Abigail Huston
Montrose,IA
Summary
Compassionate and dedicated Registered Nurse with a Bachelor’s degree and over 10 years of diverse experience in medical-surgical, telehealth, and utilization management settings. Expertise in interdisciplinary care team collaboration, comprehensive patient assessments, triage, and advocacy ensures optimal patient outcomes. Strong organizational skills and effective communication abilities maintain high productivity levels even in fast-paced environments. Holds a compact nursing license in Iowa, reflecting a commitment to professional standards and continuous improvement in nursing practice.
Overview
10
10
years of professional experience
Work History
Utilization Management Nurse
Aetna
Remote
04.2025 - Current
- Evaluated patient care plans to ensure compliance with medical necessity guidelines.
- Conducted comprehensive reviews of clinical documentation for accuracy and completeness.
- Contributed to team success by consistently meeting productivity goals while maintaining high-quality standards in job performance.
- Applied critical thinking skills to assess complex medical cases and determine appropriate levels of care in accordance with industry benchmarks.
Registered Nurse
Forward
San Francisco, CA
11.2021 - 11.2024
- Applied clinical judgment skills to adhere to established protocols in patient care.
- Monitoring vital parameters & general condition of patient & conducting nursing diagnosis
- Utilizing nursing process to provide education
- Assisted in managing phone communications while inputting data on computer systems. Facilitated effective multitasking to support team operations. Maintained organized workflow during simultaneous tasks.
Registered Nurse
Blessing Health
Keokuk, IA
08.2021 - 04.2024
- Assessing services for members to promote quality and cost effectiveness
- Gathering clinical information and applying the appropriate clinical criteria for prior authorization for medications, specialty referrals, and radiologic testing
- Identifying appropriate benefits and eligibility for requested services via contact of patients insurance and with prior authorization
- Timeliness of request while adhering to set policies and procedures
- Communication with providers and members of team to facilitate care
Registered Nurse
Southeast Iowa Regional Medical Center
Fort Madison, IA
05.2016 - 05.2022
- Evaluating and documenting effectiveness of education through follow up telephone calls
- Identified opportunities to promote quality effectiveness
- Collaborating with multidisciplinary team
- Navigating multiple electronic documentation systems
- Experience working with a variety of medical diagnosis (CHF, CKD, hypertension, post operative, cancer, hospice, CVA, MI)
- Adaptable; written and verbal communication skills
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT01-2018
Associates of Arts - Nursing
Southeastern Community College
Keokuk, IA05-2016
Skills
- Accountable and responsible
- Referring and delegation
- Multitask and prioritize
- Adapt to a fast paced changing environment
- Excellent interpersonal skills
- Experience in multiple health care systems
- Proficiency in Microsoft Word, Adobe, and Excel
- Medical Review Experience
Timeline
Utilization Management Nurse
Aetna
04.2025 - Current
Registered Nurse
Forward
11.2021 - 11.2024
Registered Nurse
Blessing Health
08.2021 - 04.2024
Registered Nurse
Southeast Iowa Regional Medical Center
05.2016 - 05.2022
Associates of Arts - Nursing
Southeastern Community College
Bachelor of Science - Nursing
Western Governors University