Registered Nurse Medical

SUSAN K. JENNINGS

***** ********* *****, ***** **, 50325 · 515-***-****

adh4s1@r.postjobfree.com

Registered nurse seeking a position in utilization review/case management. Prefer to work at home in a telecommuter capacity. Provide inpatient care management for inpatient hospitalization, utilizing electronic medical records (EMR) and faxes from providers. EXPERIENCE

MARCH 2008 – JULY 2020

INPATIENT CARE MANAGER, UNITED HEALTHCARE

• PROVIDED UTILIZATION REVIEW FOR INSURANCE COMPANY

• DETERMINED APPROPRIATE LEVEL OF CARE FOR PATIENTS USING MCG CRITERIA

• WORKED CLOSELY WITH MEDICAL DIRECTORS TO DETERMINE INPATIENT LEVEL OF CARE VERSUS OBSERVATION LEVEL OF CARE

• PROVIDED CONCURRENT REVIEW TO ASSIST IN APPROPRIATE LENGTH OF STAY MARCH 2003 – OCTOBER 2007

REGISTERED NURSE, MERCY MEDICAL CENTER, DES MOINES, IOWA

• WORKED AS A FLEX NURSE ON MEDICAL/SURGICAL FLOORS

• FLOATED TO VARIOUS FLOORS ASSISTING NURSES WITH PATIENT CARE

• MAIN FLOORS WORKED: NEURO, CHF, PULMONARY, ONCOLOGY, AND ORTHOPEDICS JANUARY 1993 – JANUARY 1997

UTILIZATION REVIEW NURSE, IOWA FOUNDATION FOR MEDICAL CARE

• WORKED AS A UTILIZATION REVIEW NURSE AND REVIEWED EMPLOYEES WITH CITY OF CHICAGO

• USED MEDICAL CRITERIA TO DETERMINE APPROPRIATE LEVEL OF CARE FOR INPATIENT HOSPITALIZATIONS

• WORKED CLOSELY WITH MEDICAL DIRECTORS TO DETERMINE LEVEL OF CARE IN A HOSPITAL SETTING

• PERFORMED PSYCHIATRIC REVIEWS FOR PATIENTS REQUIRING PSYCHIATRIC HOSPITALIZATIONS

MAY 1991 – JANUARY 1993

REGISTERED NURSE, IOWA LUTHERAN HOSPITAL, DES MOINES, IOWA

• WORKED AS A REGISTERED NURSE ON MEDICAL/SURGICAL FLOORS

• PRIMARILY WORKED ONCOLOGY AND ORTHOPEDICS

2

EDUCATION

SEPTEMBER 1987 – MAY 1991

BACHELOR OF SCIENCE IN NURSING, GRANDVIEW COLLEGE, DES MOINES, IOWA ASSOCIATE DEGREE IN EXECUTIVE SECRETARIAL LEGAL, AMERICAN INSTITUTE OF BUSINESS, DES MOINES, IOWA

CERTIFICATIONS

• Registered Nurse for State of Iowa

• MCG Certification

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