Andrea Mesiha
@andreamesiha
Experienced registered nurse with strong leadership and clinical skills.
What I'm looking for
I am a dedicated registered nurse with over a decade of experience in various healthcare settings. My journey began with a registered nursing degree from Fortis College, where I graduated with a GPA of 3.88. Since then, I have honed my skills in case management, nursing leadership, and patient care, consistently striving to provide the highest quality of care to my patients.
Currently, I work as a Case Manager at United Health Group, where I collaborate with healthcare teams to ensure that Medicare members receive the appropriate level of care. My previous roles as Director of Nursing and Case Management have equipped me with the ability to manage nursing staff effectively, develop comprehensive care plans, and oversee clinical responsibilities while adhering to regulatory guidelines. I am passionate about utilizing my advanced skills to improve patient outcomes and enhance the efficiency of healthcare delivery.
Experience
Work history, roles, and key accomplishments
Case Manager
United Health Group (Optum Healthcare)
May 2019 - Present (6 years)
Completed prior authorization requests for Medicare members seeking SNF, IRF, or LTAC level of care. Reviewed clinical data and evaluated if CMS criteria were met, collaborating with members, facility staff, and physicians to determine level of care needs.
Director of Nursing and Case Management/Utilization Review
Cardon Healthcare
Dec 2016 - Apr 2018 (1 year 4 months)
Managed RN, LPN, and CNA staff members, developing care plans and conducting weekly wound assessments and treatments. Oversaw facility clinical responsibilities, managed budget and schedule, and ensured reporting according to ISDH guidelines.
RN- Director of Nursing
Kindred Transitional Care and Rehab
Apr 2012 - Dec 2016 (4 years 8 months)
Managed RN, LPN, and CNA staff members, developing care plans and conducting weekly wound assessments and treatments. Oversaw facility clinical responsibilities, managed budget and schedule, and ensured reporting according to ISDH guidelines.
RN-Rehab Charge Nurse
Mount Pleasant
Apr 2009 - Jan 2012 (2 years 9 months)
Managed care for post-operative patients through discharge, developing patient care plans including assessments, evaluations, and nursing diagnoses. Administered PICC line medications and assisted patients with multiple chronic diagnoses.
Education
Degrees, certifications, and relevant coursework
Fortis College
Registered Nursing Degree, Nursing
Grade: 3.88
Completed a comprehensive curriculum focused on nursing principles and patient care. Acquired practical skills through clinical rotations, preparing for a career as a registered nurse.
Middletown High
High School Diploma, General Studies
Grade: 3.9
Earned an Honors diploma, demonstrating strong academic performance across various subjects. Developed foundational knowledge and critical thinking abilities.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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