Kelsey Exline
Roanoke
Summary
Qualified nurse with strong background in case management. Demonstrated ability to coordinate patient care plans and collaborate with healthcare teams to ensure optimal outcomes. Proven skills in patient advocacy and resource management. Experienced with patient care coordination and case management. Utilizes communication and organizational skills to ensure comprehensive care plans. Track record of patient advocacy and efficient resource utilization.
Overview
11
11
years of professional experience
1
1
Certification
Work History
RN Case Manager
ShareCare
06.2025 - Current
- Completed weekly calls with the member caseload to determine care management needs.
- Coordinated patient care plans to enhance health outcomes and ensure continuity of services.
- Placed cold calls to potential members and informed them of the benefits they receive.
- Coordinated home modifications, DME, and medication support within internal customer support agents and provider offices.
- Conducted comprehensive assessments to identify patient needs and develop tailored interventions.
RN Case Manager
Aetna-CVS Health
01.2024 - 06.2025
- Managed a panel of over 100 members with Medicaid, enhancing care coordination and resource support.
- Performed annual in-person assessments, and quarterly telephonic check-ins for consistent patient monitoring.
- Executed LOCERI assessments to ensure Medicaid compliance and accurate documentation.
- Coordinated home modifications, DME, and medication support.
- Leveraged telehealth protocols to deliver timely remote assessments, reinforcing virtual patient care.
- Collaborated with multidisciplinary teams to optimize resource utilization and streamline communication.
RN Case Manager
Lewis Gale Medical Center
08.2023 - 01.2024
- Led discharge planning for up to 25 patients daily, optimizing patient flow.
- Conducted InterQual reviews, and partnered with providers to refine admission protocols.
- Arranged comprehensive post-discharge services, such as home health and rehabilitation, for smooth transitions.
- Optimized triage protocols to expedite discharge processes, ensuring adherence to clinical standards.
- Evaluated patient progress regularly, adjusting care plans based on clinical findings and feedback.
Public Health Nurse
Roanoke City Health Department
10.2021 - 08.2023
- Delivered family planning, STI testing, and preventive care.
- Operated autonomously, and managed follow-ups, improving patient retention.
- Collaborated with providers to maintain timely, high-quality patient care.
- Collaborated with interdisciplinary teams to implement public health initiatives and improve patient outcomes.
- Conducted health assessments to identify community needs and develop appropriate intervention strategies.
Ambulatory Surgery RN
Roanoke Valley Center for Sight
01.2021 - 10.2021
- Assisted in ophthalmic OR procedures, and managed pre-operative care for up to 100 patients daily.
- Enhanced multitasking and operating room skills in a high-volume setting.
Radiology RN
Carilion Roanoke Memorial
08.2019 - 01.2021
- Provided pre- and post-op care for interventional radiology patients.
- Functioned independently across departments with minimal supervision.
Outpatient Family Medicine RN
Carilion Clinic Southeast
02.2018 - 08.2019
Pediatric ICU RN
Carilion Roanoke Memorial
11.2016 - 02.2018
Neuro PCU RN & Clinical Team Lead
Carilion Roanoke Memorial
03.2015 - 11.2016
Education
Bachelor of Science - Nursing (BSN)
Grand Canyon University
Associate of Science - Nursing (ASN)
Virginia Western Community College
Skills
- Technical Proficiencies: EHR including EPIC, Microsoft Office
- Regulatory & Licensing: Compact RN, Multistate License
- Care coordination
- Telehealth protocols
- Interdisciplinary collaboration
- Patient assessment
- Case management systems
- Clinical documentation
Certification
Compact RN License (Active)
Timeline
RN Case Manager
ShareCare
06.2025 - Current
RN Case Manager
Aetna-CVS Health
01.2024 - 06.2025
RN Case Manager
Lewis Gale Medical Center
08.2023 - 01.2024
Public Health Nurse
Roanoke City Health Department
10.2021 - 08.2023
Ambulatory Surgery RN
Roanoke Valley Center for Sight
01.2021 - 10.2021
Radiology RN
Carilion Roanoke Memorial
08.2019 - 01.2021
Outpatient Family Medicine RN
Carilion Clinic Southeast
02.2018 - 08.2019
Pediatric ICU RN
Carilion Roanoke Memorial
11.2016 - 02.2018
Neuro PCU RN & Clinical Team Lead
Carilion Roanoke Memorial
03.2015 - 11.2016
Associate of Science - Nursing (ASN)
Virginia Western Community College
Bachelor of Science - Nursing (BSN)
Grand Canyon University