AM
Open to opportunities

Andrea Mesiha

@andreamesiha

Experienced registered nurse with strong leadership and clinical skills.

United States

What I'm looking for

I am looking for a challenging role that allows me to utilize my nursing skills and leadership abilities while contributing to patient care and team success.

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

UH
Current

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.

CH

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.

KR

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.

MP

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

FC

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.

MH

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

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Andrea Mesiha - Case Manager - United Health Group (Optum Healthcare) | Himalayas