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
Boston, MA
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
Bradenton, FL
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
Saint Louis, MI
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
Saint Ann's Bay, Jamaica W.I
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