Kara Holbert - Utilization Review RN - Centene Corporation | Himalayas
KH
Open to opportunities

Kara Holbert

@karaholbert

Dynamic Registered Nurse with expertise in care management and leadership.

United States

What I'm looking for

I am seeking a role that values patient advocacy, offers opportunities for leadership, and fosters a collaborative environment focused on quality care.

I am a dedicated Registered Nurse with over six years of experience in nursing leadership and care management across various healthcare settings. My expertise lies in managing client relationships, developing personalized care plans, and leading clinical teams to deliver high-quality care. I am proficient in utilizing advanced technology for virtual assessments and effective communication with multidisciplinary teams, ensuring that patient advocacy and continuous improvement in care delivery remain at the forefront of my practice.

Throughout my career, I have held several key positions, including Utilization Review RN at Centene Corporation, where I evaluate the medical necessity of treatments and collaborate with healthcare providers to coordinate care. As the RN Director of Client Services and Program Development at HomeWell Cares Services, I managed client relationships and developed new programs to meet unmet needs, all while ensuring compliance with healthcare regulations. My role as Lead RN Care Manager involved comprehensive patient assessments and coordinating care across multiple healthcare providers, demonstrating my commitment to enhancing patient outcomes and quality of care.

Experience

Work history, roles, and key accomplishments

CC
Current

Utilization Review RN

Centene Corporation

Feb 2025 - Present (4 months)

Evaluated whether treatments, tests, and procedures were medically necessary and appropriate for patient conditions, analyzing cost-effectiveness to ensure efficient resource utilization. Ensured care plans complied with relevant healthcare regulations and standards, collaborating with providers, patients, and insurance companies to coordinate care and secure necessary approvals. Maintained detail

CC
Current

Utilization Review RN

Centene Corporation

Feb 2025 - Present (4 months)

Evaluated whether treatments, tests, and procedures were medically necessary and appropriate for the patient's condition. Analyzed the cost-effectiveness of various treatment options and care settings to ensure resources were used efficiently.

LC
Current

Critical Care RN

Longview Regional Medical Center

Dec 2019 - Present (5 years 6 months)

Precisely administered medications, including high-risk and IV infusions, and responded rapidly to medical emergencies, initiating resuscitation efforts. Communicated effectively with physicians, respiratory therapists, and pharmacists to coordinate patient care plans. Provided emotional support and explained complex medical information to patients' families, accurately documenting assessments and

PP

Lead RN Care Manager

Provider Partners Health Plan

Mar 2021 - Mar 2022 (1 year)

Performed comprehensive patient virtual and in-person assessments to identify needs and develop individualized care plans across various healthcare settings. Managed complex cases requiring coordination with multiple healthcare providers, monitoring patient progress and facilitating timely interventions. Supervised and mentored other RN care managers, acting as a liaison between patients, families

HS

RN Director of Client Services and Program Development

HomeWell Cares Services

Mar 2022 - Feb 2025 (2 years 11 months)

Managed client relationships, addressed concerns, and ensured satisfaction with services in a virtual environment, conducting intake assessments to develop personalized care plans. Identified service gaps and developed new client programs, overseeing their implementation and evaluation while designing curriculum and clinical protocols. Hired, trained, and supervised clinical staff, monitoring perf

PP

Lead RN Care Manager

Provider Partners Health Plan

Mar 2021 - Mar 2022 (1 year)

Performed comprehensive patient virtual and in-person assessments to identify needs and develop individualized care plans in SNF, LTC, Rehabilitation Centers, and managed care. Managed complex cases requiring coordination with multiple healthcare providers, including physicians, specialists, and community services.

HH

RN Case Manager

Heart to Heart Home Health and Hospice

Sep 2020 - Mar 2021 (6 months)

Conducted comprehensive assessments of new patients to identify health needs and potential risks. Created individualized care plans based on patient needs, including goals, interventions, and expected outcomes.

HH

RN Case Manager

Heart to Heart Home Health and Hospice

Sep 2020 - Mar 2021 (6 months)

Conducted comprehensive assessments of new patients to identify health needs and potential risks, creating individualized care plans with specific goals and interventions. Managed patient care across different healthcare settings, coordinating with other healthcare providers and specialists. Educated patients and their families about health conditions, treatment options, and self-care practices, w

Education

Degrees, certifications, and relevant coursework

University of Texas logoUT

University of Texas

Bachelor of Science in Nursing, Nursing

Currently pursuing a Bachelor of Science in Nursing, expanding on foundational nursing knowledge with advanced concepts in patient care, leadership, and healthcare systems. This program enhances critical thinking and clinical decision-making skills.

University of Texas logoUT

University of Texas

Bachelors of Science in Nursing, Nursing

Currently pursuing a Bachelor of Science in Nursing, expanding on foundational nursing knowledge with advanced concepts in patient care, leadership, and healthcare systems. This online program enhances my ability to provide comprehensive and evidence-based nursing interventions.

Kilgore College logoKC

Kilgore College

Associate Degree of Nursing, Nursing

Completed an Associate Degree in Nursing, gaining foundational knowledge and practical skills essential for nursing practice. This program prepared me for entry-level nursing roles and provided a strong base for further education in the field.

Tech stack

Software and tools used professionally

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