RN Case Manager

Becky C. Bodnarchuk

**** ** ** *****, *****, Florida 33314 C-954-***-**** ********@*****.***

Profile

Dedicated RN with 41 years of extensively diverse experience ensuring that patients receive the appropriate level of compassionate, skilled care that honors human dignity. Proven ability to collaborate with patients, families and the wide variety of healthcare entities to coordinate care. Lifelong learner adept at assessing and efficiently allocating medical resources while finding a balance between the ever-evolving fiscal needs of the facility and each patient. Energetic leader to drive delivery of top quality care.

Skills

Active Listening Assessment and Evaluation

Critical Thinking Compassionate Communication Proven Judgement and Decision-Making Patient and Staff Development

Experience RN Case Manager

April 2019 – July 2021. Plantation General Hospital. Utilization review for

inpatient and observation admission and level status, for all ages. Clinical expert for

Pediatrics, NICU and Women’s services. Nimbly coordinating care within facility and

Post- acute entities, including law enforcement and DCF. Effectively collaborating with

providers, patients, families and a wide variety of payers, including Medicare

and Medicaid.

Recovery Analyst

April 2016 - present. Optum, E&I Pre-Pay Waste and Error. Telecommuter.

Transitioned to perform billing audits with CPT and HCPCS codes and medical

Records using InterQual, Millimans and facility specific standards.

Evaluated W.A.T. program to improve efficient work allocation for the team.

Recovery Analyst

June 2011 - April 2016. Optum, PAS team, Miramar, Florida and telecommuter.

Trained to conduct special audits: Neonatal Intensive Care Unit (NICU), Implant,

High Cost Drug and Desk Audits using revenue codes, bill and medical record.

Performed reconsiderations and negotiated settlements with facilities.

Provided education to facilities clinicians, billing office and administration,

assisting each in pertinent record redesign to capture all care given and insure

timely reimbursement.

January 2012- April 2016 Added liasioning appeals to above accomplishments,

coordinate appeal communications between team and facilities and legal

inquiries from within company and attorneys.

January 2012 – December 2014 Active participant on Employee Engagement

Committee.

Staff RN

February 2006 – May 2011. Cleveland Clinic Florida, Weston, Broward County.

Affectively assess, coordinate and deliver care for 7-10 patients on medical surgical floor from admission to discharge. High volume geriatric population. Medication management. Coordinate discharge and perform post discharge calls decreasing readmission.

Enthusiastic mentor to new employees.

Identify areas for ongoing process improvement, craft and implement action plans on 3rd Floor Shared Governance Committee.

Staff RN

May 2005 - December 2005. Wexford. Broward Correction Institution, Broward.

County.

Effectively supervised 3-4 LPNs daily as acting Charge RN in the delivery of

inmate clinic healthcare needs. Coordinate communications with in facility and

perform assessment and deliver treatment during inmate and staff emergencies.

Fulfill daily assessments and prescribed management with

compassion to admitted infirmary population, including high,

security patients. Evaluate, report progress and advocate for needs on each

infirmary patient to MD during daily rounds, in house or via phone, and obtain

appropriate orders and implement with integrity, innovation and ingenuity within

facility and communicate with community agencies as necessary.

Staff RN

September 2004-May 2005. Maxim (Nursing Agency), Broward County.

Assess, deliver and record medical care and education as indicated to elementary students and staff as per diem school nurse.

Per diem Charge RN at Broward Correction Institution (Maximum security women’s prison), where I transitioned in May, 2005 on request of Wexford.

Staff RN

May 2003 - September 2004. Aventura Pain Center, Aventura, Broward County.

Coordinate and deliver individualized interventions to predominately geriatric patients, pre-, intra- and post- procedure. Deliver personalized pre-procedure teaching according to history and perform next day follow up phone calls to answer questions and determine procedure effectiveness.

Staff RN

1991-2002 and 1980-1988. Memorial Healthcare Systems, Hollywood.

Assess and deliver medical care and emotional support in high stress

environment of Labor and Delivery. Act as circulating and scrub nurse for

Cesarean Sections and Tubal Ligations, scheduled and emergency.

Design and conduct Childbirth Education courses onsite and collaborate with

Anesthesia department to develop Pre-delivery course and tours for facility.

Staff RN

1979-1980. Broward General Hospital, Ft. Lauderdale.

Assess, coordinate and deliver comprehensive care for various disorders and

. diseases to primarily geriatric patients on the ‘indigent’ med-surg floor. Acting

Charge RN after 6 months employment, same floor.

Seized opportunity to train and open new Coronary Care Unit, predominately

Geriatric population.

Education Broward Community College Davie, Florida

1976-1979 A.S.N

References available on request.

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