KELSIE BETZ
FRANKTON
Summary
Experienced and accomplished registered nurse with a strong background in case management, intensive care, and patient care coordination. Demonstrated excellence in interdisciplinary collaboration, driving process improvements, and delivering patient-centered care. Receptive to new ideas, and motivated to pursue ongoing professional development. Seeking to apply clinical expertise and organizational acumen in a leadership role to advance team performance and optimize patient outcomes.
Overview
8
8
years of professional experience
Work History
Utilization Management Nurse
Humana
02.2026 - Current
- Managed prior authorization requests for medical services, ensuring compliance with established guidelines.
- Reviewed patient records for accuracy and adherence to healthcare regulations.
- Communicated regularly with physicians regarding appropriateness of care delivery within set parameters.
- Assessed patient eligibility for services based on insurance policies and relevant guidelines.
- Documented utilization management activities in electronic medical record system for accurate tracking.
Field Care Manager Nurse 2
Humana
02.2025 - 02.2026
- Provided comprehensive case management services for Humana members, emphasizing care coordination and advocacy.
- Collaborated with interdisciplinary teams to implement tailored care plans for medical and psychosocial needs.
- Conducted assessments and monitored progress, enhancing outcomes and reducing hospital readmissions.
- Facilitated transitions of care, ensuring adherence to evidence-based guidelines for continuity.
- Assessed eligibility for Home and Community-Based Services (HCBS), prioritizing member preferences for care.
- Partnered with Maximus to secure placements on Medicaid waiver waitlists, maintaining accurate documentation.
- Utilized technology platforms for documentation and analysis of care outcomes in compliance with regulations.
- Educated families on community resources, enhancing awareness of available support options.
Registered Nurse, Peri Anesthesia
Riverview Hospital
Noblesville
07.2024 - 01.2025
- Coordinated perioperative care for diverse patient populations in pediatric and geriatric surgeries.
- Conducted comprehensive patient assessments to identify condition changes and promptly notified physicians.
- Implemented interventions based on assessment findings to improve patient outcomes.
Case Manager
Ascension St. Vincent Anderson Regional Hospital
Anderson
01.2024 - 05.2024
- Conducted discharge planning assessments for all admitted patients within 24 hours.
- Served as patient advocate to ensure safe and effective discharge plans.
- Facilitated prompt communication among healthcare disciplines for coordinated care.
- Utilized DOVE tool and GMLOS to analyze readmission risks and enhance care coordination.
- Coordinated with care teams to minimize unnecessary hospital days and manage financial responsibilities.
- Arranged durable medical equipment and follow-up appointments to ensure continuity of care.
- Supported care coordination efforts with patients and families for consensus on discharge plans.
ICU Registered Nurse
Ascension St. Vincent Anderson Regional Hospital
Anderson
07.2022 - 01.2024
- Delivered direct nursing care in alignment with established policies and protocols.
- Monitored and documented patient conditions to maintain comprehensive care records.
- Coordinated multidisciplinary teams to enhance overall patient care.
- Managed discharge planning while adhering to infection control standards.
- Collaborated closely with Indiana Donor Network to support organ procurement efforts.
ICU Student Nurse Intern (SNI)
Ascension St. Vincent Anderson Regional Hospital
Anderson
12.2020 - 07.2022
- Supported nursing orders and patient activities under preceptor supervision.
- Documented observations and reported findings to enhance multidisciplinary communication.
- Contributed to care plan development and executed tasks such as patient transport and environmental services.
Patient Care Technician (PCT)
Ascension St. Vincent Anderson Regional Hospital
Anderson
06.2018 - 12.2020
- Supported nursing staff by assisting with procedures and patient care activities under supervision.
- Facilitated patient movement and personal care, ensuring comfort and safety.
- Reported changes in patient condition and maintained accurate records for clinical oversight.
Education
Bachelor of Science - Nursing
Anderson University
Anderson, IN05.2022
Bachelor of Science - Nursing
Ball State University
Muncie, IN01.2019
High School Diploma -
Frankton High School
Frankton, IN05.2017
Skills
- Patient and Family Advocacy
- Interdisciplinary Collaboration
- Efficient
- Organized
- Accountable
- Motivated
- Goal-oriented
- Time management
- Vigilant
- Responsive
- Approachable
- Effective communicator
- Leadership
- Resourceful
- Mentoring
- Team development
- Continuous process improvement
Certifications
- Registered Nurse, Indiana Professional Licensing Agency (IPLA), 2022 - present
- Basic Life Support (BLS), American Heart Association, 2018 - present
- Advanced Cardiac Life Support (ACLS), American Heart Association, 2022 - present
- Certified Nursing Assistant, 2018 - 2022
- Mental Health First Aid Certified, 2020 - present
Affiliations
Women's NRG
Learning Consortium NRG
Caregivers NRG
Timeline
Utilization Management Nurse
Humana
02.2026 - Current
Field Care Manager Nurse 2
Humana
02.2025 - 02.2026
Registered Nurse, Peri Anesthesia
Riverview Hospital
07.2024 - 01.2025
Case Manager
Ascension St. Vincent Anderson Regional Hospital
01.2024 - 05.2024
ICU Registered Nurse
Ascension St. Vincent Anderson Regional Hospital
07.2022 - 01.2024
ICU Student Nurse Intern (SNI)
Ascension St. Vincent Anderson Regional Hospital
12.2020 - 07.2022
Patient Care Technician (PCT)
Ascension St. Vincent Anderson Regional Hospital
06.2018 - 12.2020
Bachelor of Science - Nursing
Anderson University
Bachelor of Science - Nursing
Ball State University
High School Diploma -
Frankton High School