Yewande Osunsanya
Atlanta
Summary
Registered Nurse with experience in cardiovascular ICU and home health case management, specializing in clinical assessment, care coordination, and utilization review. Proven ability to evaluate medical necessity, interpret clinical data, and ensure alignment with evidence-based guidelines, Medicare regulations, and payer requirements. Skilled in managing complex cases, coordinating interdisciplinary care, and supporting cost-effective, quality-driven patient outcomes. Seeking to transition into a Utilization Management RN role.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Registered Nurse Case Manager – Home Health
Visiting Nurse Health System
Atlanta, GA
03.2025 - Current
- Conduct comprehensive patient assessments to determine medical necessity, eligibility, and appropriate level of care in accordance with Medicare and CMS guidelines
- Develop and implement individualized care plans aligned with physician orders, payer requirements, and evidence-based practices
- Perform ongoing case review to evaluate patient progress, appropriateness of services, and need for continued care
- Complete OASIS documentation and skilled visit notes to support regulatory compliance and reimbursement
- Coordinate interdisciplinary care and facilitate transitions across the continuum, reducing hospital readmissions
- Identify gaps in care and initiate referrals to MSW and community resources to optimize outcomes
- Educate patients and caregivers to improve adherence and reduce utilization of acute care services
- Manage caseload efficiently while meeting documentation and visit timelines
Nurse Clinician III – Cardiovascular ICU
Emory University Hospital
Atlanta, GA
03.2023 - 03.2025
- Deliver high-acuity care to critically ill cardiothoracic patients, utilizing advanced clinical judgment to support treatment appropriateness and outcomes
- Monitor and evaluate patient response to interventions, ensuring alignment with evidence-based clinical guidelines
- Collaborate with physicians and interdisciplinary teams to support timely decision-making and care optimization
- Manage complex therapies (ECMO, LVAD, CRRT, IABP, Impella), providing detailed clinical data for care planning and escalation
- Support discharge planning and transitions of care by identifying patient needs and appropriate post-acute services
- Document clinical findings accurately in Epic to support continuity of care and compliance with regulatory standards
- Prioritize multiple high-acuity patients while maintaining adherence to clinical protocols and time-sensitive workflows
Biomedical Technician
Grifols Biomat USA Plasma Center
Marietta, GA
08.2019 - 08.2020
- Maintained compliance with safety and regulatory standards in a clinical environment
- Supported quality assurance processes and documentation accuracy
Education
Bachelor of Science in Nursing -
Kennesaw State University
Kennesaw, GA12.2022
Bachelor of Arts - Biology: Health and Medical Science
Minnesota State University Moorhead
Moorhead, MN05.2017
Skills
- Utilization Management (UM)
- Medical Necessity Review
- Prior Authorization Support
- Clinical Documentation Review
- Medicare & CMS Guidelines
- Care Coordination & Transitions of Care
- Case Management
- Interdisciplinary Collaboration
- EMR: Epic
- Microsoft Office: Word, Excel, Outlook
- OASIS Documentation
Certification
- Compact Registered Nurse (RN) License — Active & Unrestricted Eligible to Practice in Member States Apr 2023 - Jan 2027
- California Registered Nurse (RN) License — Active & Unrestricted Aug 2025 - Jan 2027
- Advanced Cardiovascular Life Support (ACLS) Apr 2023 - Jan 2027
- Basic Life Support (BLS) Jan 2020 - Jul 2027
- NIH Stroke Scale Certified
Research & Presentations
- Comparing Interventions for Preventing Central Line-Associated Bloodstream Infections, KSU 2022
- Cortisol-Dependent Learning in Zebrafish, MSUM Student Conference 2019
- Effect of Deoxynivalenol on IL-6 Production, MSUM 2018
Timeline
Registered Nurse Case Manager – Home Health
Visiting Nurse Health System
03.2025 - Current
Nurse Clinician III – Cardiovascular ICU
Emory University Hospital
03.2023 - 03.2025
Biomedical Technician
Grifols Biomat USA Plasma Center
08.2019 - 08.2020
Bachelor of Arts - Biology: Health and Medical Science
Minnesota State University Moorhead
Bachelor of Science in Nursing -
Kennesaw State University