Angelina Kuhl

Utilization Management Coordinator at Senior Care Partners P.A.C.E.
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Contact Information
us****@****om
(386) 825-5501
Location
Kalamazoo, Michigan, United States, US

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Credentials

  • Nurses, Registered And Licensed Practical, Re-Entry
    State of Michigan
    Jun, 2005
    - Nov, 2024

Experience

  • Senior Care Partners P.A.C.E.
    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Utilization Management Coordinator
      • Jan 2021 - Present

      Provide utilization review and management for all acute, post acute, and outpatient services. Liaison between network providers and SCP to assure participants progress toward desired outcomes with quality care that is medically appropriate and cost effective based on the severity of illness and the site of service. Manager provider service authorization and claim denial appeal process. Ensure consistent and accurate level of care and service authorization for appropriate claim submission and payment. Show less

  • Ascension
    • Hospitals and Health Care
    • 700 & Above Employee
    • RN-Case manager
      • Mar 2019 - Dec 2020

      Manage referrals from multiple Family Practice Providers to educate/support patients with management of multiple chronic conditions (i.e. Diabetes, Congestive Heart Failure, COPD). Assess and create a person-centered care plan with regular telephonic contact to monitor progress and re-assess success and re-define goals. Handle referrals for in home care assistance or transition to a higher level of care when necessary. Follow patients at time of hospital discharge with chronic conditions to prevent re-hospitalization. Collaborate with PCP’s and Pharmacy to address patient medical and financial needs. Communicate with team in person through daily rounding, through electronic health records and telephone. Facilitate enrollee and family education, identity short and long-term goals, identity barriers and facilitate problem resolution. Support transition in care when the member moved between care settings. Engage in other activities or services needed to assist the member in optimizing his or her heath status including assisting with self-management skills or techniques. Make referrals to support groups, services and advocacy agencies as appropriate. Show less

  • BORGESS INPATIENT SERVICES HOSPITAL
    • United States
    • Hospitals and Health Care
    • Electrophysiology RN (Electrophysiology Lab)
      • Jun 2017 - Dec 2018

      Circulating nurse in EP procedural room. Administration of conscience sedation and care of patient’s airway and vital signs. Interpret patient data with respect to lab values and ECG

    • Registered Nurse (Cardiac Short Stay),
      • Jun 2012 - Jun 2017

      Full admission history. Head to toe assessment. Telemetry and ECG assessment IV and oralmedication administration and assessment. Administration of conscience sedation during variousprocedures.

    • Registered Nurse (Cardiac Surgical ICU)
      • Jun 2011 - Jun 2012

      Perform a comprehensive range of clinical functions in a 7-bed cardiac surgical recovery unit. Assess patients holistically. Apply critical thinking to client care. Plan care in coordination with other members of the health care team. Interpret patient data with respect to lab values, vital signs and general patient condition. Administer medication. Educate patients and families with regards to the patient’s individual needs.

  • Bronson Healthcare
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Registered Nurse (Trauma Burn Neuro ICU)
      • Jun 2007 - Jun 2011

      Perform a comprehensive range of clinical functions in a 20-bed adult trauma and surgical intensive care unit. Accurately obtain and document patient history and medication lists. Assess individual conditions and needs. Manage the recovery of patients including vascular, burn, ENT, GI, urological, endocrine and neurological cases. Perform and assist with insertion and maintenance of invasive lines. Technically proficient in all major ICU skills. Preceptor. Perform a comprehensive range of clinical functions in a 20-bed adult trauma and surgical intensive care unit. Accurately obtain and document patient history and medication lists. Assess individual conditions and needs. Manage the recovery of patients including vascular, burn, ENT, GI, urological, endocrine and neurological cases. Perform and assist with insertion and maintenance of invasive lines. Technically proficient in all major ICU skills. Preceptor.

Education

  • Kalamazoo Valley CC
    Associate of Applied Science: Nursing RN, Registered Nursing/Registered Nurse
    2003 - 2005

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