Manager Case

Location:

Posted:

May 01, 2013

SUNHAE YAE

**-** ***** ****** ***.*U

Forest Hills, New York 11375

*******@***.***

June 2008 – Present : New York County Health Services Review Organization

-Staff Field RN

-Assess and Evaluate client for eligibility of Long Term

Home Care Program of New York City

November 2006 – May 2008 : Amerigroup Community Care, LLC(HMO)

-Utilization Manager/Case Manager

May 2003 – April 2006 : IPRO

Medicare Department

-Utilization/Quality Review

-Non-Coverage Appeals Review

-Collaborate with MD for Review Process

-Communicate with Hospitals & HMO Case Managers

December 1995 – May 2003 : IPRO

Medicaid Department

-Utilization/Quality Review

-Collaborate with MD for Review Process

-Communicate with Hospital Case Managers

-State Special Projects

September 1994 – November 1995 : Took care of elderly father

September 1993 – August 1994 : TemPositions Health Services

-Special Education School RN

September 1992 - September 1993 : Winthrop University Hospital

-Staff RN at SICU

January 1991 – August 1992 : Lenox Hill Hospital

-Staff RN at Medical/Surgical Unit

September 1988 – January 1991 : Queensborough Community College

Associate Degree in Nursing

June 1986 – August 1988 : Held Miscellaneous Jobs

Receptionist/Assistant Accountant

September 1981 – May 1986 : State University of New York at Stony Brook

Bachelor of Science in Applied Mathematics