Dawn Robinson

Concurrent Review Nurse, Utilization Management

Role
Care Management Coordinator, Acute Hospital Um at Independence Blue Cross
Location
New Castle, DE, US
LinkedIn followers
500 followers

About Dawn Robinson

I am currently engaged in the nursing and healthcare system, focusing on managed care…

Experience

  1. Care Management Coordinator, Acute Hospital Um

    Independence Blue Cross

    Mar 2025 — Present

    Evaluate treatment plans using InterQual to ensure appropriate care settings. Coordinate with physicians to clarify inpatient care needs, ensuring compliance. Identify cases for management and refer to Medical Directors for evaluation. Collaborate with case management and families for effective discharge planning. Report utilization trends for improvement and educate providers on managed care. Developed streamlined communication protocols among multidisciplinary teams, enhancing information flow and expediting patient care decisions. Evaluated treatment plans using InterQual, ensuring optimal care settings and facilitating timely patient transitions. Identified complex cases for management, collaborating with Medical Directors to enhance patient outcomes and compliance.

Education

  • Delaware State University

    Bachelor's degree in Nursing, Registered Nursing/Registered Nurse

    2002 — 2007

  • Wilmington University

    Master's Degree - M.S.M. HCA, Health/Health Care Administration/Management, Magna Cum Laude

    2016 — 2018

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