Meghan Rice
@meghanrice
Dedicated registered nurse specializing in utilization management and healthcare.
United StatesWhat I'm looking for
I am a dedicated Registered Nurse with extensive experience in utilization management, currently working at the Visiting Nurses Association in Vero Beach, FL. My role involves conducting thorough utilization reviews for home health care and hospice admissions, ensuring that patients receive the appropriate level of care while maintaining compliance with managed care organizations.
Previously, I served as a Utilization Management Nurse at Sebastian River Medical Center, where I collaborated with healthcare teams to identify high-risk diagnoses and develop targeted strategies for Medicare Advantage plans. My commitment to improving healthcare processes has led to the establishment of streamlined review procedures that enhance efficiency and patient outcomes.
Experience
Work history, roles, and key accomplishments
Registered Nurse - Utilization Management Nurse
Visiting Nurses Association
Jan 2019 - Present (6 years 5 months)
Provides utilization review for both Home Health care and Hospice admission and continued stay reviews. Established improved processes for home health care review to streamline interactions with managed care organizations.
Registered Nurse - Utilization Management Nurse
Sebastian River Medical Center
Jan 2016 - Present (9 years 5 months)
Performed utilization review for the Integrated Health plan for Steward Healthcare. Developed targeted high-risk diagnoses in collaboration with the healthcare team and helped roll out utilization review services for Medicare Advantage/Integrated health plans.
Education
Degrees, certifications, and relevant coursework
WUWestern Governors University
Bachelor of Science in Nursing, Nursing
Completed a Bachelor of Science in Nursing. This program provided comprehensive knowledge and skills essential for professional nursing practice.
Palm Beach Vocational Institute
Associate Degree Nursing, Nursing
Obtained an Associate Degree in Nursing. This foundational program prepared for entry-level nursing roles.
Indian River State College
Licensed Practical Nurse, Nursing
Completed the Licensed Practical Nurse program. This education focused on providing basic nursing care under the supervision of registered nurses or physicians.
Availability
Location
United StatesAuthorized to work in
Job categories
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