. Denise L. Mercandetti

***** ******* ****** ****.

Clermont, FL 34714

Cell: 561-***-****

aduya9@r.postjobfree.com

Summary:

Nursing professional with over 36 years of nursing & supervisory experience. Comprehensive knowledge of direct patient care. Reputation as a self-directed professional with communication and management skills. Successful in managing my time and prioritizing tasks. Areas of Expertise:

. . o . . Employee Policy Patient ProjectCoordination/Supervision, and and and Procedures Family Hiring Physician Communications and Management Development Training. Relations Professional Experience:

Orthopedic Case Manager

OrthoNet" LLC. Plantation. FL" (2015 - 2020)

. Perform Review of prior authonzation requests for appropriate procedures.

. . Complete Communicated medical directly necessity with and physicians level of and care Medical reviews Directors for requested for appropriate services. health care

. procedure Followed state determinations. time frame standards and guidelines for care approvals. Lead Case Manager

Wellington Regional Medical Center" FL. (2006 - 2015)

. . Utilization/Discharge Concurrent planning (i.e.Review, home care of inpatient home infusion, hospitalizations. hospice, sub-acute skilled nursing

. . facilities. Interviewed, Performed Case trained Management and supervised Orientation other staff. for all new hospital hires. Lead Care Manager

Health Insurance Plan of Grea.ter N.Y. (.now Emblem Health) - New York. NY (1998 - 2006)

. . IJ Discharge trlization/planning concurrent (i.e. Review home care o f inpati home ent infusion, ho spitalizati hospice, on. sub-acute skilled nursing

. . Interviewed, facilities. Supervised on-trained site and and office supervised Nurses, other overseeing staff. the initial concurrent post-acute reviews by utilizing Interqual and Milliman Criteria.

Denise L. Mercandettr

15333 Greater Groves Blvd.

Clermont, FL 34714

Cell: 561-***-****

aduya9@r.postjobfree.com

Utilization Management Nurse

Anthem Health & Life Insurance Company - Piscataway. NJ (1997 - 1998)

. IJtilization Management for members in acute care settings. o Provided case management by negotiating rates with home health care agencies. Staff Nurse

Staten Island University Hospital - Staten Island. NY (1980 - 1986) o Surgical and Medical Intensive Care Units

Staff Nurse

Bellevue Hospital Center -New York. NY (1975 - 1980) o Recovery Room (PACU)

o Nursing care for all immediate post-operative neuro, orthopedics, cardiovascular, trauma and general surgical patients.

Professional Qualifi cations :

Kings County Hospital Center School of Nursing

Brooklyn College - Brooklyn, NY

Licenses and Certifications:

Critical Care Certifi cation

Registered Nurse License # RN 9244653 - Florida

Registered Nurse License # RN 22269344 - New York

Registered Nurse License # RN 80235 - New Jersey

Achievements:

Nominee for Palm Beach County Nurse of the year -2072

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