Uploaded File
add photo
Stephanie
sugarbugge@aol.com
601-955-3869
328 Andrew Chapel Rd.
Brandon, MS 39042
MEDICAL CASE MANAGER
16 years experience W2
0
Recommendations
Average rating
28
Profile views
Summary

Registered Nurse with valid Multi-State RN License. Solid clinical, Case Management, and Utilization Review experience within clinical and managed care environments. Professionally trained Registered Nurse with experience ensuring high standards of culturally competent care for a wide variety of patients with diverse needs.

Experience
MEDICAL CASE MANAGER
Medical Devices
May 2019 - present
| EXAMWORKS CLINICAL SOLUTIONS Utilize clinical/nursing skills to assist with coordination of an individual's treatment program while maximizing cost containment. Assess and analyze injured workers' medical status and develop a viable realistic action plan for maximum medical improvement. Work with Physicians and therapists to set up medical assessments to develop an overall treatment plan that ensures cost containment while meeting state and other regulator's guidelines.
Nursing
Remove Skill
MOLINA HEALTHCARE
Medical Devices
Sep 2018 - Apr 2019
To ensure a timely and accurate concurrent review process. To ensure members in an acute care settings receive appropriate services the appropriate setting. ensure appropriate referrals to Case Management. To work collaboratively with a multidisciplinary team to initiate the discharge planning process at the time of admission and maintain continued reassessment throughout hospitalization. Denial letter generation UM claim review Concurrent Review Nurse II
No skills were added
Remove Skill
Staff RN
Medical Devices
Oct 2012 - Sep 2015
Perform care management duties assess plan and coordinate all aspects of medical and supporting services across the continuum of care for members to promote quality cost effective care. Utilize clinical/nursing skills to assist with coordination of an individual's treatment program while maximizing cost containment.
Case Management Nursing Registered Nurse
Remove Skill
Staff RN
Medical Devices
Feb 2006 - Feb 2008
Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care.
Nursing Registered Nurse
Remove Skill
Edit Skills
Non-cloudteam Skill
Education
Nursing
Mississippi university for women 2018
Nursing
Hinds Community College 2005
HINDS COMMUNITY COLLEGE 2003
Certifications
Registered Nurse with valid Multi-State RN License
Skills
Nursing
2021
6
Registered Nurse
2015
5
Case Management
2015
3
Utilization Review
0
1