Bachelor’s Degree in Nursing; Ohio Board of Nursing Multistate license American Heart Association- BLS certified American Heart Association-ACLS certified Hands-on professional proudly offering extensive expertise in nursing field. Well-rounded and personable Utilization Review Nurse talented in reporting, records oversight and performance improvement.
Overview
7
7
years of professional experience
Work History
Patient Service Representative
Zoll Life Vest
07.2018 - Current
Conduct personalized training sessions for patients and families on the correct and safe usage of the Life Vest.
Manage the programming of Life Vests for patients as per physicians' orders, ensuring optimal treatment results and prioritizing patient safety.
Provide convenient and efficient Life Vest services by traveling to patient homes and healthcare facilities.
Ensure comprehensive understanding by reviewing all necessary paperwork with patients.
Maintain swift and accurate documentation by transmitting signed copies of Patient Agreements and WEAR checklists to ZOLL within 24 hours of assignments.
Enhance patient understanding and adherence by developing and implementing impactful education materials and training programs.
Foster seamless coordination of patient care by collaborating with interdisciplinary teams, including physicians, nurses, and healthcare professionals, contributing to optimal treatment outcomes.
Collaborate with the electrophysiology team to develop and implement individualized patient care plans, and provided ongoing evaluation and adjustment of care as needed
Develop and implement a streamlined data entry process, resulting in increased efficiency and reduced errors
Educate patients and families on the risks, benefits, and expected outcomes of cardiac electrophysiology procedures and treatments, as well as post-procedure care and lifestyle modifications
Assist with quality improvement initiatives and research studies related to cardiac electrophysiology, and participated in ongoing professional development to stay current with best practices and advancements in the field.
Perform prior authorization review of services requiring notification.
Evaluate medical guidelines and benefit coverage to determine appropriateness of services.
Obtain authorizations from multiple insurance carriers for various levels of care.
Submit cases for criteria failures and help facilitate resolutions and approvals.
Supervised and maintained all utilization review documentation through Availity Essentials.