Case Management Customer Service
Resume:
Armida Hall
MSN, RN
Result oriented, highly organized RN professional, with multi-
experienced health care background.
Experience
United Health Group, Transplant/VAD, Case Manager
May 2014 – Present
• Prior authorization review and approval of solid organ transplant, stem cell, and ventricular assist devices.
• Utilization management of transplant admissions
• Complex case management of post-transplant members Humana, Case Management, Manager
March 2013-May 2014
• Lead a team of 20 RNs and 2 social workers
• Audit clinical programs
• Oversee the day-to-day operations of the CM Team
• Health plan quality improvement
• Develop Care Management Programs
• Staff and interdisciplinary collaboration
Humana, Case Management, Clinical Educator
March 2009-March 2013
• Curriculum development and nursing staff trainer
• Compliance oversight for NCQA accreditation
• Complete nurse audits to ensure compliance and integrity
• Innovate processes for effective workflow
Education
Capella University, Minnesota-Master of Science in Nursing December 2022
Miami Dade College, Florida -Associate Degree in Nursing August 2006
3624 South East 2nd Drive
Homestead, Florida 33033
************@*****.***
Objective
To effectively
manage patient
care through the
continuum of
services.
Credentials
Registered Nurse
Florida Compact
RN9253687
Issue Date: 10/09/2006
Expires: 07/31/2026
Registered Nurse
Michigan
Issue Date: 8/07/2024
Expires: 08/07/2026
References
Ed Willison, RN
Optum Manager
Katie Lo Coco, RN
Previous Optum Manager
Valerie McNelis, RN
Previous Optum Manager
Contact this candidate