Carrie Schnelzer

Reviewed medical records to apply clinical data with appropriate Medicare criteria, utilization review, authorization review, and criteria application. Collaborated with medical directors to present documentation, summarize appeals, and provide denial/overturn verbiage based on criteria.

Managed a caseload of 65-75 special needs, medically fragile children requiring in-home nursing services. Oversaw authorizations for in-home care, medical record review, and documentation, working closely with medical directors for medical necessity decisions and appeals.

Managed an office multidisciplinary team, field nurses, and home health aides. Oversaw authorizations and provided insurance payers with necessary information to maintain proper nursing authorizations.

Managed patient caseload, equipment, and medications in home or nursing facilities, including triage of care and visitation. Conducted safety assessments and possessed knowledge of community resources and various insurance regulations.

Performed basic nursing duties, including phlebotomy, IV medications, and blood product administration. Demonstrated the ability to react in emergency situations and care for medically unstable patients, addressing both physical and psychological needs.

Performed nursing duties, assessments, phlebotomy, IV medications, and blood product administration in a Pediatric ICU setting. Demonstrated critical thinking and assessment skills, along with the ability to make decisions in emergency situations.

Completed an Associate Degree in Nursing. Focused on foundational nursing principles and practices.