Syeda Amna Shehzad
Royersford
Summary
Results-driven healthcare professional with a strong focus on analytics and patient education. Combines critical thinking with hands-on experience in managing chronic conditions, ensuring adherence to clinical guidelines, and fostering patient empowerment through effective communication and support.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Case Manager-RN (Inpatient)
Phoenixville Hospital
Phoenixville
03.2026 - 06.2026
- Utilized electronic health records to document patient interactions and updates.
- Collaborated with healthcare providers to ensure comprehensive care delivery.
- Advocated for patients' needs within the healthcare system effectively.
- Provided education and counseling on health promotion, risk reduction strategies, disease prevention and self-care techniques to patients and their families.
- Participated in team meetings to discuss treatment options for complex cases.
- Monitored patient progress through regular follow-up appointments and assessments.
- Managed caseloads involving multiple chronic illnesses across various settings such as hospitals, long-term care facilities or private homes.
- Liaised between injured workers and hospital staff to organize treatment and after-care services.
- Implemented interventions based on evidence-based practice guidelines while working collaboratively with interdisciplinary teams.
- Assessed and reviewed patients for discharge and planning and integrated services for patients requiring home care, home infusion, and durable medical equipment (DME).
- Actively participated in family and patient planning processes.
Case Manager-RN
Horizon Blue Cross Blue Sheild
Hopewell
12.2024 - 02.2026
- Coordinated patient care plans with multidisciplinary teams to ensure comprehensive support.
- Assessed patient needs and developed individualized service strategies for each case.
- Monitored patient progress and adjusted care plans based on evolving requirements.
- Maintained logs and electronic client records following department and agency policies for effective monitoring.
- Assisted individuals with eligibility for available benefits.
- Coordinated transportation services for clients who lacked access to reliable transportation.
- Supported family members by providing information on local support groups.
- Collaborated with healthcare providers, lawyers, employers and other stakeholders involved in a client's case.
- Attended court hearings as a representative of the organization when needed.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
- Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
Case Manager-RN (Contarct-Remote)
Medical Review Institute of America
West Valley City
07.2024 - 11.2024
- Reviewed physician's orders for accuracy prior to appeal filing; consulted with prescribers if necessary.
- Evaluated medical records against medical necessity guidelines and criteria to determine if a denial was justified or if a service should be approved.
- Thoroughly researched and analyzed complex appeal requests for pharmacy based appeals, using clinical documentation, clinical understanding, benefit provisions, and policies.
- Monitored patient profiles for drug allergies, interactions, duplications, dosage forms, strengths as well as therapeutic duplication, incompatibilities.
- Monitored state laws regarding pharmacy appeals to ensure compliance with applicable regulations.
- Participated in quality assurance activities such as medication use evaluations and performance.
- Documented all activities, case details, and decisions in accordance with mandated timeframes and regulatory or accreditation standards.
- Communicated with internal staff, members, providers, and physicians to gather information and explain case status, rationale, and regulatory requirements.
- Prepared and wrote appeal determination letters or packaged pertinent information for physician review, ensuring all necessary details are included.
- Evaluated medical records for accuracy and compliance with established guidelines.
Case Manager-RN (Contract-Remote)
Independence Blue Cross
Plymouth
09.2023 - 07.2024
- Demonstrated strong communication skills to collaborate with interdisciplinary team members to ensure optimal patient outcomes.
- Managed multiple tasks while providing timely, high quality patient care.
- Documented patient assessment findings and responses to nursing intervention to progress toward problem resolution.
- Assessed and evaluated patient physical, mental, and emotional status to assist with care needs.
- Maintained confidentiality in patient matters to comply with HIPAA guidelines and measures.
Intensive Care Unit Clinical Nurse
Geisinger Medical Center
Danville
07.2023 - 09.2023
- Controlled costs to keep business operating within budget and increase profits.
- Developed and maintained relationships with customers and suppliers through account development.
- 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.
Case Manager
Grand View Hospital
Sellersville
04.2023 - 06.2023
- Oversaw fundraising activities and preparation of public relations materials.
- Represented organizations in relations with governmental and media institutions.
- Implemented and evaluated staff, volunteer or training programs.
- Analyzed proposed legislation, regulations or rule changes to determine impact of services.
- Evaluated work of staff and volunteers to maintain quality and effectiveness of resources.
- Recruited, interviewed, and hired volunteers and staff.
- Researched and analyzed community needs to determine program directions and goals.
- Assessed and identified service delivery challenges and opportunities within local area.
- Conducted initial assessments to determine client eligibility for programs and services.
- Developed and maintained relationships with community resources and service providers.
Case Manager
Kindred Hospital
Philadelphia
09.2022 - 03.2023
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Completed day-to-day duties accurately and efficiently.
- Worked successfully with a diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Identified needs of customers promptly and efficiently.
- Approached customers and engaged in conversation through the use of effective interpersonal and people skills.
- Worked with cross-functional teams to achieve goals.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
Intensive Care Unit Clinical Nurse
Lehigh Valley Hospital
Allentown
06.2021 - 08.2022
- 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.
- Coordinated all aspects of care for a panel of 1000+ patients as a PACT leader, delivering chronic disease management and preventative education.
- Administered patient care for 15+ patients, conducting physical and psychosocial assessments, adjusting care plans, and addressing changes in conditions to ensure optimal care.
- Coordinated referrals and community-based services to facilitate access to necessary resources for patients.
- Accompanied participants to interviews to observe and help clarify questions.
Education
Master Science - Leadership & Management
Capella University
Minnesota09-2026
Bachelor of Science - Nursing
Capella University
United States08-2024
Associate Degree - Nursing
Harcum College
05-2021
Master of Business Administration - US
Institute of Business Administration
Sindh04-2006
Skills
- Case management
- Care coordination
- Care planning
- Patient advocacy
- Patient education
- Outcomes measurement
- Quality improvement
- Disease prevention
- Strong clinical judgment
- Healthcare navigation
- Data collection
- Electronic health records
- HIPAA compliance
- Regulatory compliance
- Healthcare financing
- Claims processing
- Critical thinking
- Team collaboration
- Policy analysis
- Compassion and empathy
- Health education
- Care coordination
Certification
- BLS
- ACLS
- PALS
- NIHSS
Languages
- English
- Urdu
- Hindi
Active Rn License
- Pennsylvania, Compact
- Michigan, Single State
- New York, Single State
Timeline
Case Manager-RN (Inpatient)
Phoenixville Hospital
03.2026 - 06.2026
Case Manager-RN
Horizon Blue Cross Blue Sheild
12.2024 - 02.2026
Case Manager-RN (Contarct-Remote)
Medical Review Institute of America
07.2024 - 11.2024
Case Manager-RN (Contract-Remote)
Independence Blue Cross
09.2023 - 07.2024
Intensive Care Unit Clinical Nurse
Geisinger Medical Center
07.2023 - 09.2023
Case Manager
Grand View Hospital
04.2023 - 06.2023
Case Manager
Kindred Hospital
09.2022 - 03.2023
Intensive Care Unit Clinical Nurse
Lehigh Valley Hospital
06.2021 - 08.2022
Master Science - Leadership & Management
Capella University
Bachelor of Science - Nursing
Capella University
Associate Degree - Nursing
Harcum College
Master of Business Administration - US
Institute of Business Administration