Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tonya Sable

Barnesville,OH

Summary

Experienced Registered Nurse Case Manager with Cigna, skilled in care coordination and resource utilization resulting in reduced healthcare costs. Proven track record in optimizing patient outcomes through comprehensive assessments and effective communication. Adept at implementing evidence-based practices and mentoring teams, ensuring compliance and enhancing care quality. Committed to patient advocacy and continuous professional development.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Nurse Case Management Lead Analyst-Pathwell

Cigna
11.2023 - Current
  • Negotiated fee for specialty medications with providers
  • Streamlined communication between patients, families, and healthcare providers to ensure comprehensive understanding of care plans.
  • Interacted with Medical Directors to ensure medical necessity of medications
  • Participated in ongoing professional development opportunities focused on refining case management skills in alignment with industry best practices.

Nurse Case Managment Lead Analyst-Inpatient

Cigna
05.2018 - 11.2023
  • Utilized evidence-based best practices to guide clinical decision-making and optimize patient outcomes.
  • Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.

Nurse Case Management Lead Analyst-Team Lead

Cigna
04.2015 - 05.2023
  • Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Mentored new nurses, providing guidance on clinical skills and professional development.
  • Managed an oncology case management caseload of 20-30 patients

Oncology Nurse Case Manager

Cigna
10.2011 - 04.2015
  • Educated patients on such topics as nutrition, medication side effects, and proper skin treatments after radiation.
  • Maintained detailed documentation of patient assessments, interventions, and outcomes using electronic health record systems.
  • Collaborated with interdisciplinary teams for the development and implementation of evidence-based practice initiatives.
  • Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.

Home Health Registered Nurse Case Manager

Alternative Home Care
08.2010 - 10.2011
  • Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
  • Supported family caregivers through education, resources, and emotional support during challenging times.
  • Utilized evidence-based practice guidelines when administering medications or performing treatments/procedures ensuring optimal safety and efficacy.
  • Conducted ongoing evaluations of care plan effectiveness, making adjustments as needed to optimize results.

Education

Bachelor of Arts - English Language And Literature

Ohio University
Athens, OH

Master of Science - Nursing

University of Phoenix
Tempe, AZ

Skills

  • Care coordination
  • Case evaluation
  • Service coordination
  • Resource utilization
  • Case management
  • Utilization review
  • Attention to detail

Certification

  • Certified Case Manager-2014-current
  • Registered Nurse License - 2001-current

Timeline

Nurse Case Management Lead Analyst-Pathwell

Cigna
11.2023 - Current

Nurse Case Managment Lead Analyst-Inpatient

Cigna
05.2018 - 11.2023

Nurse Case Management Lead Analyst-Team Lead

Cigna
04.2015 - 05.2023

Oncology Nurse Case Manager

Cigna
10.2011 - 04.2015

Home Health Registered Nurse Case Manager

Alternative Home Care
08.2010 - 10.2011

Bachelor of Arts - English Language And Literature

Ohio University

Master of Science - Nursing

University of Phoenix

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Tonya Sable