Manager Medical
Resume:
Stephanie Salters
Sicklerville, New Jersey 08081
(H) 856-***-****/(c )856-***-****
*********@*****.***
________________________________________________________________
Professional Summary: Dedicated, skilled nurse with a broad range of healthcare experience, seeking employment with an organization where I can apply my skills and experience to grow professionally
EDUCATION
Gwynedd Mercy College, Gwynedd Valley Pennsylvania
Bachelor of Science, Business Administration/Health Administration, Cum
Laude, May 2011
Camden County College, School of Nursing, Blackwood, NJ
Diploma, Nursing, May 2002
Licensure & Certification
State of New Jersey, Active
State of Pennsylvania, Active
American Heart Association BLS Certification Current
Computer skills
Proficient in the use of MS word, Excel, Access, PowerPoint, Pyxis
Medication system, Outlook, Qnxt,
PROFESSIONAL EXPERIENCE
BravoHealth a Health Springs company/Cigna, Philadelphia,PA
Case Management, 2009-current
Responsible for providing ongoing support and expertise through assessment,
planning, implementation and evaluation of patients needs
Responsible for enhancing the quality of patient management and to promote
continuity of care
Responsible for integrating of social services and case management into the
patients, care, discharge and home planning process.
Collaboration with medical staff in developing a plan of care and
achievement of goals
Cancer Treatment Centers of America
Philadelphia, PA,
Care Manager, 2008-2009
Responsible for the coordination of all systems/services required for an
organized, multidisciplinary team approach
Advocate and contact person for patient, family, healthcare team members,
employees and outside agencies
Providing and assuring continuity of care and optimal clinical and resource
outcomes are achieved.
Provides prompt response to telephone inquiries and assisting with drop in
patients to the department and other issues of a clinical nature as
requested
United Health Group (AmeriChoice Division), Philadelphia, PA
Utilization Management, 2007-2008
Rendering initial determinations of medical appropriateness for
communication to the health benefit plan
Obtain appropriate information from health care provider and/or patient or
family regarding planned procedure, admission,
continued stay or discharge plan
Complete all medical necessity reviews and communicate outcomes to
providers within the appropriate time frames
Identifying individuals whose health and/or expense may be positively
affected through application of Large Case Management
Participates in a collaborative team approach and works independently, as
well as cooperatively and collaboratively with health care staff and
management
Facilitates optimum reimbursement through accurate certification and
complete chart documentation Completes admission and continued stay reviews
based on UR criteria.
Aetna US Healthcare, King of Prussia, PA
Inpatient Care Nurse Consultant/Case Manager, 2006-2007
Utilizes clinical skills in a collaborative process that helps to assess,
plan, coordinate, and evaluate services and options for appropriate
inpatient healthcare management
Responsible for obtaining information from providers and facilities
concerning the care being provided to members. Use of strong customer
service skills to coordinate service delivery
Assessment of a member's clinical condition and medical services and
ongoing treatments to determine medical appropriateness and Medical
intervention Use of Internet, word processing and database software
Responsible for Facilitating discharge to the appropriate setting for
discharge planning and coordination with knowledge of Utilization
review/Managed care
Magee Rehabilitation Hospital, Philadelphia PA
Medical Surgical Floor/LPN, 2002- 2006
Responsible for providing care to patients ranging from 17 years of age to
80 years of age with neurological disorders, spinal cord injuries and post
orthopedic surgeries.
Performed administration of medications as ordered by the physician in a
timely manner and documentation of information in CPSI computerized system
Collaborate with physicians and all members of the health care team to
provide optimal patient care
Contributes to implementation and evaluation of policies related to the
nursing practice within employment settings
Cooper University Hospital, Camden New Jersey
Emergency Department, LPN 2004-2005
Responsible for Providing emergency care in a Level 1 Emergency Department
to patients of all ages on a daily basis.
Evaluate patients emergency health needs. Recommended and expedite
admission to the appropriate service area of the hospital when necessary
Provide help to the research department, participating in research studies,
helping in data collection and patient enrollment
Administration of medications, obtain blood samples, provided wound care,
assist in minor surgical procedures, assist in OBGYN exams, initiate and
monitor IV therapy, provide patient teaching on admission and discharge
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