Open to opportunities

Shannon Taylor

@shannontaylor1

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Registered nurse specializing in utilization review and inpatient case management for care transitions.

United States

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What I'm looking for

I’m looking for a utilization review/case management role where I can work independently in fast-paced hospital or remote environments, perform admission and continued stay reviews, document clearly, and drive timely, medically necessary care transitions.

I’m an Experienced Registered Nurse with 15+ years of acute care, inpatient case management, and utilization review experience. I support appropriate level of care and medical necessity decisions by performing initial admission and continued stay reviews using InterQual criteria.

I’m highly skilled in clinical documentation and clinical abstraction from electronic medical records, translating data into clear utilization review findings. I manage throughput by completing concurrent reviews, coordinating discharge planning, and maintaining Medicare and insurance guidelines compliance.

In my current inpatient case management and utilization review role, I manage 18–25 inpatient cases per shift while meeting productivity and timeliness expectations. I coordinate discharge planning for SNF, IPR, LTACH, home health, infusion, and DME, and I participate in interdisciplinary rounds to address barriers to discharge.

I also bring broader bedside and outpatient strengths, including wound care and outpatient documentation for compliance and reimbursement. From my ACE & Stroke Unit charge nurse experience, I developed strong assessment, communication, and patient coordination skills in fast-paced hospital environments.

Experience

Work history, roles, and key accomplishments

Current

Wound Care Registered Nurse

Current

Henry Ford Wound Clinic

Dec 2023 - Present (2 years 6 months)

Provided outpatient wound care treatment and patient education while maintaining accurate clinical documentation. Documented care to support compliance with reimbursement requirements and clinical standards.

Wound Care Patient Education Outpatient Nursing Clinical Documentation Care Coordination

Current

Inpatient Case Management RN

Current

Ascension

Mar 2020 - Present (6 years 3 months)

Managed 18–25 inpatient cases per shift while performing initial admission and continued stay reviews using InterQual evidence-based criteria. Determined appropriate level of care, abstracted clinical data from EHRs, and documented utilization review findings in MIDAS and Allscripts to support timely discharge planning.

Utilization Review InterQual Level Of Care Reviews Clinical Abstraction Discharge Planning Midas Allscripts Electronic Health Records (EHR)

Travel RN Case Manager

Prolink

Jan 2026 - Feb 2026 (1 month)

Performed inpatient case management and concurrent utilization review in a high-volume acute care setting, validating medical necessity and level of care using InterQual criteria. Managed complex discharge planning across SNF, IPR, LTACH, home health, and DME and ensured documentation compliance with payer and Medicare guidelines.

Case Management Utilization Review InterQual Guidelines Medical Necessity Criteria Discharge Planning SNF IPR LTACH Coordination Clinical Documentation

RN & Charge Nurse (Stroke)

Beaumont Health

Feb 2017 - Mar 2020 (3 years 1 month)

Delivered neurological and stroke care in a fast-paced 23-bed inpatient acute care unit. Served as charge nurse by supervising workflow and supporting daily operations while coordinating patient care with clinical teams.

Stroke Care Acute Care Nursing Charge Nurse Duties Clinical Assessment Interdisciplinary Communication Patient Coordination