Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Work Availability
Work Preference
Quote
Software
Languages
Timeline
Receptionist

Tanya Erdman

Care management supervisor
Halifax,PA

Summary

Accomplished Registered Nurse Case Manager and Supervisor with 23+ years of experience dedicated to quality care of diverse members. Overall with 36 years in Nursing. Skillfully blend hands-on skills with advanced background in variety of settings. Work effectively with all levels of healthcare providers, physicians, employer groups, community members, other departments and administrators to address member's needs. Involved in Fetal grievance programs and Healthy beginnings. Performed UR and CCR reviews with HealthMate, Capital for Maternity, NICU and other medical services as needed. A team player, receptive to changes, flexible, dependable and a conscientious detail oriented professional.

Overview

44
44
years of professional experience
1
1
Certification

Work History

Maternity Case Manager -RN

Capital BlueCross
Harrisburg, PA
12.2001 - Current
  • Effectively communicated with physicians regarding member's needs, performance, medications and changes.
  • Completed initial assessments of member's and family to determine and address individual needs. ·
  • Advocated for member's by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Evaluated healthcare needs, goals for treatment and available resources of each member and connected to optimal providers and care.
  • Created individualized care plans based on diagnosis and incorporated appropriate nursing methods to achieve positive outcomes.
  • Performed evaluations on consistent basis to address changes in member's needs, conditions and medications, altering care plans when required.
  • Orient New employees
  • Complies with CMSA standards, as well as NCQA
  • Participated in projects especially most recent Health care equity project for maternity

Supervisor-Medical Review Nurse

CorVel Corporation
Mehanicsburg, PA
05.2001 - 12.2001
  • Supervised 5 claim analysts
  • Reviewed auto/workers comp inpatient or outpatient claims for excessive treatments and if met certain criteria

Staff Nurse, Labor and Delivery

Pinnacle Health Hospital
Harrisburg, PA
08.1990 - 12.2001
  • Charge Nurse
  • Developed resolve through sharing grievance program
  • Part time staff nurse to per diem staff nurse

Maternity/NICU Case Manager

PA HealthMate, Inc
Harrisburg, PA
06.1998 - 05.2001
  • Developed maternity case management program
  • Developed databases in access for tracking and reporting purposes
  • Utilization Review, CCR activities at local hospital for all members
  • Participated in quality of care reviews of provider practices

Staff Nurse, Labor and Delivery

Holy Spirit Hospital
Camp Hill, PA
04.1996 - 06.1998
  • Responded to emergency situations such as pre-eclampsia, early labor and fetal distress.
  • Worked closely with doctors and midwives in coaching pregnant women through childbirth and post-natal recovery.
  • Per diem staff nurse

Staff Nurse, Midwife Birth Center

Harrisburg Women's Birth Center
Harrisburg, PA
05.1993 - 08.1995
  • Supportive nursing care for birth center patients, on call basis for Labor and Delivery
  • Supported midwives and physicians during patients labor and delivery

Staff Nurse, Labor and Delivery

Holy Spirit Hospital
Camp Hill, PA
02.1988 - 08.1990
  • Managed elements of patient care from admission to discharge or transfer to other units.
  • Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures and nursing best practices.

Staff Nurse, Medial/Surgical and Telemetry

Holy Spirit Hospital
Camp Hill, PA
06.1986 - 02.1988
  • Formulated plans for nursing measures to restore, maintain and promote patients' physical and mental health.
  • Assessed physical, psychological, physiologic and cognitive status of patients.
  • Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies.
  • Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.

Education

Bachelor of Science - Nursing

Penn State World Campus
State College, PA

Associate of Arts - Nursing

Harrisburg Area Community College
Harrisburg, PA
05.1986

Skills

  • Strong knowledge experience in medicaid healthcare, commercial healthcare
  • Works well as team player
  • Proficient in most programs such as Microsoft Office (Excel, Word, Power Point, etc)
  • Strong Knowledge of Capital's Policies and procedures
  • Efficient and quick with learning new programs/systems
  • Strong customer service skills

Accomplishments

  • Senior Case manager title
  • Precepted many new case managers
  • Six state nursing licenses


Certification

  • Certified Case Manager (CCM)
  • Intrinsic Coaching certificate
  • Certificate for grievance counseling through RTS for losses in maternity

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference

Work Type

Full Time

Work Location

Remote

Important To Me

Work-life balanceCompany CultureFlexible work hoursPersonal development programsWork from home optionPaid time off

Quote

Every problem is a gift—without problems we would not grow.
Tony Robbins

Software

Microsoft office

Teams

Languages

English

Timeline

Maternity Case Manager -RN

Capital BlueCross
12.2001 - Current

Supervisor-Medical Review Nurse

CorVel Corporation
05.2001 - 12.2001

Maternity/NICU Case Manager

PA HealthMate, Inc
06.1998 - 05.2001

Staff Nurse, Labor and Delivery

Holy Spirit Hospital
04.1996 - 06.1998

Staff Nurse, Midwife Birth Center

Harrisburg Women's Birth Center
05.1993 - 08.1995

Staff Nurse, Labor and Delivery

Pinnacle Health Hospital
08.1990 - 12.2001

Staff Nurse, Labor and Delivery

Holy Spirit Hospital
02.1988 - 08.1990

Staff Nurse, Medial/Surgical and Telemetry

Holy Spirit Hospital
06.1986 - 02.1988

Bachelor of Science - Nursing

Penn State World Campus

Associate of Arts - Nursing

Harrisburg Area Community College

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