Michelle Bentley
Michelle
Foley,AL
Summary
Accomplished Registered Nurse with 27 years of clinical excellence, including 22 years dedicated to high-impact Case Management. Proven track record in identifying high-risk claimants and managing complex medical necessity reviews across diverse platforms, including Epic, Cerner, Meditech Expanse, and Homecare Homebase. An expert communicator and technical power user (Excel, Teams, Outlook) adept at bridging the gap between physicians, underwriters, and interdisciplinary teams to ensure cost-effective, high-quality care. Renowned for a member-centric approach that simplifies complex clinical data for patients of all educational backgrounds
Overview
27
27
years of professional experience
1
1
Certificate
Work History
RN Case Manager
HCA Healthcare: Methodist Hospital
Pensacola, FL
04.2025 - Current
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
RN Case Manager Aya Travel
Tanner Medical Center
Villa Rica, GA
09.2024 - 03.2025
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
- Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
- Educated patients and caregivers on healthcare protocols and processes.
- Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
Registered Nurse Case Manager
Internal Medicine Associates Of Tuscaloosa
Tuscaloosa, AL
08.2023 - 09.2024
- Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
- Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
- Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
- Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
RN Case Manager Aya Travel
UVA Health
Charlottesville, VA
06.2023 - 08.2024
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
- Liaised with physicians regarding patient needs, performance and changes.
- Coordinated with interdisciplinary professionals to develop plans of care, scheduling test and improving patient satisfaction.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Worked with suppliers and vendors on provision of medical equipment, items and services.
- Educated and supported home healthcare providers with training, guidance, mentoring and resources required to achieve objectives."
- Coordinated rehabilitative and preventive nursing processes and procedures.
- Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
- Directed appropriate preventive and rehabilitative nursing processes and protocols.
- Managed and streamlined referral queues of up to 33 by efficiently prioritizing patients and clearing insurance obstacles.
RN Case Manager Aya Travel
UNM Hospital (total Med)
Albuquerque, NM
01.2023 - 04.2023
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Advocated for patients 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 patient and connected to optimal providers and care.
- Liaised with physicians regarding patient needs, performance and changes.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
- Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
- Worked with suppliers and vendors on provision of medical equipment, items and services.
- Used Cerner Allscripts to maintain database of relevant information for practitioners to access and coordinate patient care.
- Educated and supported home healthcare providers with training, guidance, mentoring and resources required to produce positive patient outcomes while reducing re-hospitalizations.
- Managed and streamlined referral queues of up to 30 by efficiently prioritizing patients and clearing insurance obstacles.
RN Case Management Specialist
DCH Regional Medical Center
Tuscaloosa , AL
08 2021 - 07 2023
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Advocated for patients 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 patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Liaised with physicians regarding patient needs, performance and changes.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
- Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
- Created patient assessments and plans for individual home care needs.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Used Careport to maintain database of relevant information for practitioners to access and coordinate patient care.
- Educated and supported home healthcare providers with training, guidance, mentoring and resources required to achieve objectives."
- Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
- Managed and streamlined referral queues of up to 48 by efficiently prioritizing patients and clearing insurance obstacles.
RN Case Manager
DCH Regional Medical Center
Tuscaloosa, Alabama
01.2020 - 08.2021
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Identified care needs of individual patients and coordinated responses based on physician advice, and insurance limitations.
- Coordinated care of injured workers by liaising with hospital staff to organize treatments and program resources.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Examined patients and documented history of current and previous conditions, illnesses, injuries and current medications.
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.
- Educated and supported home healthcare providers with training, guidance, mentoring and resources required to achieve objectives."
- Coordinated rehabilitative and preventive nursing processes and procedures.
- Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
- Authored clinical notes and updates to be reviewed by patient's primary physician.
- Participated in on-call rotations to deliver after-hours care.
- Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
- Authored initial assessments of patients and family to develop plans for individual home care needs.
- Created patient assessments and plans for individual home care needs.
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
- Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
Registered Nurse, Care Transitions Coordinator
Amedisys Home Health
Tuscaloosa, AL
11.2018 - 01.2020
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by helping patients regain or improve their abilities.
- Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized patient needs and documented all patient interactions.
- Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs.
- Evaluated healthcare needs, goals for treatment and available resources of each patient.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
- Developed strategy to target nursing and patient satisfaction issues, improve response and patient care quality and suggest actionable improvements to promote patient/caregiver satisfaction.
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers
- Maintained 20 sales call per day
RN Care Navigator
DCH Health System
Tuscaloosa, AL
08.2017 - 10.2018
- Managing heart failure, pneumonia, copd, sepsis and blue cross readmission for the hospital
- Coordinate care of patients by referring to home health, hospice and various out pt treatments
- Serve on readmission task force committees to reduce re-hospitalizations
- Conduct a bi-weekly home health meeting to facilitate collaboration of care for our patients
- Serve on the WATCH committee for safe discharge planning to reduce re-hospitalizations with our heart failure population
- Communicate with local skilled nursing facilities, assisted living facilities, and independent living facilities on their pts that are in hospital with those diagnosis
- Compiled and reviewed medical charts.
Home Health Clincial Specialist
Kindred At Home
Hoover, AL
02.2017 - 08.2017
- Generate new business and maintain business at local hospitals in Tuscaloosa, and Northport
- Work with assisted living facilities and independent living facilities with their residents that need therapy and establish referral process
- Meet and educate families and patients on home health services
- Educate facilities on home health criteria, our specialty programs, and needs that can be met with therapy
- Follow current patients in hospitals and assist case management with transition patients home
- Educate physicians, nurse practioners, nurses and all other office personal on home health services, and our specialty programs.
- Maintained routine sales calls of 12 per day, and 8 cold calls per day
Clinical Manager
Amedisys
10.2016 - 02.2017
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
- Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
- Communicated with patients, asked appropriate questions and employed active listening to determine best care.
- Regularly evaluated employee performance and provided feedback.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Identified nurses' and staff training needs and devised training programs to close gaps.
- Oversaw overall operation of nursing services and patient care, including financial management, quality assurance, patient care, safety protocols and risk management, and facility maintenance.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
- Implement new policies and educate staff on changes.
RN Case Manager
Amedisys
03.2013 - 10.2016
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Delivered medications via oral, IV and intramuscular injections, monitoring responses to catch and address new concerns.
- Implemented interventions, including medication and IV administration, and catheter insertion.
- Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies to a case load of over 50 patients.
Case Manager
Alacare Home Health & Hospice
03.2009 - 03.2013
- Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources.
- Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
- Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
- Helped patients receive appropriate, high-quality care with reasonable results.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Worked with different disciplines to provide cohesive care to patients.
- Evaluated treatment plans against individual goals and healthcare standards.
- Assisted personnel with assessments to identify student academic ability level and guide instruction.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
RN Case Mangement Specialist
USA Health University Hospital
Mobile, AL
12.2025 - Current
- Educated patients and families on health management and post-discharge care instructions.
- Conducted comprehensive assessments to identify patient needs and prioritize interventions.
- Streamlined documentation processes, enhancing accuracy and compliance with healthcare regulations.
- Mentored junior nurses, fostering skill development and professional growth within the team.
- Led quality improvement initiatives that enhanced patient satisfaction scores and reduced readmission rates.
- Implemented evidence-based practices to improve clinical outcomes in patient care delivery.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
Education
Associate of Science - Nursing
Bevill State Community College
Fayette, AL1998
Skills
- Patient care understanding
- BLS for Healthcare Providers certification
- Care management
- Sales
- Home Health
- Accomplished in sales with Skilled nursing facilities, assisted living facilities, and independent living facilities
- Patient care coordination
- Registered Nurse
- Business Development
Accomplishments
Recognized by Case Management Services Social Worker Supervisor and Care Management Servies Leadership with the Certificate of Excellence award on February 17, 2023.
Certification
- Registered Nurse in Alabama, License number 1-087425, current
- BLS
Work Preference
Work Type
Full TimePart TimeLocation Preference
On-SiteRemoteHybridWork Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
RN Case Mangement Specialist
USA Health University Hospital
12.2025 - Current
RN Case Manager
HCA Healthcare: Methodist Hospital
04.2025 - Current
RN Case Manager Aya Travel
Tanner Medical Center
09.2024 - 03.2025
Registered Nurse Case Manager
Internal Medicine Associates Of Tuscaloosa
08.2023 - 09.2024
RN Case Manager Aya Travel
UVA Health
06.2023 - 08.2024
RN Case Manager Aya Travel
UNM Hospital (total Med)
01.2023 - 04.2023
RN Case Manager
DCH Regional Medical Center
01.2020 - 08.2021
Registered Nurse, Care Transitions Coordinator
Amedisys Home Health
11.2018 - 01.2020
RN Care Navigator
DCH Health System
08.2017 - 10.2018
Home Health Clincial Specialist
Kindred At Home
02.2017 - 08.2017
Clinical Manager
Amedisys
10.2016 - 02.2017
RN Case Manager
Amedisys
03.2013 - 10.2016
Case Manager
Alacare Home Health & Hospice
03.2009 - 03.2013
Associate of Science - Nursing
Bevill State Community College
RN Case Management Specialist
DCH Regional Medical Center
08 2021 - 07 2023
Hobbies
- Hiking
- Playing with our family dogs Dexter and Callie Jo
- Traveling
- Church
- Small groups
- Mentoring youth