Kimberly Werner
Fort Mill
Summary
Case Manager at Aetna with proven expertise in care coordination and critical thinking. Achieved positive member outcomes through comprehensive case management plans while maintaining meticulous documentation. Skilled in time management and problem-solving, fostering team collaboration and enhancing service delivery. Committed to empowering members with knowledge of available programs and benefits.
Overview
2026
2026
years of professional experience
Work History
Case Manager
Aetna
01.2023 - Current
- Conducted thorough assessments of members' situational needs, identifying issues, goals, gaps in care and necessary interventions.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Caseload prioritization and time management under deadlines
- Critical thinking and problem solving to support complex member needs
- Achieved positive member outcomes by developing and implementing comprehensive case management plans.
- Educated members on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Volunteered to take on team lead responsibilities in the absence of our team lead. Including supporting a new team of Case Managers with support and education emphasizing navigating the wiki and job aides for answers, conducted pre/post reports to ensure turn around times and performance goals as a team were met for the plan sponsor, tasking and assigning new cases daily.
Registered Nurse, PACU
St. Luke's University Hospital
2022 - 2023
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Registered Nurse, PACU
Lehigh Valley Hospital and Health Network
2015 - 2022
- Reduced complications by promptly identifying and addressing post-operative issues in PACU patients.
- Provided timely interventions to address airway management complications such as respiratory depression or obstruction in post-operative patients.
- Enhanced patient recovery by providing comprehensive post-anesthesia care and monitoring vital signs.
- Decreased medication errors by meticulously administering medications following proper protocols and verifying dosages.
- Prevented complications from anesthesia side effects such as nausea or vomiting using effective medication administration techniques.
- Provided emotional support to patients and their families during the recovery process, easing anxiety related to surgery outcomes.
- Assisted physicians with bedside procedures in the PACU setting, such as wound care, dressing changes, and insertion of invasive monitoring devices.
- Enhanced patient safety during transfers to other units by providing handoff communication that accurately conveyed critical information about the patient''s condition, potential risks, and ongoing treatment plans.
- Facilitated smooth transitions between surgical units through timely communication with preoperative and surgical suite staff regarding patient needs and status updates.
- Collaborated with interdisciplinary team members to develop individualized care plans for optimal patient outcomes.
- Improved patient satisfaction through compassionate nursing care and effective communication with patients, families, and healthcare teams.
Registered Nurse, Cardiac Progressive Care
Lehigh Valley Hospital and Health Network
2014 - 2015
- Enhanced patient satisfaction through compassionate, individualized nursing care and effective communication with patients and families.
- Managed complex medication regimens for cardiac patients, ensuring proper dosing, timely administration, and monitoring for potential drug interactions or side effects.
- Contributed to policy development and revisions within the Cardiac Progressive Care unit through active participation in unit-based committees.
- Served as a preceptor for new nursing staff members, facilitating their integration into our fast-paced Cardiac Progressive Care Unit environment while enhancing overall team proficiency levels.
- Advanced quality improvement initiatives within the Cardiac Progressive Care unit through regular participation in process evaluation meetings and offering constructive feedback on areas for growth.
- Expanded clinical knowledge base by attending continuing education courses focused on advancements in cardiac nursing practice.
- Utilized advanced critical thinking skills to promptly identify early warning signs of patient deterioration or complications, initiating appropriate interventions to prevent adverse outcomes.
- Demonstrated strong leadership skills during critical situations such as Code Blue events, coordinating team efforts to stabilize patients and initiate appropriate interventions.
Registered Nurse, Telemetry Unit
St. Luke's University Hospital
2011 - 2014
- Educated patients about their conditions, treatment options, and lifestyle modifications necessary for managing long-term health issues.
- Facilitated smooth transitions of care by coordinating with other departments for consultations, diagnostic testing, or transfer to specialized units when needed.
- Implemented time management strategies effectively balancing multiple responsibilities while delivering high-quality care under pressure.
- Enhanced patient outcomes by providing compassionate and skilled nursing care in a telemetry unit.
- Skilled in recognizing early warning signs of potential complications or worsening conditions, enabling timely interventions that prevented further deterioration.
- Monitored patients'' vital signs and ECG readings continuously, promptly identifying any abnormalities requiring intervention or escalation of care.
- Collaborated with interdisciplinary teams for optimal patient treatment plans, leading to better overall health outcomes.
- Provided emotional support to patients and families during difficult medical situations, fostering trust and rapport with the healthcare team.
- Managed complex patients with multiple comorbidities by developing individualized care plans in collaboration with the interdisciplinary team.
Education
Nursing
Western Governors University
Salt Lake City, UT09-2019
Associate of Applied Science - Nursing
County College of Morris
Randolph Township, NJ05-2010
Skills
- Time management
- Problem-solving
- Care coordination
- Documentation proficiency
- Critical thinking
- Organization and multitasking
Timeline
Case Manager
Aetna
01.2023 - Current
Registered Nurse, PACU
St. Luke's University Hospital
2022 - 2023
Registered Nurse, PACU
Lehigh Valley Hospital and Health Network
2015 - 2022
Registered Nurse, Cardiac Progressive Care
Lehigh Valley Hospital and Health Network
2014 - 2015
Registered Nurse, Telemetry Unit
St. Luke's University Hospital
2011 - 2014
Nursing
Western Governors University
Associate of Applied Science - Nursing
County College of Morris
Member of Covid re deployment team
Selected as a member of the COVID 19 redeployment team, demonstrating adaptability and willingness to serve in critical, high risk environments. Provided frontline support in COVD ICUs responding to rapidly evolving patient care needs. Collaborated with multidisciplinary teams under crisis conditions to ensure timely care coordination and discharge planning. Supported patients and families through crisis navigation, including end of life planning and emotional support.
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