Summary
Overview
Work History
Education
Skills
Certification
Awards
Career Experience
Timeline
Generic

Zantipee Jegede

Dover

Summary

Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.

Overview

15
15
years of professional experience
4031
4031
years of post-secondary education
1
1
Certification

Work History

Community Care Nurse

Dedicated Senior Medical Group
01.2024 - Current

Utilization Management Coordinator

Dover Behavioral Health System
Dover
01.2023 - Current
  • Facilitate comprehensive current and extended stay assessments by meticulously conducting reviews at designated times.
  • Collaborate closely with assessment and referral teams to ensure up-to-date admission evaluations.
  • Prepared appeals to third-party payors, orchestrating collection of vital data to substantiate hospital and patient claims.
  • Negotiated extended lengths of stay for patients in the inpatient psychiatry unit, prioritizing individualized treatment plans.
  • Managed patient authorizations and ensured compliance with insurance requirements.
  • Reviewed medical records to determine medical necessity for services provided.
  • Performed clinical assessments including review of medical records to identify potential gaps in care or opportunities for improvement.
  • Utilized computer systems such as EMRs, UM software programs and databases to access information relevant to the review process.
  • Analyzed medical records to assess whether requested services met criteria based on evidence-based guidelines.
  • Conducted utilization reviews for members to ensure services are medically necessary, appropriate and cost effective.

Home Health Nurse

BAYADA
Dover
12.2020 - 01.2026

Registered Nurse Case Manager

Highmark Health Options
Dover
01.2015 - 01.2023
  • Addressed all needs of long-term care support patients.
  • Displayed a unique ability to contribute to positive and sustained patient well-being.
  • Conducted insightful consultations to assess patient needs, leading to development of comprehensive treatment plans.
  • Maintained an exceptional 98% compliance rate with all Medicaid requirements for at-risk members.
  • Managed caseload of approximately 60-120 at-risk patients, achieving a remarkable 95% positive patient outcome rate.
  • Trained new case managers, imparting essential skills and knowledge to ensure proficiency in delivering quality patient care.

Registered Nurse Manager

Bayhealth Kent Campus
Dover
01.2011 - 01.2015
  • Led the exclusive stroke-certified Medical Surgical inpatient unit, overseeing a team of 50 RNs and nursing assistants.
  • Pioneered 14-bed Medical Surgical inpatient unit from inception to successful completion.
  • Achieved an impressive 95% clinical outcomes rate, showcasing exceptional leadership and clinical management skills.
  • Launched a cutting-edge outpatient infusion unit, featuring 7 state-of-the-art infusion chairs; successfully garnered multi-million-dollar funding through meticulous proposal and review processes.
  • Developed and implemented nursing policies to enhance operational efficiency within the department.
  • Ensured compliance with healthcare regulations and safety standards throughout the facility.
  • Managed budgetary resources allocated to the department.
  • Supported organizational initiatives designed to improve quality of care outcomes.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.

Education

Project Management - Project Management

Cornell University
Ithaca, NY
03.2025 - 05.2025

Master of Science - Nursing Informatics

Walden University
Minneapolis, MN

Bachelor of Science - Nursing

Delaware State University
Dover, DE

Skills

  • Case Management
  • Utilization Management
  • Patient Care & Advocacy
  • Patient Assessment
  • Appeals & Data Collection
  • Leadership & Clinical Management
  • Training & Mentorship
  • Healthcare Innovation
  • Project Management
  • Electronic medical records
  • Regulatory compliance
  • Home healthcare
  • Diabetes management
  • Cardiac care
  • Wound management
  • Preventative care
  • Post operative care
  • Medical records management
  • Seizure management
  • Chronic disease management
  • Healthcare personnel supervision

Certification

  • Registered Nurse
  • Advanced Cardiovascular Life Support
  • Basic Life Support

Awards

  • Certificate of Excellence Bayhealth
  • Nurse of the Year Nominee 2011

Career Experience

  • Community Care Nurse, Dedicated Senior Medical Group, 01/2024, Present, Support acute care patients in a community setting to limit readmissions and maintain healthy outcomes.
  • Utilization Management Coordinator, Dover Behavioral Health System, 01/2023, Present, Dover, DE, Facilitate comprehensive current and extended stay assessments by meticulously conducting reviews at designated times., Collaborate closely with assessment and referral teams to ensure up-to-date admission evaluations., Prepared appeals to third-party payors, orchestrating collection of vital data to substantiate hospital and patient claims., Negotiated extended lengths of stay for patients in the inpatient psychiatry unit, prioritizing individualized treatment plans.
  • Registered Nurse Case Manager, Highmark Health Options, 01/2015, 12/2023, Dover, DE, Addressed all needs of long-term care support patients., Displayed a unique ability to contribute to positive and sustained patient well-being., Conducted insightful consultations to assess patient needs, leading to development of comprehensive treatment plans., Maintained an exceptional 98% compliance rate with all Medicaid requirements for at-risk members., Managed caseload of approximately 60-120 at-risk patients, achieving a remarkable 95% positive patient outcome rate., Trained new case managers, imparting essential skills and knowledge to ensure proficiency in delivering quality patient care.
  • Registered Nurse Manager, Bayhealth Kent Campus, 01/2011, 12/2015, Dover, DE, Led the exclusive stroke-certified Medical Surgical inpatient unit, overseeing a team of 50 RNs and nursing assistants., Pioneered 14-bed Medical Surgical inpatient unit from inception to successful completion., Achieved an impressive 95% clinical outcomes rate, showcasing exceptional leadership and clinical management skills., Launched a cutting-edge outpatient infusion unit, featuring 7 state-of-the-art infusion chairs; successfully garnered multi-million-dollar funding through meticulous proposal and review processes.

Timeline

Project Management - Project Management

Cornell University
03.2025 - 05.2025

Community Care Nurse

Dedicated Senior Medical Group
01.2024 - Current

Utilization Management Coordinator

Dover Behavioral Health System
01.2023 - Current

Home Health Nurse

BAYADA
12.2020 - 01.2026

Registered Nurse Case Manager

Highmark Health Options
01.2015 - 01.2023

Registered Nurse Manager

Bayhealth Kent Campus
01.2011 - 01.2015

Master of Science - Nursing Informatics

Walden University

Bachelor of Science - Nursing

Delaware State University
Zantipee Jegede