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Case Manager Utilization Review

Location:
Wooster, OH
Posted:
October 28, 2022

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Resume:

Susan Schuller, RN

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

West Salem, Ohio 44287

Mobile phone: 419-***-**** Email address: ads78s@r.postjobfree.com

OBJECTIVE: Obtain challenging nursing position.

EDUCATION: 8/02-5/06. B.S. Nursing, University of Akron. GPA 3.9.

1/88-5/91. BBA Accounting, Kent State University. GPA 3.9

EXPERIENCE: RN Davita Acute Dialysis. Akron, Ohio. February 2019 to Present.

Performed acute hemodialysis treatments for inpatient hospital clients. Administered medications, floated to southwestern ohio hospitals. Assisted with billing, sanitation, and inventory.

RN Case Manager Northeast Professional Homecare. October 2018 to January 2019. Performed patient care, education, and case management for case loads of 30-40 clients. Supervised HHAs and LPNs. Ran team meetings to manage medications, disease process, improve wellness and health under various insurance programs such as private, VA, Medicare and Medicaid.

Utilization Review Specialist. Kindred at Home: Work from home. September 2015 to September 2018. Controlled costs while monitoring quality of patient care. Critically examined patient medical records, paying attention to the appropriateness of healthcare services provided. Reviewed the OASIS assessments and collaborated with case managers to optimize clients’ health. Conducted Peer reviews, facilitated meetings and assessed date collection process and findings. Utilized knowledge, procedures rules and processes for multiple states and areas of responsibility to establish coding and appropriateness of documentation for the 485 document.

Clinical Service Manager. Brookdale Home Health, Westlake, Ohio.

12/12-9/15. Educated clinicians on electronic health record. Maintained quality patient care

for 100+patients. Performed reviews of OASIS assessments including coding to maintain

Homecare Elite Status. Supervised RN’s, LPN’s, and HHAs.

RN Case Manager. Kindred: Signature Health, Mansfield and Ashland, Oh.

11/09-12/12. Performed patient care, education, and case management for 50-60 patients. Supervised HHAs, LPNs.

RN, ICU. Summa Health Systems: WRH, Wadsworth, Ohio.7/08-11/09. Performed

patient care of ventilated patients, patients in renal failure, and critically ill patients. Monitored

20 telemetry beds.

RN, CCU. Mercy Medical Center, Canton, Ohio.7/06-7/08.

Performed patient care of ventilated patients, post coronary artery bypass graft surgery, IABP, Tandem heart,

CVVHD to CVSICU, ICU, and telemetry floors. Administered medications, served as a preceptor,

served on wound care committee. ACLS.

ACTIVITIES: Volunteering, Sigma Theta Tau, sports, church, gardening, music.



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