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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Bull StreetAugusta, Georgia Street Address
Phone: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLENursing candidate with strong knowledge base and experience in hospital case management, utilization management, adult medicine nursing, oncology nursing, critical care nursing, patient education, clinical nurse educator, and primary care adult clinic.EducationMasters of Science in Nursing - Gardner Webb University Boiling Springs, NC - graduated 8/2010Bachelor of Science in Nursing Winston-Salem State University Winston-Salem, NC graduated 5/2005Associate Degree in Nursing- Asheville-Buncombe Tech Community College- Asheville, NC graduated 5/1990Licensure & CertificationsState of Georgia Compact State License Current through 1/2026Basic Life Support (AHA) Current through 3/2026American Case Management Association Certification ACM Current through 11/2027Professional Work ExperienceUtilization Management RN Utilization Review Nurse (Full time 40 hours) 8/6/2018 2/29/2024Augusta University Medical Center (Weststar MCG) - 1120 15th Street Augusta, Georgia PHONE NUMBER AVAILABLESupervisor: Coleen Kelly, BSN, RN Director of Case Management, UM, & CDI email EMAIL AVAILABLEDuties: Utilize internal guidelines to conduct admission and continued stay reviews for inpatient, observation, and outpatient admissions, completes documentation of reviews. All admissions reviewed for appropriate setting, level of care, and length of stay. Communicate with insurance companies to insure they received our faxes to them with the information needed to determine appropriate level of care. Coordinate communication between the hospital physicians and insurance payers for optimal reimbursement and accurate insurance authorization. Coordinate peer to peer sessions with hospital physicians and the insurance companies' medical directors for denials and document results. Provide consultation to physicians and other staff members to authorization and documentation processesPrimary Care Clinic - RN Care Manager (Full time 40 hours) 8/14 /2014 4/30/2018Charlie Norwood VAMC (Uptown) 1 Freedom Way Augusta, Georgia - PHONE NUMBER AVAILABLESupervisor: Karen Orridge, CRRN, MSN, MBA- HC, VHA-CM- Chief Nurse Ambulatory Care Duties: RN Care Manager for Primary Care Clinic case management on a group of high-risk patients with goal of decreasing readmits to the hospital and ER visits. Provided patient education, made referrals for resources in the community. Insured patients had transportation for follow up appointment with their primary care physician, attended rounds with multidisciplinary team daily for report on patients to be seen in clinic daily.Nursing Education Adjunct Clinical Nurse Instructor (Part time 16 -24 hours) 1/2012 7/2014South College-Asheville 140 Sweeten Creek Road Asheville, NC PHONE NUMBER AVAILABLESupervisor: Wendy Leogrande, DNP. RN, FNP-BC, Nursing Department ChairDuties: Clinical Instructor for first and second year associate degree nursing students. Classroom Instructor for professional Issues. Assisted with education for Pharmacology, Adult Medical Surgical Nursing I & II, Fundamentals of Nursing, and Geriatric Nursing.Case Management RN Case Manager (Full Time 40 hours) 3/2000 8/2013Mission Hospitals 509 Biltmore Avenue Asheville, NC PHONE NUMBER AVAILABLESupervisor: Jenny Arledge, BSN, Nurse Manager of Case ManagementDuties: Responsible for a group of patients for discharge planning in collaboration with a multidisciplinary team daily. Ensure pre-certifications/authorizations are obtained and documented appropriately on all admissions. Perform initial assessments of patients condition reason for admission, response to treatment and other clinical findings. Follow Medicare guidelines regarding patients choice, admit/discharge notifications. Review charts daily for patients progress and need for any services at discharge. Used InterQual criteria for clinical reviews. Act as advocate for patient/family. Communicate with patients insurance company case manager nurse for any needs or admissions to rehab, LTACH, SNF, Home Health, Palliative Care, Hospice. Also communicate with DME companies, and infusion companies. Monitor length of stay. Assisted with education for patients with renal disease, diabetes, CHF, pneumonia. When patient is ready for discharge make sure everything needed for discharge is ready. Monitor avoidable days. Identify high-risk patients and refer to social worker.Oncology Nursing Unit Staff RN for Oncology Unit - (full time 36 hours) 11/1997 - 3/2000Mission Hospitals - 509 Biltmore Avenue - Asheville, NC PHONE NUMBER AVAILABLERehabilitation Hospital - Staff RN Rehab Unit (Part time 16-24 hours) 8/1999 10/2007Care Partners Rehab Hospital 68 Sweeten Creek Road Asheville, NC PHONE NUMBER AVAILABLESkilled Nursing Facility Director of Nursing (Full time 40 hours) 10/1996 4/1998Mountain Ridge Wellness Center Black Mountain, NC PHONE NUMBER AVAILABLEOncology and Hematology Physicians Office - Oncology RN - (Full time 40 hours) 4/1992 10/1996Critical Care Nursing Unit Medical ICU Staff RN ( Full time 36 hours) 7/1991 5/1992VA Medical Center - 1100 Tunnel Road Asheville, NC - PHONE NUMBER AVAILABLECritical Care Nursing Unit Medical/Surgical ICU Staff RN (Full Time 36 hours) 6/1990 11/1991Mission Hospitals 509 Biltmore Avenue Asheville, NCCommunity and Personal ActivitiesCase Managers Society of America of WNC member 2008 2014Chi Eta Phi Nursing Sorority - Phi Chi Chapter (Augusta Chapter) member 3/1991- present |
