Alane Beard
Summary
RN with 30 years of experience with focus on OB, OR and Case Management in both community and hospital settings
Overview
30
30
years of professional experience
1
1
Certification
Work History
RN High Risk OB and HCBS Service Coordinator
UNITED HEALTHCARE
08.2024 - Current
- Manage members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of health benefit
- Coordinate health care services for women with high risk pregnancies
- Perform initial and follow-up assessments telephonically and face to face, within the time specified by contractual guidelines, to ensure timeliness, appropriateness, and satisfaction in meeting Member needs
- Collaborate with member, family, and healthcare providers to develop an individualized plan of care
- Offer support and resources for new mothers and their babies including initiating referrals for social service programs, including financial, psychosocial, community, and state supportive services
- Identify members with high-risk complications and coordinate care with Healthy First Steps team
- Advocate for members and families to ensure the member's needs and preferences are fully represented and supported by the healthcare team
Claims Clinical Review Nurse
NOVITAS SOLUTIONS
03.2024 - 08.2024
- Provide administrative services processing for government-sponsored healthcare programs on behalf of the federal government
- Review medical records to ensure completeness and accuracy of information
- Conduct thorough reviews of medical claims to identify discrepancies and ensure proper reimbursement
- Adhere to insurance guidelines when processing and reviewing medical claims
- Utilize ICD-10 codes for accurate diagnosis coding and billing purposes
- Implement utilization management strategies to optimize quality and cost-effective patient care
Nursing Hiatus
Self Employed
09.2019 - 03.2024
- Provide compassionate care and support for family members in need of assistance during Covid era
- Successfully adapt to change in work environment and responsibilities
Registered Nurse, Operating Room Circulator
CONTRACT SURGERY RN
01.2010 - 08.2019
- Contract circulating nurse in outpatient surgical facilities throughout DFW; Adult and Pediatric
- Surgical areas: GI, Plastics, GYN, ENT, Urology, Ortho, Podiatry
- Utilized critical thinking skills to prioritize nursing interventions based on patients' acuity levels and individual needs.
Registered Nurse, Operating Room Circulator
MEDICAL CITY HOSPITAL
01.2017 - 01.2018
- Provide surgical care to patients per AORN standards
- Circulate operating room for GYN, neuro, plastics, urology, ortho, pain, and general surgery including using Da Vinci robotic surgical system
OB RN, Home Health, Case Management
HEALTHY CONNECTIONS
01.2012 - 01.2017
- Manage high-risk Obstetric patients in home health setting including infusions, pumps, injections, PICC line care, dressing changes, fetal monitoring, Diabetes education and monitoring
- Telephonic Case Management of OB patients including PTL, gestational diabetes, PIH and hyperemesis
Registered Nurse, OR Manager, OR Circulator
WEIDER PLASTIC SURGERY
01.2009 - 01.2015
- Manage all aspects of OR including regulatory compliance, supplies, staff
- Provide pre-op and recovery for surgical patients per AORN standards
- Circulate operating room for all types of plastic surgeries
- Post-op drain removal, assessment and patient follow-up
Registered Nurse, GI Lead, OR Circulator
BAYLOR SURGICARE AT PLANO
01.2009 - 01.2010
- Oversee compliance and coordination of GI department
- Circulate procedure rooms for upper and lower GI endoscopes
- Circulate OR for orthopedic, podiatry, GI surgeries and pain procedures
OB RN, Labor and Delivery
TEXAS HEALTH RESOURCES
01.2007 - 01.2009
- Assist obstetrical patients through labor, delivery, recovery and postpartum process
- Circulate operating room for C-Sections and other gynecological surgeries
- Provide care and assessment to well newborns and high-risk obstetrical patients
Owner, Registered Nurse, Certified Legal Nurse Consultant
A.S. MEDICAL LEGAL CONSULTING
01.1998 - 01.2007
- Medical chart review - chronology and summation
- Develop team of consulting nurses and expert witness pool
- Assist legal team with all stages of litigation process, from intake to trial
- Experience with high-profile cases: personal injury, product liability, medical malpractice and insurance defense
Registered Nurse, Case Manager, In-Home Services
ARKANSAS DEPARTMENT OF HEALTH
01.1995 - 01.1998
- Pioneered state's Maternal Infant Program for pregnancy, newborns and breastfeeding mothers
- Manage and provide home health care services to patients in need of specialized medical attention
- Coordinate care plans and services among multiple healthcare providers to ensure seamless and holistic patient care
- Conduct detailed patient assessments to evaluate their medical conditions and support necessary treatments
- Develop personalized care plans that incorporated community resources to enhance the overall well-being of patients
Education
Associate Degree - Nursing
TEXARKANA COLLEGE, SCHOOL OF NURSING
01.1995
Nursing - Student Externship, Respiratory Care Unit, Surgical ICU, Cardiac ICU, orthopedics
Christus St Michael Hospital
01.1995
Skills
- ACLS
- Basic Life Support
- Case Management
- Certified Legal Nurse Consultant
- Circulator
- Communication Skills
- Diabetes Mellitus
- GI
- GYN
- Gynecological Surgery
- High Risk OB
- Home Healthcare
- Hospice Care
- Hospital
- Infusion Therapy
- Labor and Delivery
- LDRP
- Management Experience
- Neonatal
- Neuro
- OB
- Operating Room
- Ortho
- Outpatient
- Pain Management
- Pediatrics
- Plastic Surgery
- Recovery Room
- Registered Nurse
- Surgery
- Urology
Certification
- Certified Legal Nurse Consultant
- Registered Nurse 1995
Timeline
RN High Risk OB and HCBS Service Coordinator
UNITED HEALTHCARE
08.2024 - Current
Claims Clinical Review Nurse
NOVITAS SOLUTIONS
03.2024 - 08.2024
Nursing Hiatus
Self Employed
09.2019 - 03.2024
Registered Nurse, Operating Room Circulator
MEDICAL CITY HOSPITAL
01.2017 - 01.2018
OB RN, Home Health, Case Management
HEALTHY CONNECTIONS
01.2012 - 01.2017
Registered Nurse, Operating Room Circulator
CONTRACT SURGERY RN
01.2010 - 08.2019
Registered Nurse, OR Manager, OR Circulator
WEIDER PLASTIC SURGERY
01.2009 - 01.2015
Registered Nurse, GI Lead, OR Circulator
BAYLOR SURGICARE AT PLANO
01.2009 - 01.2010
OB RN, Labor and Delivery
TEXAS HEALTH RESOURCES
01.2007 - 01.2009
Owner, Registered Nurse, Certified Legal Nurse Consultant
A.S. MEDICAL LEGAL CONSULTING
01.1998 - 01.2007
Registered Nurse, Case Manager, In-Home Services
ARKANSAS DEPARTMENT OF HEALTH
01.1995 - 01.1998
Nursing - Student Externship, Respiratory Care Unit, Surgical ICU, Cardiac ICU, orthopedics
Christus St Michael Hospital
Associate Degree - Nursing
TEXARKANA COLLEGE, SCHOOL OF NURSING
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