Margret Akpan
Case Management | Utilization Management | Clinical Operations
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About
BSN-prepared Registered Nurse with clinical experience across Medical-Surgical, Telemetry, Emergency, and Behavioral Health settings at a nationally ranked academic medical center. Demonstrated expertise in individualized care plan development, concurrent discharge planning, insurance authorization communication, and EPIC-based clinical documentation. Proven ability to coordinate complex patient transitions across interdisciplinary teams while applying regulatory compliance standards (HIPAA, Joint Commission).
Seeking a remote or hybrid Case Management or Utilization Management role where clinical knowledge and care coordination skills drive measurable outcomes and reduce preventable utilization.
Experience
Mental Health Case Coordinator / Staff Nurse - Eating Recovery Center - Chicago, IL
(2025-08)
- Care Plan Development: Designed and maintained individualized care plans for patients with eating disorders and co-occurring psychiatric conditions, incorporating medical, nutritional, and behavioral health goals in collaboration with interdisciplinary treatment teams.
- Discharge Planning & Transitions of Care: Coordinated discharge processes from initiation to execution — identifying post-discharge placement needs, arranging follow-up outpatient appointments, and ensuring seamless handoffs to community providers to reduce readmission risk.
- Insurance Authorization & Payer Communication: Interfaced directly with insurance carriers to facilitate prior authorizations, communicate clinical justification for continued stays, and navigate payer requirements — gaining hands-on exposure to UR workflows and level-of-care criteria.
- Appointment Coordination: Scheduled and confirmed post-discharge follow-up care including therapy, psychiatry, and medical appointments, bridging gaps in continuity and reducing care fragmentation.
- Complex Case Stratification: Identified high-risk clinical indicators and escalated proactively to prevent acute deterioration, applying concurrent review principles to monitor patient progress against treatment benchmarks.
- Compliance & Documentation: Maintained HIPAA-compliant clinical records with audit-ready accuracy across interdisciplinary platforms, supporting care continuity and regulatory readiness.
Float Pool Staff Nurse - University of Chicago Medical Center - Chicago, IL
(2025-01)
- Adaptive Resource Deployment: Managed high-acuity caseloads across Med-Surg, Telemetry, and Emergency departments at a top-5 academic medical center, integrating rapidly into new care teams and maintaining clinical standards without onboarding downtime.
- Concurrent Utilization Awareness: Collaborated with case managers, social workers, and discharge planners to develop individualized care and discharge plans, supporting length-of-stay management and reducing avoidable delays in patient throughput.
- Clinical Documentation Integrity: Maintained precise EPIC EMR documentation across all patient encounters, contributing to hospital-acquired condition (HAC) reduction initiatives and supporting coding accuracy for payer reimbursement.
- Advanced Clinical Oversight: Managed IV therapies, PCA pumps, central lines, and PICC lines while enforcing infection control protocols aligned with Joint Commission standards.
Certified Nursing Assistant - University of Chicago Medical Center - Chicago, IL
(2023-11 - 2025-01)
- Provided direct patient support under RN supervision at a Tier 1 academic medical center, building institutional knowledge and clinical foundation that enabled rapid advancement to Float Pool RN.
Education
Bachelor of Science in Nursing - Nursing - Chamberlain University (2024)
MBA in Healthcare Administration - Healthcare Administration or Business Strategy

