Open to opportunities

stephanie flohr

@stephanieflohr

Message

I’m an RN utilization management supervisor focused on case management and patient-centered care planning.

United States

Message

What I'm looking for

I’m seeking community-centered utilization or case management work where I can lead HRAs, build CMS-aligned care plans, coordinate ICT meetings, and partner with clinical leadership to ensure high-quality, compassionate patient care.

I’m a highly motivated RN with seven years of hospital experience and strong utilization and case management background. I bring bedside clinical insight alongside Health Risk Assessments (HRAs), care planning, and coordination across complex member needs.

In my most recent role as UM clinical supervisor at Astiva Health, I conduct comprehensive HRAs for C‑SNP members and develop individualized, person-centered care plans aligned with CMS Model of Care requirements. I collaborate closely with the Medical Director on complex case reviews, clinical decision support, and escalation of high‑risk or rapidly changing conditions.

I facilitate Interdisciplinary Care Team (ICT) meetings, monitor utilization patterns, and support medical necessity review, prior authorization, and appeals processes. I also coordinate care transitions and discharge planning to reduce avoidable hospitalizations and improve continuity of care.

Previously, I worked as a Registered Nurse across Med-surg/Oncology and Observation units, providing IV/IM/oral medications, telemetry and lab/vital monitoring, and comprehensive patient education. Whether coordinating rapid response or supporting end-of-life/comfort care, I center safe, compassionate outcomes and clear communication with patients, families, and interdisciplinary teams.

Experience

Work history, roles, and key accomplishments

Current

UM Clinical Supervisor

Current

Astiva Health

Oct 2025 - Present (7 months)

Conducted Health Risk Assessments for C-SNP members and developed person-centered care plans aligned with CMS Model of Care requirements. Managed complex case reviews with the Medical Director and coordinated ICT meetings, utilization review, and care transitions to improve continuity and reduce avoidable hospitalizations.

Risk Assessment Care Plan Development Utilization Management Medical Necessity Review Chronic C SNP Care Coordination

Current

Registered Nurse (Medsurg/Oncology)

Current

Long Beach Memorial

Jun 2024 - Present (1 year 11 months)

Provided bedside nursing care and assessments for med-surg/oncology patients, including COVID-19 patient populations. Managed post-surgical wound/drain and pain care, maintained Epic charting, and coordinated discharge with interdisciplinary teams to support safe transitions.

Bedside Nursing Oncology Care Wound Drain Care Pain Management Interdisciplinary Collaboration

Registered Nurse (Observation Unit)

Redlands Community Hospital

Jan 2018 - Jun 2024 (6 years 5 months)

Delivered observation unit care for stroke and cardiac populations, completing intake and floor assessments including histories, medications, and current health status. Administered IV/IM/oral/subcutaneous medications and fluids, monitored telemetry/vitals/labs, coordinated rapid response as needed, and provided patient and family education including end-of-life comfort care.

Stroke Observation Care Oxygenation Lab Monitoring IV Infusion Patency Monitoring Rapid Response Patient Education End Of Life Care

Nurse Assistant (Float Pool)

Riverside University Health System

Apr 2016 - Apr 2017 (1 year)

Supported nursing staff by providing patient ambulation and basic comfort needs including bathing and feeding across multiple hospital units. Assisted with vital signs and safety observation as a sitter and rotated through ER, med-surg, ICU, PCU, L&D, postpartum telemetry, and detention.

Ambulation Assistance Vital Signs Safety Monitoring Sitter Support Basic Comfort Care Multi Unit Clinical Exposure Patient Comfort Feeding Support