Summary
Overview
Work History
Education
Skills
License And Certifications
Timeline
Generic

Wendy Suzanne Watrous

Florence,SC

Summary

I am seeking the Behavioral Health RN Case Manager position to expand my skills and knowledge while continuing to provide compassionate, ethical, and high standard care to the behavioral health patient population.

Overview

24
24
years of professional experience

Work History

Medical/Behavioral/Nurse Case Manager

United Health Group
02.2022 - Current
  • Support a diverse member population with education, advocacy, and connections to the resources they need to live healthier lives.
  • Identifying gaps in care to decrease hospitalization stays.
  • Make outbound calls and receive inbound calls to assess members' current health status.
  • Identify gaps or barriers in treatment plans.
  • Provide patient education and resources on medical and mental health diagnosis.
  • Collaborate with other healthcare providers to coordinate patient care.
  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction.
  • Support members with condition education, medication reviews and connections to resources.
  • Medication management; assess for duplicate medications/dosage, medication compliance, side effects, and communication with patient providers.

Charge Nurse

Mcleod Behavioral Health
05.2014 - Current
  • Charge Nurse of a 23-bed inpatient behavioral health facility.
  • Supervision of licensed and non-licensed staff.
  • Acute Psychiatric Crisis Stabilization.
  • Management and stabilization of substance abuse detoxification.
  • Administration of medication and treatment to assigned patients.
  • Comprehensive assessments of patients assigned to my care.
  • Obtaining serum and urine specimens for ordered labs.
  • Completing admission paperwork for new patients.
  • Notification of physician for change in status of patients.
  • Providing patient and family education.
  • Updating individualized patient care plans.
  • Completing discharge paperwork.

Health South
08.2013 - 05.2014
  • Supervision of licensed and non-licensed staff.
  • Administration of medication and treatment to assigned patients.
  • Comprehensive assessments of patients assigned to my care.
  • Obtaining serum and urine specimens for ordered labs.
  • Completing admission paperwork for new patients.
  • Notification of physician for change in status of patients.
  • Providing patient and family education.
  • Updating individualized patient care plans.
  • Completing discharge paperwork.

Charge Nurse

Morrell Nursing Center
07.2012 - 08.2013
  • Charge nurse of a 150 bed facility ensuring ongoing compliance with the governing rules and regulations of CMS.
  • Supervision of licensed and non-licensed staff.
  • Administration of medication and treatment to patients on a 52 bed skilled rehabilitation unit for a variety of diagnosis to include fractures, knee replacements, CVA’s, CHF, heart disease and surgery, etc…
  • Assessments of assigned patients.
  • Notification of physician for change in status of patients.
  • Ensuring Medicare compliance by appropriate documentation.
  • Updating and implementing individualized patient care plans.
  • Providing patient and family education.

Business Services / Patient Account Representative

McLeod Health
03.2002 - 09.2011
  • Working government and commercial accounts for payment, to include: knowledge of billing requirements; contractual adjustments; communication via the internet, voice response systems, or person-to-person calls to insurance companies regarding all claims and correct coding issues; and filing appeals when necessary.
  • Handle any patient calls regarding questions or concerns they may have with their medical claims.
  • Proficient in Word, Excel, API Payroll System, Signature, and Invision.
  • Xactimed - Electronic claims submission system - Administrator - 3 years - responsibilities include setting up the physicians to bill on the system, daily download of claims, knowing the loops and segments necessary for payment of primary and secondary claims, and resolution of any rejection or filing issues that may arise.
  • 7 years of coding experience in several specialties to include: emergency room, hospitalists, occupational health, nutrition and diabetes management, anesthesia, and pain management.
  • Specialized experience as an anesthesia and pain management coder.

Medical Records Clerk

McLeod Family Medicine Center
11.2000 - 03.2002
  • Responsible for keeping the residents of this teaching facility current on dictation and teaching the importance of timely dictation.

Education

AS Degree - Nursing

Florence Darlington Technical College
05.2012

Diploma - Academics

Marion High School
06.1992

Skills

  • Care delivery
  • Policy adherence
  • Clinical assessment
  • Quality improvement
  • Medication monitoring
  • Case management
  • Patient care and education
  • Disease management
  • Resource management
  • Community resource referrals

License And Certifications

  • Registered Nurse, South Carolina, 218359
  • Advanced CPI Certification
  • American Heart Association Adult/Pediatric CPR and AED Certified
  • Certified Case Management - License #: 4266468 - 5/1/2024-5/31/2029

Timeline

Medical/Behavioral/Nurse Case Manager

United Health Group
02.2022 - Current

Charge Nurse

Mcleod Behavioral Health
05.2014 - Current

Health South
08.2013 - 05.2014

Charge Nurse

Morrell Nursing Center
07.2012 - 08.2013

Business Services / Patient Account Representative

McLeod Health
03.2002 - 09.2011

Medical Records Clerk

McLeod Family Medicine Center
11.2000 - 03.2002

Diploma - Academics

Marion High School

AS Degree - Nursing

Florence Darlington Technical College

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Wendy Suzanne Watrous