Justin N.

About Justin N.

Accredited RN Case Manager with 9+ years of Nursing experience, including 7 years of Inpatient Case Management experience in the hospital nursing clinical setting (encompassing Case Management/Discharge Planning, Utilization Review, ED Utilization Review, and ED Navigator roles).

Experience

1. Rn Case Manager

   Houston Methodist

   Jan 2018 — Present · Sugar Land, TX, US

   Assisting clinicians and case management staff as the Aidin Superuser• Providing Medicare IM notices to patients in a timely manner• Coordinating home health, skilled nursing, inpatient rehabilitation, long term acute care, and other discharge planning needs for patients in both ED Navigator and Case Manager roles• Providing Utilization Review via InterQual and Milliman to ensure patients are meeting inpatient criteria for insurance purposes, including Utilization Review for the ED Department.• Discussing with insurance case managers as needed in order to proceed to the next step in the plan of care• Strategizing difficult or special cases with the Director of Case Management in order to proceed to the next step in the plan of care• Utilizing “outside the box thinking” to creatively create safe discharge plans

Education

• Texas Tech University Health Sciences Center

  Bachelor of Science in Nursing (BSN)

  2015

• Western Governors University

  Master of Science in Management and Leadership

  2017