Heather Shows
Care Manager at Unitedhealth Group
Based in Hattiesburg, United States
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Seniority
Manager
Department
Healthcare & Human Services
Location
Hattiesburg
Industry
Hospitals and Health Care
Company size
103K
Contact information
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h•••••••@unitedhealthgroup.com
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Background
About Heather Shows
RN licensed by Nurse Licensure Compact (multistate license) Currently reviews medical records, documents pertinent information and uses criteria subsets to determine clinical appropriateness for admission, continued stays and level of care. Collaborates with physicians and case managers to ensure progression of patients continuum of care while receiving the most appropriate services for their diagnosis. Experienced reviewing acute, intermediate, and critical levels of care - mostly critical care, trauma, and surgical. familiar with cpt codes and drg. Experience caring for patients in a acute care medical-surgical/internal medicine unit with various health concerns: respiratory, cardiac, infectious diseases, orthopedics, psychiatric, neuro, critical care transfers, gastrointestinal, transplant candidates, post- transplant. Electronic Medical Records Training: QuadraMed, EPICS, Mckesson, Care4, Midas, Interqual, Microsoft, Windows.
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