Alissa Rowe
Breaks,VA
Summary
Caring Registered Nurse with experience in various types of long-term, hospice and home health care settings. Proven ability to provide individualized care plans and help patients meet goals by delivering direct and effective patient care. Committed to increasing patient satisfaction and streamlining procedures.
Passionate and caring Registered Nurse with four years of experience servicing and supporting clients. Promoting exemplary decision-making, reporting and patient counseling skills. Demonstrated ability to foster relationships and coordinate with healthcare professionals to advance patient care.
Overview
13
13
years of professional experience
Work History
Medical Review Nurse
Performant Financial Corporation
Remote
06.2022 - Current
- Supported legal and compliance teams in investigations related to medical fraud, waste, and abuse through meticulous case analysis.
- Contributed to cost containment efforts by identifying potential overpayments, underpayments, or fraudulent claims within reviewed cases.
- Provided expert consultation on medical necessity determinations for various treatments and interventions during case evaluations.
- Supported case management teams in coordinating care for complex patients, providing essential clinical input during interdisciplinary team meetings.
- Reduced turnaround time for claim processing by utilizing advanced software tools to streamline workflows effectively.
Registered Nurse
Legacy Hospice And Palliative Care
Richlands, Virginia
06.2021 - 05.2022
- Recognized and understood specific stages of dying process, providing comfort-based care during vulnerable times.
- Developed and implemented individualized care plan for each hospice patient while following physician instructions.
- Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and active listening skills.
Patient Care Manager
Humana At Home
Grundy , Virginia
01.2020 - 11.2021
- Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
- Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
RN
MSA Home Health and Hospice
Richlands, Virginia
09.2018 - 07.2020
- Provided complete care to home health patients, including physical assessments, medication and chronic disease management
- Incorporated therapeutic, rehabilitative and nursing goals into detailed, individualized care plans based on diagnoses
- Cleaned wounds and checked vital signs, carefully recording all details in patient records
- Informed physicians of any changes to patients' health or concerns observed during home visits
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed
- Completed initial assessments of patients and family to determine and address individual home care needs.
- Educated patients and families on treatment strategies and at-home care
- Implemented medication and IV administration, catheter insertion and airway management.
Licensed Practical Nurse
Interim Healthcare
Richlands, Virginia
04.2017 - 09.2018
- Provided physical assessments, medication and chronic disease management to home health patients.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Took samples to complete diagnostic and routine assessment tests.
- Delivered after-hours care to patients based on strict role-call rotations.
Licensed Practical Nurse / Med-Surg/Pediatrics
Buchanan General Hospital
Grundy, Virginia
07.2016 - 01.2017
- Provided bedside care and treatment for patients in Pediatric/Surgical units.
- Identified common pediatric and adolescent illnesses to plan and implement interventions and management.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Licensed Practical Nurse / Med-Surg
Pikeville Medical Center
Pikeville , Kentucky
08.2015 - 01.2016
- Assessed physical, psychological, physiologic and cognitive status of patients
- Collaborated with all members of patient's healthcare team to ensure proper and appropriate level of care
- Coordinated nursing care to be carried out according to facility guidelines and regulations
- Assessed team members' workloads and pitched in to help in areas where need was most evident
- Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
- Audited charts daily and reviewed all clinical documents to verify accuracy and completeness, progress towards core measurable targets and completion of appropriate patient health education
Licensed Practical Nurse
Good Shepherd Community Nursing Center
Phelps, Kentucky
08.2012 - 02.2013
- Supported an average caseload of 65 patients in the provision of preventative health care within a nursing home environment.
- Provided ongoing assistance to physicians and geriatric health care professionals from routine appointments to crisis management care.
- Maintained clear concise and accurate patient records. Tracked patient pain management plans nutritional regimes and changes in patient mental health behavior
- Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels
- Cared for wounds, provided treatments and assisted with procedures
- Documented accurate and complete patient information to address patient problems and expected outcomes
- Cared for over twenty geriatric, and rehab patients each day with quality-driven support
Education
Associate of Science - Registered Nursing
Southwest Virginia Community College
Richlands, VA05.2018
High School Diploma -
Grundy High School
Grundy, VA06.2011
Licensed Practical Nurse - Nursing
Buchanan County Technology And Career Center
Grundy, VA06.2012
Skills
- Chronic disease management
- Preventative health
- Patient and family advocacy
- Charting and clinical documentation
- Medical evaluation
- Hospice and palliative care
- Patient assessments
- Care plan development
Timeline
Medical Review Nurse
Performant Financial Corporation
06.2022 - Current
Registered Nurse
Legacy Hospice And Palliative Care
06.2021 - 05.2022
Patient Care Manager
Humana At Home
01.2020 - 11.2021
RN
MSA Home Health and Hospice
09.2018 - 07.2020
Licensed Practical Nurse
Interim Healthcare
04.2017 - 09.2018
Licensed Practical Nurse / Med-Surg/Pediatrics
Buchanan General Hospital
07.2016 - 01.2017
Licensed Practical Nurse / Med-Surg
Pikeville Medical Center
08.2015 - 01.2016
Licensed Practical Nurse
Good Shepherd Community Nursing Center
08.2012 - 02.2013
Associate of Science - Registered Nursing
Southwest Virginia Community College
High School Diploma -
Grundy High School
Licensed Practical Nurse - Nursing
Buchanan County Technology And Career Center