Ten years work history, accomplishments, goals for the future and references.

1. Susan Moon Registered Nurse
FOR FURTHER REFERENCES OR WORK HISTORY PLEASE CONTACT SUSAN MOON
8079 S. New Abbey Drive, Tucson, AZ 85747 Cell#858 -232-7530; rsmoons@yahoo.com
PROFESSIONAL SUMMARY
Registered Nurse
 Highly skilled career professional with more than 30 years practical experience in
hospital, home health, hospice, primary care, and case management environments.
Registered Nursing licenses current in California and Arizona. Licenses for
Registered Nursing in the past having been issued in Texas, Tennessee, and Indiana
 Proficient with the use of Interqual and Milliman Guidelines. Ten years case
management and utilization review experience working with Scripps Hospital (case
management and concurrent utilization review) , Vibra Hospital, LTAC, (case
management and concurrent utilization review) , SDPMG, IPA group (on-site
concurrent utilization review, authorizations, denials) , Health Care Excel
(retrospective chart review for appropriate LOC) and Palomar Medical Center
(concurrent utilization review Med/Surg/Oncology Unit and collaborative discharge
planning with Medical Social Worker ).
 Multicultural experience in Kenya, E. Africa and Madagascar extrapolating into
nursing experiences with diverse patient groups (1987 -2002).
 Daily use of computer including Microsoft, Excel, Adobe, Care Finder Pro Ensocare,
Midas, Cerner (Revenue Cycle, First Net, Teletracking), CERME, managing heavy
daily patient volume including telephone triage, triage progress notation,
appointment scheduling, and patient referral. Proficient in all documentation/record
maintenance/paperwork to ensure accuracy of documentation and patient
confidentiality.
CREDENTIALS
Board Examination 1977
Registered Nurse State of California, #690888
Registered Nurse State of A rizona, # RN201216
Registered Nurse State of Texas, #241826
Registered Nurse State of Indiana, #28109199A
Registered Nurse State of Tennessee, #73041
Current
Current
Not Active
Not Active
Not Active
B.L.S. certified Current
EXPERIENCE
2011- Present, full time position
Utilization Review Med/Surg/Oncology Unit (inpatient
utilization/collaborative discharge planning with Medical
Social Worker, Hospice Nurses, Primary Care Nurses and all
ancillary departments involved in patient care).
Palomar Medical Center, 2185 W. Citracado Pkwy, Escondido, CA
92029,
(760)-740-6301
2014- Present, part-time position
Remote Telephonic Triage, (screening with appropriate
medical management for multiple physician medical group
patients)
Pacific Coast Triage Services, Amber Cheffins Gurung, RN Owner,
ph#760-803-5700, fax#888-398-0105;amber@pacificcoasttriage.com

2. Susan Moon Registered Nurse
FOR FURTHER REFERENCES OR WORK HISTORY PLEASE CONTACT SUSAN MOON
8079 S. New Abbey Drive, Tucson, AZ 85747 Cell#858 -232-7530; rsmoons@yahoo.com
2011- 2015, contract work
Utilization review (retrospective chart review determining
appropriate level of care and fund management/letter
preparation)
1. Health Care Excel, 2901 Ohio Blvd, Terre Haute, IN 47803 (812) 234-1499
2009-2011
Case Management (inpatient utilization and case
management LTA C level of care) Vibra Hospital, San Diego, 555
Washington St, San Diego, CA 92103 (619) 260-8300
2008-2009
Case Management (inpatient and telephonic case
management, discharge planning)
SDPMG, IPA, Medical Resource Management, San Diego, CA 92108
619-260-2188; Carrie Jennings
2006-2008
Case Management (inpatient utilization review, discharge
planning, collaborative work with multiple insurances )
Scripps Mercy Hospital, Chula Vista, CA 91910 619-691-7000 Human
Resource Dept.
EDUCATION
A ssociate of Science, Nursing~ 1977
San Jacinto College, Pasadena, TX 77504
Cappella University RN to BSN~2016 -2017Capella University,
ph#888.768.6924, Fx#888.227.8492 | 225 South 6th Street, Minneapolis, MN
55402
NURSING DEVELOPMENT INVOLVEMENT
2016~2017 RN to BSN Capella University
2015~2016 Research Fellow EBP: Diabetic Readmissions 30
days
2015~ Nurse of the Year Clinical Resource Management
Department
2015~2016 Failure Mode and Effects Council Member
2014~2015 Diabetic Resource Team Member
2013~2016 Nursing Professional Practice Council Chairman
2016 2016~current Professional Practice Council Transition
of Leadership
2012~2014 Champion User Computer Module Utilization
Management
2012 Development Utilization Management Computer Module
Team
Extended Goal Statement:

3. Susan Moon Registered Nurse
FOR FURTHER REFERENCES OR WORK HISTORY PLEASE CONTACT SUSAN MOON
8079 S. New Abbey Drive, Tucson, AZ 85747 Cell#858 -232-7530; rsmoons@yahoo.com
2016 A cute Case Management A ssociation Certification
2016 Clinical Case Management Certification
2017 RN to BSN program with Cappella University completion
2017 Initiate Masters, Clinical Nurse Specialist vs Informatics
REFERENCES:
GA IL JONES, R.N. CASE MANAGER/UTILIZATION,
gail.jones@palomarhealth.org
A NN LEWIS, R.N. CASE MANAGER/UTILAZATION,
ann.lewis@palomarhealth.org
MA RCY A DELMA N, R.N. DIR. CRM DEPT.,
marcy.adelman@palomarhealth.org
ROY STA NSFIELD, MEDICAL SOCIAL WORKER,
roy.stansfield@palomarhealth.org
Prior 2006 Work History :
1. St Joseph’s Hospital, Houston TX, GN NICU
2. Lewisville Hospital, Lewisville TX, RN Charge Med/Surg Unit
3. Hendricks Medical Center, Abilene TX, Charge Med/Surg Unit
4. Methodist Hospital, Memphis TN, primary care RN