MICHELLE A. BELLISARIO-REGAS

*** ***** ***** **** ****, WV 24747

H - M 412-***-****

ad4d83@r.postjobfree.com

Utilization Management

PROFILE

A dedicated and patient-focused Registered Nurse with proven strengths in acute patient care, staff development, and family advocacy.

Exceptional capacity to multi-task and manage her office time.

Administrative and referral experience includes admissions, assessment, treatment, referral, and education for a wide range of patients.

Excellent caregiver—a caring and compassionate nurse.

Problem solver - utilization management authorizations for complicated cases.

Medication Safety Committee, collaborating with team members to provide top quality care. She is solely responsible for scheduling the office staff.

Interpersonal and communication skills stand out in her field; along with her superior accuracy in patient history, charting, and other documentation.

Nominated for Cameos of Caring 2009-2010

KEY SKILLS

Certifications: Basic Life Support/CPR

Proficiencies: Medical/Surgery; Family Medicine; Utilization Management; MDS Coordination EXPERIENCE

UPMC HEALTH PLAN-CLINICAL OPERATIONS 2015-2024

Care Manager, Utilization Management

Authorize acute inpatient admissions after accurately obtaining the patient information for the admission stay and establish if the patient meets Interqual criteria.

Provide authorizations for post acute care and continued stay reviews.

Worked to establish a uniform Minimum Data Set (MDS) to allow the department to all follow the same format.

Forged working relationships with many facilities outside of the UPMC umbrella.

Proficiently adapted to the use of Health Planet; while being able to navigate Canopy and E- record.

Proficient at navigating Interqual to establish medical necessity for admission MICHELLE A. BELLISARIO-REGAS

804 MOUNT OLIVE ROAD ROCK, WV 24747

M 412-***-****

ad4d83@r.postjobfree.com

EXPERIENCE (CONTINUED)

ST. MARGARET LAWRENCEVILLE FAMILY HEALTH CENTER 2006-2015 Professional Registered Nurse

Caring for patients in an office setting. Working triage & physician support.

Actively on medication safety committee, work with team members to provide top quality care, and responsible for the employee schedule.

Exhibit motivation, and provide a high standard of patient care. Follow through so patient receives quality care.

Accurately obtain and document patient history and medication lists, assess individual conditions and needs, and select departmental referrals for acute and chronically ill patients.

Managing cases as needed; with insurance authorizations, home care and hospice referrals.

Actively ensuring patients receive adequate care with proper follow-up.

Responsible for monitoring and auditing pain management patients to ensure proper adherence. UPMC ST. MARGARET HOSPITAL 2003-2006

Staff Nurse, 6A

Provided care for patients immediately after surgery and medical patients. Have cared for patients’ status post-surgery, chest pain, gastrointestinal bleeds and respiratory complications. Gathered and recorded patient information. Prepared patients for surgical and radiological procedures, initiated and maintained intravenous therapy, and operated 12-lead EKG. UPMC ST. MARGARET LAWRENCEVILLE FAMILY HEALTH CENTER 1999-2003 File Clerk/Office Assistant

Provided assistance to the office flow and maintain medical records department. Worked as a front office person answering phones and scheduling appointments. Managed medical records department, which included pulling charts for appointments, making sure all the charts are available and processing medical record requests.

EDUCATION

BSN Program

Robert Morris University (Current Student)

GPA 4.0, Graduation 2016: BSN

Diploma in Nursing

St. Margaret School of Nursing (2003)

Licensure

Registered Nurse (RN), State of Pennsylvania

Compact Multi-state Endorsement

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