Svetlana Yankovskaya NY NYC

Email: ac7ms5@r.postjobfree.com, phone 917-***-****

Dedicated Registered nurse with 15 years of nursing and case manager experience in Health Care.

SKILLS:

• Critical thinking

• Detail orientation

• Organisational and communication skills

• Fluent in Russian

ACHIEVEMENTS:

• Minimized fragmentation of care by effectively coordinating referrals and transitional

care for patients

• Provided training to the new staff members

• Kept a record of the client’s satisfaction with services provided, identifying the Quality issues and working on Quality improvement

EXPERIENCE:

WellCare, NY NYC - Case Manager, RN, Jan’16-Apr’17

• Conducted physical and mental assessment, evaluation and developed individual

treatment plans

• Implemented and maintained all polices and procedures for case management

• Offered additional information and emotional support to patients and their families

• Made recommendations and referrals to specialists and community services

Health First, NY NYC - Case Manager, Utilisation Review, Behavioural Health

Apr’06-Sept’13

• Reviewed all physician requests for medical necessity and appropriateness of the

settings

• Worked with multiple medical directors in determining referral approvals or denials

for cases that do not meet criteria

• Conducted concurrent reviews, assessed for the length of stay and appropriate level of

care needed, developed individual discharge planning

• Interacted telephonically with network providers and members of HMO to manage

mental health and substance abuse services for enrolees of Medicaid, Medicare, and

managed long terms care plans

EDUCATIONS:

• Hunter College, NYC NY, BSN in Nursing 1999

• Taras Shevchenko National University of Kiev, Ukraine, MSN in Psychology 1993: BS in Engeeniring, 1988

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