Cheri Mohay
@cherimohay
Experienced case manager and utilization review nurse specializing in discharge planning, prior authorization, and coordinated post-acute care.
What I'm looking for
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
Staff case manager supporting discharge planning for acute inpatients, including skilled nursing placement, inpatient transfers, LTAC/acute rehab/subacute/hospice placement, and home health/DME setup. Used Allscripts and Cerner for electronic documentation.
Case manager and prior authorization support for out-of-network UC Davis managed care patients, including concurrent review and discharge planning assistance. Helped submit documentation to health plans for transplant, cancer treatments, and other services requiring approval, using Epic, Allscripts, and InterQual.
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.
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.
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.
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.
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.
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.
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.
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).
Medical Laboratory Technician
Augusta Medical Complex
Jan 1988 - Aug 1989 (1 year 7 months)
Medical laboratory technician working in a laboratory setting (full time).
Medical laboratory technician in a laboratory role at the American Red Cross.
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
Certified Rehabilitation Registered Nurse, Rehabilitation Nursing
1993 - 2008
Certified Rehabilitation Registered Nurse (12/1993–12/2008).
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.
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.
Availability
Location
Authorized to work in
Job categories
Skills
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