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Cheri Mohay

@cherimohay

Experienced case manager and utilization review nurse specializing in discharge planning, prior authorization, and coordinated post-acute care.

United States
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What I'm looking for

I’m looking for a case management role focused on discharge planning and utilization review—where I can handle prior authorization, coordinate post-acute placement (SNF/LTAC/rehab/hospice), and manage DME/home health needs for acute inpatients.

I’m a registered nurse and Certified Rehabilitation Registered Nurse (Association of Rehabilitation Nurses), with a career grounded in discharge planning and utilization review. I’m known for thoughtful, professional communication and for making it easy for clients and colleagues to approach me.

In recent travel roles, I’ve worked as a Staff Case manager with focus on discharge planning for acute inpatients. I handle skilled nursing placement, inpatient-to-inpatient transfers, LTAC, acute rehab and subacute, and hospice placement—plus home health care and DME set up. I also review observation patients to see if they meet acute inpatient criteria.

Across case management and utilization review positions, I support higher level of care transfers and obtain insurance authorization for DME, infusion, HHC services, and related discharge needs. I’ve also assisted with utilization review assessments and prior authorization for out of network patients, coordinating discharge services like SNF, hospice, home health, and DME.

I bring long-term leadership experience as a “Discharge planning and Utilization Review Manager, RN,” with responsibility for ICU, Step down ICU, Labor, Postpartum, and nursery utilization review and discharge planning. I’m comfortable adapting quickly to new environments, contributing to teamwork, and using electronic documentation systems like Epic, Allscripts, Cerner, and InterQual review tools.

Experience

Work history, roles, and key accomplishments

CC

Discharge Planning & UR Manager

Contra Costa Regional Medical Center

Sep 2004 - Mar 2021 (16 years 6 months)

Discharge planning and utilization review manager for ICU, step-down ICU, labor, postpartum, and nursery units, including higher-level-of-care transfers and insurance authorization for DME, infusion, and home health services. Documented electronically with Epic and previously Meditech, and performed utilization review using McKesson InterQual.

NA

Home Health RN (On-Call)

Nursefinders Agency

Jun 1995 - Sep 2004 (9 years 3 months)

On-call home health RN and case manager for home health clients, including assessment, treatment, and evaluations, with emphasis on diabetic, CHF, and COPD clients. Completed Medicare documentation for reimbursement.

CB

Staff RN Case Manager

California Nurses Bureau

Aug 2002 - Jan 2004 (1 year 5 months)

Travel staff RN case manager for home health clients while contracted through California Nurses Bureau. Provided case management responsibilities for home health clients.

VA

Staff RN Case Manager

Via Christi Home Health Agency

Apr 1995 - Mar 2000 (4 years 11 months)

Staff RN case manager for home health clients, including case management responsibilities for home health services.

OH

Assistant Nurse Manager

Our Lady of Lourdes Rehabilitation Hospital

Jun 1993 - May 1995 (1 year 11 months)

Assistant nurse manager/charge nurse on a sub-acute unit at a rehabilitation hospital.

NA

On-Call Staff Nurse

Nursefinders Agency

Apr 1992 - Sep 1993 (1 year 5 months)

On-call staff nurse providing nursing coverage on an as-needed basis.

RW

PRN Staff Nurse/Charge Nurse

Rehabilitation Hospital of Wichita

Mar 1992 - Jun 1993 (1 year 3 months)

PRN staff nurse and charge nurse for a rehabilitation unit, including brain injury/neuro and orthopedic rehabilitation patients.

CF

Nurse Tech (Surgical ICU)

Christi St. Francis

Aug 1989 - Dec 1990 (1 year 4 months)

Nurse tech while in nursing school on a surgical intensive care unit (part-time).

AC

Medical Laboratory Technician

Augusta Medical Complex

Jan 1988 - Aug 1989 (1 year 7 months)

Medical laboratory technician working in a laboratory setting (full time).

MH

Medical Laboratory Technician

Meade County Hospital

Jan 1985 - Aug 1985 (7 months)

Medical laboratory technician at Meade County Hospital in a laboratory role.

Education

Degrees, certifications, and relevant coursework

Association of Rehabilitation Nurses logoAN

Association of Rehabilitation Nurses

Certified Rehabilitation Registered Nurse, Rehabilitation Nursing

1993 - 2008

Certified Rehabilitation Registered Nurse (12/1993–12/2008).

Butler Community College logoBC

Butler Community College

Associate Degree in Nursing, Nursing

Grade: GPA 3.90

Associate degree in nursing awarded Dec 1990. Received the Elizabeth Sullivan Academic Scholarship (1990–1991) and a medal from the Order of the Purple for academic excellence.

WV

Wichita Area Vo-Tech

Medical Laboratory Technician Certification I, Medical Laboratory Technology

1985 -

Medical Laboratory Technician Certification I (1/1985) and registered as a Medical Laboratory Technician by the American Society of Clinical Pathologists.

Tech stack

Software and tools used professionally

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