Alecia Riley
Wimauma,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
11
11
years of professional experience
Work History
Utilization Review Registered Nurse
Cohere Health
05.2022 - Current
- Improved patient satisfaction by conducting thorough utilization reviews and ensuring appropriate care plans were in place.
- Enhanced the efficiency of the utilization review process by collaborating with interdisciplinary teams and streamlining communication channels.
- Supported case management efforts for better patient outcomes through diligent monitoring of patient progress and adjusting care plans as needed.
- Reduced hospital readmissions with proactive identification of high-risk patients and implementation of targeted interventions.
- Assisted in maintaining regulatory compliance by staying up-to-date on Medicare, Medicaid, and commercial insurance requirements for utilization review activities.
- Maintained strict adherence to HIPAA regulations, safeguarding sensitive patient information throughout all aspects of the utilization review process.
- Optimized resource allocation within the healthcare facility by accurately reviewing cases for level-of-care determinations according to established criteria sets.
Medical ICU Registered Nurse
Blake Medical Center
04.2021 - 11.2021
- Enhanced patient recovery by implementing evidence-based nursing interventions and individualized care plans.
- Reduced ICU readmissions through thorough patient assessments, timely interventions, and effective discharge education.
- Collaborated with multidisciplinary teams to develop comprehensive treatment plans for critically ill patients.
- Maintained a safe and therapeutic environment, adhering to infection control protocols and promoting patient comfort.
- Served as a preceptor for new nurses, facilitating orientation and integration into the ICU setting.
- Improved communication among healthcare team members by initiating daily huddles and interdisciplinary rounds in the ICU setting.
- Mentored nursing students during clinical rotations in the Medical ICU setting, fostering professional growth.
- Followed HCA ethical values and principles and adhered to HIPAA medical record regulations to promote patients' privacy.
- Delivered outstanding patient care in [Type] critical care units.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
Registered Nurse
Barnes Jewish Hospital
11.2018 - 03.2021
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Reduced hospital readmissions through effective discharge planning, patient education, and follow-up care coordination.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Streamlined medication administration processes for increased safety and accuracy during busy shifts.
- Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.
- Streamlined medication administration processes, reducing medication errors and enhancing patient safety.
- Contributed to successful Joint Commission accreditation through strict adherence to policies and procedures.
- Managed complex wound care, including dressing changes, monitoring for signs of infection, and collaborating with wound care specialists as needed.
- Facilitated timely discharges by proactively addressing potential barriers to transition such as insurance coverage or transportation issues.
- Developed strong rapport with patients and families through active listening, empathy, and clear communication during challenging situations.
- Provided education on disease management strategies to empower patients in self-care activities throughout their recovery journey.
- Demonstrated flexibility in managing multiple priorities concurrently during high-stress periods while maintaining a calm demeanor.
- Participated in ongoing professional development opportunities to stay current on best practices within the field of medical-surgical nursing.
- Skillfully performed venipuncture, IV insertion, and catheterizations, ensuring proper technique and adherence to infection control standards.
- Monitored patient vital signs to perform thorough condition assessments.
Staff Registered Nurse, NICU
Saint Ann's Bay Regional Hospital
04.2013 - 09.2018
- Improved patient outcomes by implementing evidence-based nursing practices and providing individualized care.
- Enhanced patient safety by conducting thorough assessments, identifying potential risks, and addressing concerns promptly.
- Contributed to a reduction in hospital-acquired infections through strict adherence to infection control protocols and proper hand hygiene.
- Promoted teamwork and collaboration with interdisciplinary teams for optimal patient care planning and implementation.
- Increased patient satisfaction by consistently delivering high-quality nursing care with a focus on empathy, communication, and professionalism.
- Mentored new nurses as they transitioned into practice, providing guidance and support to promote professional growth.
- Collaborated with physicians to develop comprehensive treatment plans tailored to individual patient needs.
- Assisted in the training of nursing students during clinical rotations, fostering an environment conducive to learning and skill development.
- Participated in staff meetings and continuing education programs to stay current on best practices and maintain licensure requirements.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
- Investigated and resolved issues affecting hospital operations and patient care.
Education
Master of Science - Nursing Informatics
Walden University
Minneapolis, MN12.2023
Bachelor of Science - Nursing
University of The West Indies School of Nursing
Kingston, Jamaica W.I10.2012
Guy's Hill High School
Saint Catherine, Jamaica W.I07.2003
Skills
- Policy Compliance
- Clinical Assessment
- Medical Documentation
- Healthcare Regulations
- Problem Solving
- Computer Proficiency
- Interpersonal Communication
- Insurance Knowledge
- Time Management
- Team Collaboration
- Ethical Practice
- Adaptability
- Critical Thinking
- HIPAA Compliance
- Utilization Review
- Documentation and Reporting
- Medicare Knowledge
- Interpersonal and Written Communication
- Records Analysis
- Direct Patient Care
- Safety Protocols
Affiliations
- National society SLS
Timeline
Utilization Review Registered Nurse
Cohere Health
05.2022 - Current
Medical ICU Registered Nurse
Blake Medical Center
04.2021 - 11.2021
Registered Nurse
Barnes Jewish Hospital
11.2018 - 03.2021
Staff Registered Nurse, NICU
Saint Ann's Bay Regional Hospital
04.2013 - 09.2018
Master of Science - Nursing Informatics
Walden University
Bachelor of Science - Nursing
University of The West Indies School of Nursing
Guy's Hill High School