Summary
Overview
Work History
Education
Acknowledgements
Certification
Affiliations
Timeline
Generic
Keryn Lederach

Keryn Lederach

Telford

Summary

  • Registered Nurse Highly skilled career professional with more than 18 years practical experience as a registered nurse in Subacute, long-term care, dementia, cogitative deficits, case management, end of life care, pediatrics, prolonged bleeding disorders, care management, pharmacy benefit management, clinical operations management, and utilization review management. Supervisory Skills:
  • Aided in successful implementation of Pediatric Congenital Heart (PCH) Program for Aetna's National Medical Excellence (NME) Program; strong knowledge in high-risk neonates and infant populations with congenital anomalies, along with medical issues affecting pediatric populations throughout development.
  • Case managed members with prolonged bleeding disorders such as Hemophilia & vWD.
  • Dedicated Transplant Coordinator
  • Worked second position in Pharmacy Benefit management with visco-supplements and specialty injectables
  • Preformed Utilization Review (UM) and precertification functions
  • Clinical advisor for campaigns for return-on-investment incentives

Practical Clinical Supervisor with more than 18 years of experience and background in nursing and healthcare management care. Focused on developing teams' clinical knowledge, decision-making skills and performance standards. Eager to bring talent and expertise to growing department.

Healthcare professional with solid background in clinical supervision and staff development. Proven ability to enhance team performance and patient outcomes through strategic planning and effective communication. Reliable team player with flexible approach to changing needs and focus on achieving results.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Clinical Supervisor

Sanatoga Center
01.2007 - 12.2007
  • Collaborated with multidisciplinary teams to coordinate care for clients with complex needs, ensuring comprehensive support was provided across all domains of life functioning.
  • Assessed patients, determined needs, and managed care.
  • Monitored, analyzed, and corrected staff performance and worked with nurse manager to raise standards of practice.
  • Enhanced team collaboration through regular staff meetings, case conferences, and training sessions.
  • Lead and directed team of six to ten clinical personnel and support staff.
  • Monitored adherence to ethical guidelines among clinical staff members, supporting their ongoing professional growth while maintaining high quality care standards.

Clinical Advisor

CVS Health/Aetna
01.2024 - Current
  • Increased patient satisfaction by addressing concerns and providing empathetic support throughout their treatment journey.
  • Facilitated reporting of study status to key stakeholders.
  • Participated in relevant professional conferences and workshops, staying current with industry trends and best practices to enhance service delivery.
  • Contributed to the development of new programs or services within the organization, driving continuous improvement in patient care quality.
  • Improved patient outcomes by providing expert clinical advice and implementing evidence-based practices.
  • Implemented targeted interventions for high-risk populations, reducing complications related to chronic conditions such as diabetes, asthma, bipolar, etc.

Clinical Case Manager

Aetna Health Insurance
01.2016 - 04.2024
  • Enhanced care coordination for patients with complex medical needs through effective communication and collaboration with multidisciplinary teams.
  • Reduced hospital readmission rates by conducting thorough patient assessments and providing appropriate resources and support for post-discharge care.
  • Improved patient outcomes by developing and implementing comprehensive case management plans.
  • Empowered patients to take an active role in their own care by providing education on available resources, rights, and responsibilities within the healthcare system.
  • Streamlined healthcare delivery by efficiently managing caseloads, prioritizing tasks, and maintaining accurate documentation.
  • Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
  • Educated patients on self-care strategies and preventative measures to improve overall health outcomes and reduce the need for future interventions.

Clinical Case Manager Supervisor

Aetna Health Insurance
01.2012 - 01.2016
  • Enhanced staff performance by conducting regular performance evaluations and providing constructive feedback.
  • Streamlined clinical operations by optimizing workflows and efficiently delegating tasks to team members.
  • Supported organizational growth goals by participating in recruitment efforts including interviewing candidates, extending job offers, and facilitating orientation programs.
  • Established a culture of continuous improvement by encouraging staff members to share ideas and participate in the development of new nursing initiatives.
  • Managed staff schedules, assignments, and time-off requests to maintain adequate coverage while minimizing overtime expenses.
  • Contributed to interdisciplinary team meetings discussing individualized case management plans, leading to more effective patient treatment strategies.
  • Increased staff retention rates by offering professional development opportunities and creating a supportive workplace culture.

Clinical Case Manager

Aetna Health Insurance
01.2007 - 01.2012
  • Enhanced care coordination for patients with complex medical needs through effective communication and collaboration with multidisciplinary teams.
  • Reduced hospital readmission rates by conducting thorough patient assessments and providing appropriate resources and support for post-discharge care.
  • Improved patient outcomes by developing and implementing comprehensive case management plans.
  • Assisted with outreach and engagement services to engage clients and maintain working relationships.
  • Developed and implemented comprehensive case management plans to address client needs and goals.
  • Managed caseload to satisfy multiple patients with diverse needs.

Floor Nurse

Phoebe Health Center
01.2006 - 01.2007
  • Provided effective patient education, ensuring understanding of medical conditions and treatment protocols for better selfmanagement.
  • Collaborated with healthcare team members to assess, implement and evaluate nursing care plans.
  • Collaborated with interdisciplinary teams to develop optimal care plans, resulting in improved patient outcomes.
  • Advanced critical thinking skills for prompt identification of potential complications or deteriorating conditions, leading to timely interventions that prevented further health decline.

Certified Nurse Assistant

Phoebe Health Center
01.2002 - 01.2007
  • Assisted patients during meal times, ensuring they received proper nutrition according to specific dietary requirements.
  • Maintained accurate records of vital signs, fluid intake, and output for effective patient monitoring.
  • Enhanced patient care by providing daily assistance with bathing, dressing, and grooming.
  • Improved patient comfort by repositioning and transferring them on a regular basis.
  • Demonstrated proficient use of medical equipment such as blood pressure monitors and oxygen concentrators for efficient patient care delivery.
  • Strengthened continuity of care by meticulously updating electronic health records in accordance with HIPAA regulations.
  • Contributed to a sanitary environment by adhering to strict infection control protocols when cleaning rooms and equipment.

Certified Nurse Assistant

Rockhill Mennonite Community, Oak Tree Institute
01.2000 - 01.2003
  • Streamlined communication between patients and healthcare providers by serving as an attentive liaison during shift handovers and interdisciplinary meetings.
  • Boosted overall patient satisfaction through genuine empathy, active listening skills, and consistent professionalism in all interactions.
  • Supported patients'' emotional well-being by actively listening to their concerns and offering compassionate companionship.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Supported ambulation and physical therapy needs by conducting planned exercise routines.
  • Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.

Education

Masters - Business ~ Healthcare Management

Capella University
12.2024

Bachelors - Nursing

Gwynedd Mercy University
01.2008

Associate - Nursing

Gwynedd Mercy University
01.2006

Acknowledgements

  • 2003 Northeastern Chapter of the Pennsylvania Association of Non-Profit Homes for the Aging
  • 2004 Initiative Award for Automated Clinical Documentation System presented by Phoebe Ministries Annual Award
  • 2004 Quality Improvement Initiative Award
  • 2005 Nursing Education Scholarship
  • 2012 Co-Author to an oral and poster abstract entitle “The Effect of a Specialized Case Management Program On Factor Replacement Use On Patients with Bleeding Disorders” Presented to the American Society of Hematology
  • 2014 National Care Management Reward and Recognition Program 1st Quarter Aetna Health
  • 2014 Team Award for Demonstrating the leadership Behavior Collaboration
  • 2024 Delta Mu Delta Honors Society

Certification

  • Registered Nurse License in the State of PA 2006
  • GeroServices Behavior Management 2005
  • Infusion Therapy Certificate 2007
  • Certified Case Management Certificate 2010 - 2023
  • Multi State RN Licensure

Affiliations

  • Delta Mu Delta

Timeline

Clinical Advisor

CVS Health/Aetna
01.2024 - Current

Clinical Case Manager

Aetna Health Insurance
01.2016 - 04.2024

Clinical Case Manager Supervisor

Aetna Health Insurance
01.2012 - 01.2016

Clinical Supervisor

Sanatoga Center
01.2007 - 12.2007

Clinical Case Manager

Aetna Health Insurance
01.2007 - 01.2012

Floor Nurse

Phoebe Health Center
01.2006 - 01.2007

Certified Nurse Assistant

Phoebe Health Center
01.2002 - 01.2007

Certified Nurse Assistant

Rockhill Mennonite Community, Oak Tree Institute
01.2000 - 01.2003

Bachelors - Nursing

Gwynedd Mercy University

Associate - Nursing

Gwynedd Mercy University

Masters - Business ~ Healthcare Management

Capella University
Keryn Lederach