Clara W.
Utilization Review Nurse at Cigna Health Spring- Claim this Profile
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Bio
Credentials
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Certified Case Manager
Certified Case Manager
Experience
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Cigna Health Spring
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United States
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100 - 200 Employee
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Utilization Review Nurse
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Jan 2018 - Present
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Cooper University Health Care
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United States
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Hospitals and Health Care
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700 & Above Employee
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Transitional care coordinator
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Jun 2017 - Jan 2018
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Independence Blue Cross
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United States
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Insurance
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700 & Above Employee
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Case Manager/Health Coach
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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
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LOURDES HOME HEALTH CARE
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Collingswood, New Jersey
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STAFF NURSE
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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.
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STAFF NURSE
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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.
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Education
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Lasalle University
Currently attending, Nurse Education -
Community College of Philadelphia
Associate Degree, Nursing -
University of Pennsylvania
CERTIFICATIONS AND ASSOCIATIONS, Liberal Arts