RN

Gloria Mayers

**** **** ******

Augusta, Georgia 30909

Phone: 828-***-****

Email: *********@***.***

Nursing 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.

Education

Masters of Science in Nursing - Gardner Webb University – Boiling Springs, NC - graduated 8/2010

Bachelor of Science in Nursing – Winston-Salem State University – Winston-Salem, NC graduated 5/2005

Associate Degree in Nursing- Asheville-Buncombe Tech Community College- Asheville, NC graduated 5/1990

Licensure & Certifications

State of Georgia Compact State License – Current through 1/2026

Basic Life Support (AHA) – Current through 3/2026

American Case Management Association Certification ACM – Current through 11/2027

Professional Work Experience

Utilization Management – RN Utilization Review Nurse (Full time 40 hours) 8/6/2018 – 2/29/2024

Augusta University Medical Center (Weststar MCG) - 1120 15th Street – Augusta, Georgia – 706-***-****

Supervisor: Coleen Kelly, BSN, RN Director of Case Management, UM, & CDI – email – ********@*******.***

Duties: 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 processes

Primary Care Clinic - RN Care Manager (Full time 40 hours) 8/14 /2014 – 4/30/2018

Charlie Norwood VAMC (Uptown) – 1 Freedom Way – Augusta, Georgia - 706-***-****

Supervisor: 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 – 7/2014

South College-Asheville – 140 Sweeten Creek Road – Asheville, NC 828-***-****

Supervisor: Wendy Leogrande, DNP. RN, FNP-BC, Nursing Department Chair

Duties: 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 – 8/2013

Mission Hospitals – 509 Biltmore Avenue Asheville, NC 828-***-****

Supervisor: Jenny Arledge, BSN, Nurse Manager of Case Management

Duties: 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 patient’s condition reason for admission, response to treatment and other clinical findings. Follow Medicare guidelines regarding patient’s choice, admit/discharge notifications. Review charts daily for patient’s progress and need for any services at discharge. Used InterQual criteria for clinical reviews. Act as advocate for patient/family. Communicate with patient’s 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 - 3/2000

Mission Hospitals - 509 Biltmore Avenue - Asheville, NC 828-***-****

Rehabilitation Hospital - Staff RN – Rehab Unit (Part time 16-24 hours) 8/1999 – 10/2007

Care Partner’s Rehab Hospital – 68 Sweeten Creek Road – Asheville, NC 828-***-****

Skilled Nursing Facility – Director of Nursing (Full time 40 hours) 10/1996 – 4/1998

Mountain Ridge Wellness Center Black Mountain, NC 828-***-****

Oncology and Hematology Physician’s Office - Oncology RN - (Full time 40 hours) 4/1992 – 10/1996

Critical Care Nursing Unit– Medical ICU Staff RN ( Full time 36 hours) 7/1991 – 5/1992

VA Medical Center - 1100 Tunnel Road – Asheville, NC - 828-***-****

Critical Care Nursing Unit – Medical/Surgical ICU Staff RN (Full Time 36 hours) 6/1990 – 11/1991

Mission Hospitals – 509 Biltmore Avenue – Asheville, NC

Community and Personal Activities

Case Managers Society of America of WNC – member 2008 – 2014

Chi Eta Phi Nursing Sorority - Phi Chi Chapter (Augusta Chapter) – member 3/1991- present

Contact this candidate