Clara W.

Utilization Review Nurse at Cigna Health Spring
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Contact Information
us****@****om
(386) 825-5501
Location
Greater Philadelphia

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Credentials

  • Certified Case Manager
    Certified Case Manager

Experience

    • United States
    • 100 - 200 Employee
    • Utilization Review Nurse
      • Jan 2018 - Present

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Transitional care coordinator
      • Jun 2017 - Jan 2018

    • United States
    • Insurance
    • 700 & Above Employee
    • Case Manager/Health Coach
      • Aug 2005 - Apr 2016

      * PROVIDES PRIMARY NURSING CARE IN CASE AND DISEASE MANAGEMENT. ; * COLLABORATES WITH ALL MEMBERS OF HEALTH CARE TEAM PROVIDING PRACTICAL AND COST EFFICIENT SOLUTIONS UTILIZING RESOURCES AND COMMUNITY AGENCIES TO ASSIST IN CARE OF MEMBERS. ; * EDUCATES PATIENTS AND FAMILIES ON DIABETES CARE AND DISEASE SELF MANAGEMENT. ; * Edits PowerPoint presentations for diabetes wellness classes. ; * WORKED IN INTENSIVE CASE MANAGEMENT FOR THREE YEARS AT AMERIHEALTH, NJ-PART OF THE INDEPENDENCE FAMILY OF COMPANIES. ACCOMPLISHMENTS: * Received Blue Cross Corporate Volunteer Award. ; * SERVED AS RESOURCE DURING INDEPENDENCE BLUE CROSS DIABETES TWITTER EVENT ; * Jefferson Health Hack 2015 Show less

  • LOURDES HOME HEALTH CARE
    • Collingswood, New Jersey
    • STAFF NURSE
      • Aug 2002 - Feb 2005

      * PROVIDED HOME CARE VISITS AS STAFF NURSE AND ON-CALL NURSE. * EDUCATED PATIENTS AND FAMILY POST HOSPITAL DISCHARGE. * PROVIDED HOME CARE VISITS AS STAFF NURSE AND ON-CALL NURSE. * EDUCATED PATIENTS AND FAMILY POST HOSPITAL DISCHARGE.

    • STAFF NURSE
      • Jun 1994 - Jun 2000

      * WORKED 4 LESSER UNIT SUPPORTING PROVISIONS OF PATIENT CARE THROUGH COORDINATION OF UNIT CLERICAL ACTIVITIES, INTRA AND INTERDEPARTMENTAL COMMUNICATION, RECORD KEEPING, AND ORDER TRANSCRIPTION. ; * COORDINATION CARE OF CARDIAC AND POST-INTERVENTIONAL PATIENTS. * WORKED 4 LESSER UNIT SUPPORTING PROVISIONS OF PATIENT CARE THROUGH COORDINATION OF UNIT CLERICAL ACTIVITIES, INTRA AND INTERDEPARTMENTAL COMMUNICATION, RECORD KEEPING, AND ORDER TRANSCRIPTION. ; * COORDINATION CARE OF CARDIAC AND POST-INTERVENTIONAL PATIENTS.

Education

  • Lasalle University
    Currently attending, Nurse Education
    2010 - 2020
  • Community College of Philadelphia
    Associate Degree, Nursing
    1987 - 1990
  • University of Pennsylvania
    CERTIFICATIONS AND ASSOCIATIONS, Liberal Arts
    1980 - 1983

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