- Help clients achieve wellness and autonomy
- Facilitate multiple care aspects (case coordination, information sharing, etc)
- Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options
- Develop effective working relations and cooperate with medical team throughout the entire case management process
- Arrange abeyance with social services, health and governmental agencies
- Take the extra mile and interact with patients to keep track of their progress and to ensure satisfaction
- Record cases information, complete accurately all necessary forms and produce statistical reports
- Promote quality and cost-effective interventions and outcomes
- Assess and address motivational and psychosocial issues
- Adhere to professional standards as outlined by protocols, rules and regulations
Case Manager
Geisinger Medical Center
07.2023 - 09.2023
- Planned and documented short-term interventions in response to critical needs or crises.
- Improved case management strategies through training and continuing education.
- Identified and removed barriers to patient throughput and desired quality outcomes.
- Manage a heavy caseload of 60-70 patients and their families to ensure proper delivery of services and to assist clients with meeting their psychosocial needs Identified service delivery gaps and developed appropriate service linkages.
- Offered referrals to employment and housing search support to improve client's quality of life.
- Developed appropriate care plans based on current standards of practice and facility guidelines.
- Met with clients to develop assessment of supportive service needs.
- Investigated availability of community resources and presented recommendations to clients.
- Communicated and met with manager to discuss case issues.
- Increased outreach, consistently bringing in new program members and growing funding.
- Participated in intake process by collecting, organizing and analyzing information about individuals.
- Delivered exceptional program support by recruiting, training and overseeing exceptional staff team.
- Managed budgets successfully, keeping expenses within target levels and avoiding overages.
- Aligned operations with objectives set by senior management and board of directors.
- Maintained compliance by preparing accurate statements for governing agencies.
- Direct a cross functional team of 20+ healthcare professionals, including MDs, RNs, LPNs and patient services associates
- Attended a 2 week long teach-the-teacher training on the PACT care model, and delivered training to 6 newly hired RN's on PACT and its implementation
- Serve as a PACT leader to coordinate all aspect of care for a panel of 1000+ patients while delivering chronic disease management and preventative education
- Administer patient care for 15+ patients, completing RN physical and psychosocial assessments, adjusting care plans, and treating change of conditions.
- Coordinated program referrals and community-based services.
- Accompanied participants to interviews to observe and help clarify questions.
Case Manager
Grand View Hospital
05.2023 - 07.2023
- Company Overview: Facility Type: Short Term Acute Care
- Created, reviewed and revised robust care plans for 30+ patients, focusing on patient needs, disease management and treatment alternatives
- Oversaw a team of 15+ clinical and support staff to direct and coordinate patient care activities, maintaining a high degree of professionalism while keeping moral high
- Managed all aspects of patient assessment, care planning and implementation and evaluation to provide them with appropriate care and facilitate their timely recovery
- Prepared and entered documentation into care management applications to ensure compliances with documentation requirements, maintaining and audit score of 95%
- Facility Type: Short Term Acute Care
Case Manager
UW Health East Madison Hospital
02.2023 - 05.2023
- Developed case management plans and established goals.
- Discuss current treatment plans with physician and recommended actionable adjustments to improve care or resource utilization.
- Complied with safety rules and regulations in conjunction with regulatory agencies.
- Implemented cost-effective strategies, equipment acquisitions and supply vendors to reduce costs.
- Evaluated treatment plans for appropriateness, medical necessity and cost-effectiveness.
- Researched medical and community resources for chronic disease patients, including individuals diagnose with HIV, AIDS, cancer and spinal cord injuries.
- Provided recommendations regarding health care resource utilization.
- Immunized patients against communicable diseases based on seasonal factors, age or current transmission rates.
- Used local, inhalation, or intravenous on patients.
- Modified patients' treatment plans as indicated by patients' responses and new physician orders.
- Treated patients with mental health issues alongside multidisciplinary team.
- Advised patients on at-home care and preventive lifestyle choices.
- Achieved optimal patient outcomes by carefully monitoring conditions and delivering comprehensive support.
- Prepared patients for appointments, completing intake processes and giving instructions.
- Resolved or reduced patient symptoms with intramuscular, intravenous and oral medicines.
- Tracked patients during anesthesia and reported on conditions.
- Offered knowledgeable, evidence-based health services in community-based locations.
- Trained junior nurses and students in proper techniques.
- Delivered evidence-based, cost-effective care following facility policies.
- Led team of nurses to deliver care to patients in [Type] unit.
- Maximized unit efficiency, keeping supplies and records well-organized for expected needs.
- Worked with interdisciplinary team to organize and implement patient care plans.
- Ordered diagnostic tests and requested specialist care to meet patient needs.
- Maintained accurate records and charted consistently in EHR system.
Case Manager
Kindred Hospital
09.2022 - 02.2023
- Educated patients and caregivers on proper at-home care and treatment regimens.
- Trained and mentored student nurses, interns and new graduates in proper procedures and care techniques.
- Recorded changes in patient conditions and laboratory test results.
- Educated patients on preventive care and lifestyle choices to improve overall health.
- Alleviated patient fears of treatments using kind, empathetic communication.
- Conducted accurate chart updates in computer system.
- Managed direct care of patients, conducted assessments and documented care activities.
- Worked closely with physicians, surgeons and nursing staff as part of unit team.
- Implemented treatment plans for acute and chronic conditions.
- Administered oral, IV and intramuscular medications as part of patient treatments.
- Stabilized patients experiencing emergency complications and decompensations.
- Delivered evidence-based, cost-effective care following facility policies.
- Maintained accurate records and charted consistently in EHR system.
- Assisted with examinations, treatments and office procedures.
- Worked with interdisciplinary team to organize and implement patient care plans.
- Achieved optimal patient outcomes by carefully monitoring conditions and delivering comprehensive support.
- Controlled infection risks with proper wound care and aseptic techniques.
- Intervened and stabilized patients during emergencies with immediate first aid, CPR or advanced life support care.
- Trained junior nurses and students in proper techniques.
- Led team of nurses to deliver care to patients in [Type] unit.
- Checked patients' diets, physical activities and risk factors for disease.
Charge Nurse
Einstein Medical Center
06.2022 - 09.2022
- Coordinated and administered appropriate clinical decisions in patient care delivery.
- Coordinated and adjusted treatment, transfer and discharge planning.
- Collaborated with healthcare team to promote positive outcomes based on data, research, evidence and professional standards of care.
- Incorporated evidence-based practice and research into patient care delivery.
- Adhered to company policies related to time management, supply management, productivity and quality of service.
- Maintained patient comfort and advocated for needs through entire continuum of care to optimize patient experiences.
- Protected patients from undue harm by balancing choices and prioritized treatments based on assessed impacts of each therapeutic option.
- Maintained patient care data, including documenting assessments, interventions and responses.
- Obtained specialized care for patients by coordinating consultation and treatment referrals.
- Prevented complex issues by quickly treating routine wounds and superficial lacerations.
- Kept patients stable and promoted recovery by continuously monitoring conditions and treating emerging issues.
- Met patients' needs by setting up and correctly operating tracheotomy and ventilation devices.
- Facilitated smooth patient admissions, transfers and discharges by efficiently handling administrative paperwork and communications.
- Promoted family support by building rapport and discussing illnesses, treatments and discharge plans.
- Participated in patients' care meetings and conferences.
- Stabilized patients' conditions by performing emergency medical procedures in line with BLS and ACLS standards.
RN - PCU / Stepdown
Lehigh Valley Hospital
01.2021 - 05.2022
- Implemented treatment plans for acute and chronic conditions.
- Used local, inhalation, or intravenous on patients.
- Resolved or reduced patient symptoms with intramuscular, intravenous and oral medicines.
- Worked with interdisciplinary team to organize and implement patient care plans.
- Modified patients' treatment plans as indicated by patients' responses and new physician orders.
- Assisted with examinations, treatments and office procedures.
- Tracked patients during anesthesia and reported on conditions.
- Intervened and stabilized patients during emergencies with immediate first aid, CPR or advanced life support care.
- Treated patients with mental health issues alongside multidisciplinary team.
- Maximized unit efficiency, keeping supplies and records well-organized for expected needs.
- Advised patients on at-home care and preventive lifestyle choices.
- Achieved optimal patient outcomes by carefully monitoring conditions and delivering comprehensive support.
- Supported procedures by handling instruments and monitoring patients.
- Offered knowledgeable, evidence-based health services in community-based locations.
- Delivered evidence-based, cost-effective care following facility policies.
- Ordered diagnostic tests and requested specialist care to meet patient needs.
- Immunized patients against communicable diseases based on seasonal factors, age or current transmission rates.
- Maintained accurate records and charted consistently in EHR system.
- Managed patient flows for unit, handling admissions and processing discharge paperwork.
- Trained and mentored student nurses, interns and new graduates in proper procedures and care techniques.
- Educated patients and caregivers on proper at-home care and treatment regimens.
- Managed direct care of patients, conducted assessments and documented care activities.
- Conducted accurate chart updates in computer system.
Education
Associate Degree of Nursing - Nursing
Harcum College
Bryn Mawr, PennsylvaniaBachelor of Science - Nursing
Capella University
Minneapolis, United States05-2021
Master Science - Nursing (Leadership & Management
Capella University
Minneapolis, Minnesota12-2025
Master of Business Administration (M.B.A.) - undefined
Institute of Business Administration
Karachi, SindhSkills
- Microsoft Office
- computerized charting
- Client Advocacy
- Care Coordination
- Case Management
- Group Therapy
- Community Outreach
- Family Education
- Referral Coordination
- Utilization Review
- Individualized Counseling
- Needs Assessment
- Regulatory Compliance
- Performance Tracking
- Cross-Functional Collaboration
- Patient Needs Assessment
- Social Work
- Indirect Patient Care
- Patient Assessments
- Eligibility Assessment
- Financial Support
- Problem-Solving
- Client Empowerment
- Positive Attitude
- Family Education Programs
- Annual Case Reviews
- Utilization Management
- Staff Management
- Email and Telephone Etiquette
- Treatment Planning
- Data Entry and Analysis
- Documentation and Reporting
- Intervention Plans
- Home Visits and Inspections
- Medical Records Management
- Program Development
- Resource Identification
- Conflict Resolution
- Direct Patient Care
- MS Office
- Patient Management
- Case Planning
- Decision-Making
- Case Management Tracking
- Crisis Intervention
- Quality Assurance Controls
- Resource Management
- Progress Evaluations
- Stakeholder Collaboration
- Health History Documentation
Research utilization
Quality improvement
Certification
BLS
Interests
Reading books and biographies
Networking
Traveling
Mentoring
Volunteering
Learning new languages
Public speaking such as toast masters
Social entrepreneurship
References
To be provided on request
Active Rn License
- Pennsylvania
- Wisconsin (Compact)
Timeline
Peer to Peer RN Manager
R1 Rcm
11.2024 - 06.2025
Utilization Review Nurse
Medical Review Institute of America
07.2024 - 10.2024
Case Manager
Independence Blue Cross
09.2023 - 07.2024
Case Manager
Geisinger Medical Center
07.2023 - 09.2023
Case Manager
Grand View Hospital
05.2023 - 07.2023
Case Manager
UW Health East Madison Hospital
02.2023 - 05.2023
Case Manager
Kindred Hospital
09.2022 - 02.2023
Charge Nurse
Einstein Medical Center
06.2022 - 09.2022
RN - PCU / Stepdown
Lehigh Valley Hospital
01.2021 - 05.2022
Master of Business Administration (M.B.A.) - undefined
Institute of Business Administration
Associate Degree of Nursing - Nursing
Harcum College
Bachelor of Science - Nursing
Capella University
Master Science - Nursing (Leadership & Management
Capella University
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