Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Karen Cunningham

McMurray

Summary

Dedicated Utilization Management Nurse with extensive experience in care coordination, clinical assessment, and discharge planning. Proven ability to enhance patient outcomes through effective communication and follow-up care implementation.

Overview

38
38
years of professional experience
1
1
Certification

Work History

RN UM manager

UPMC
Pittsburgh
2012.10 - 2026.07

Utilization Case Managerreviewer of admissions to acute care facilities and determine level of care based on clinical information provided by facility

  • knowledge base of diagnosis, current plans of care, interpretations of imaging, lab results and medications
  • Facilitated referrals for follow-up care to ensure continuity of patient management.
  • Coordinated communication with attending physicians and hospital discharge planners to streamline discharge processes.

RN Case Manager

St Clair Health
pittsburgh
1989.01 - 2012.10

Worked as a registered nurse and utilization management case manager, overseeing patient care plans.

Coordinated discharge plans for acute inpatient patients.

Managed home care arrangements, home medications, and skilled nursing assessments while obtaining authorization for admissions.

worked closely with charge nurses, social workers and families to plan an effective plan of care upon discharge from an acute hospital stay.

Education

Associate of Science - Nursing

Shadyside School of Nursing
Pittsburgh, PA
1986-06

Nursing

California University of Pennsylvania
California, PA

Skills

  • Care coordination and discharge planning
  • Clinical assessment and chart review
  • Safe discharge planning
  • Utilization review and level of care assessment
  • Case management for inpatient admissions

Certification

  • current/active PA nursing license

Timeline

RN UM manager

UPMC
2012.10 - 2026.07

RN Case Manager

St Clair Health
1989.01 - 2012.10

Associate of Science - Nursing

Shadyside School of Nursing

Nursing

California University of Pennsylvania
Karen Cunningham