Dynamic Registered Nurse specializing in utilization management and care coordination. Consistently ranked among the top 10 performers, driving significant reductions in readmission rates through strategic quality improvement initiatives and fostering effective communication among healthcare teams to optimize patient outcomes.
Overview
23
23
years of professional experience
Work History
Registered Nurse Utilization Management Nurse 2
Humana
Pryor
10.2025 - 07.2026
Coordinated patient care and benefits for skilled nursing admissions and continued stay reviews, ensuring alignment with care requirements.
Monitored patients' medical records and care plans to maximize allowable benefits in coordination with medical needs in skilled nursing.
Communicated with physicians and care partners to facilitate services aligned with the member's needs and benefit plan.
Registered Nurse Clinical Liaison
Select Rehabilitation Hospital of Denton
Denton
04.2010 - 09.2025
Coordinated patient care plans with interdisciplinary teams to enhance treatment outcomes.
Assessed patient needs and developed individualized rehabilitation strategies for optimal recovery.
Collaborated with physicians to facilitate timely admissions and effective discharge planning.
Educated patients and families on rehabilitation processes, promoting adherence to care protocols.
Demonstrated initiative by independently managing schedule and responsibilities within my POD while increasing business from referral sources.
Facilitated communication between departments to ensure project alignment, trained new employees, covered for Director of Business Development, supervised liaisons' schedules, monitored in-hospital census, signed off on clinical assessments, and coordinated bed availability with admissions and transport times while maintaining Medicare compliance.
Registered Nurse
Home Care Network
DeSoto
12.2015 - 07.2016
Conducted comprehensive assessments to ensure accurate diagnoses and treatment plans.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating interventions.
Developed and implemented nursing care plans tailored to individual patient needs.
Administered medications and treatments in accordance with established protocols.
Coordinated patient care with multidisciplinary teams to ensure comprehensive treatment.
Educated patients and families on health management strategies to foster adherence and better health outcomes.
Streamlined patient intake processes to reduce wait times and improve patient experience.
Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Registered Nurse
Forest Park Medical Center
Dallas
04.2010 - 10.2015
Collaborated with interdisciplinary teams to develop personalized care plans, enhancing patient outcomes.
Educated patients and families on health management and post-discharge protocols, empowering them for better health decisions.
Utilized critical thinking to prioritize nursing interventions, ensuring timely and effective patient care.
Administered patient care, including medication management and monitoring vital signs.
Implemented infection control protocols, reducing hospital-acquired infections significantly.
Assistant Director of Nursing, Dir of Admissions
Mayhill Hospital
Denton
04.2006 - 04.2010
Led cross-functional teams to implement strategic initiatives aligning with organizational goals.
Developed and monitored performance metrics, enhancing operational efficiency across departments.
Facilitated training sessions to upskill staff, fostering a culture of continuous improvement.
Streamlined communication processes, ensuring timely information dissemination among stakeholders.
Analyzed market trends and competitive landscape to guide strategic planning decisions.
RN Clinic Manager
Johnston Pain Management
Jacksonville
04.2003 - 04.2006
Implemented quality improvement initiatives, improving patient satisfaction and decreasing readmission rates through targeted care strategies.
Delivered comprehensive patient assessments and developed individualized care plans.
Led clinical training sessions, improving staff competency in emergency response protocols and patient care techniques.
Mentored junior nursing staff, enhancing skills and confidence in high-stress environments to improve overall team effectiveness.
Filled intrathecal pumps and assisted with in-office procedures, ensuring proper preparation of sterile field and medications for optimal patient outcomes.
Education
Master of Science - Masters of Science in Nursing
University of Phoenix
Tempe, AZ
04-2016
Bachelor of Science - Bachelor's of Science in Nursing
University of Phoenix
Tempe, AZ
11-2013
Associate of Science - Associate's Degree in Nursing
North Central Texas College
Gainesville, Texas
05-2003
Skills
Clinical assessment
Clinical documentation
Care coordination
Benefit coordination
Patient eligibility assessment
Healthcare regulations
Cross-disciplinary teamwork
Quality improvement
Electronic medical records
Data analysis tools
Documentation evaluation
Attention to detail
Teamwork and cooperation
Timeline
Registered Nurse Utilization Management Nurse 2
Humana
10.2025 - 07.2026
Registered Nurse
Home Care Network
12.2015 - 07.2016
Registered Nurse Clinical Liaison
Select Rehabilitation Hospital of Denton
04.2010 - 09.2025
Registered Nurse
Forest Park Medical Center
04.2010 - 10.2015
Assistant Director of Nursing, Dir of Admissions
Mayhill Hospital
04.2006 - 04.2010
RN Clinic Manager
Johnston Pain Management
04.2003 - 04.2006
Master of Science - Masters of Science in Nursing
University of Phoenix
Bachelor of Science - Bachelor's of Science in Nursing
University of Phoenix
Associate of Science - Associate's Degree in Nursing
Registered Nurse (Utilization, Case Management) at Centers Plan for Healthy Living/ Elevance HealthRegistered Nurse (Utilization, Case Management) at Centers Plan for Healthy Living/ Elevance Health
Registered Nurse (Utilization Review Nurse) at Bella Terra Rehab and Nursing HomeRegistered Nurse (Utilization Review Nurse) at Bella Terra Rehab and Nursing Home