Summary
Overview
Work History
Education
Skills
Licenses
Timeline
Generic

Amanda McHugh

Downers Grove,IL

Summary

Compassionate and motivated professional with extensive experience in providing quality patient care across various healthcare settings. Proven ability to quickly assess patient needs and develop comprehensive treatment plans. Skilled in utilizing electronic health records (EHR) to accurately document patient data, maintain medical records, and track treatment progress. Adept at collaborating with healthcare professionals to ensure the delivery of high-quality and continuous care. Committed to promoting optimal health and enhancing the quality of life for patients.

Overview

16
16
years of professional experience

Work History

RN Case Manager, Emergency Department

Ascension St. Mary of Nazareth Hospital
04.2024 - Current
  • Responsible for initial clinical review of all inpatient admissions through the ED for appropriate level of care based on clinical data and Interqual criteria
  • Monitors patient medical necessity and level of care through assessments, ongoing evaluations and/or patient records
  • Maintains ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of health plan
  • Acts as a resource for adequate medical record documentation, level of care recommendations, and services as related to diagnoses, and treatment options for post-discharge care.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.

Travel Registered Nurse

Travel Nurses Across America
12.2022 - 11.2023
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care while working with healthcare teams to adjust care plans
  • Educated patients and families on disease processes, medications, nutrition and dietary requirements, self-care techniques, safety precautions, and discharge planning instructions.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.

RN Case Manager, Trauma ICU

OU Medical Health Science Center
01.2022 - 11.2022
    • Identified care needs of individual patients in the Level 1 Trauma Center ICU and coordinated responses based on physician advice, insurance limitations, and procedural costs
    • Liaised with social worker to expedite financial assistance not covered by insurance and assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources
    • Developed and implemented comprehensive case management plans to address client needs and thorough discharge plans to transition clients to appropriate service providers in community.
    • Provided education on health and nutrition for patients to maintain healthy habits and wellbeing, particularly those with Spinal Cord Injuries

Registered Nurse, Liver Transplant Unit

Integris Baptist Medical Center
05.2018 - 01.2022
  • Worked as a staff charge nurse and new graduate preceptor on a 34 bed med-surg/intermediate care unit specializing in liver disease and liver transplant patients
  • Established or assisted in determining priorities, made daily assignments, and assigned tasks as needed
  • Responsible for prescribing, delegating and coordinating nursing care for assigned patients throughout scheduled shift according to plan of care and in collaboration with other members of the health care team
  • Educated patients and their families on disease processes, medical-surgical procedures and other aspects of therapeutic regimens, including medication and pain management techniques.
  • Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.

Nursing Assistant, Liver Transplant Unit

Integris Baptist Medical Center
03.2017 - 05.2018
  • Responsible for collecting data such as vital signs, inputs & outputs, and blood glucose readings and conveying important patient information to healthcare staff to help optimize treatment planning and care delivery
  • Assisted patients with activities of daily living and ambulation including bathing, oral care, skin care and nutritional needs.
  • Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.

Admission Access Coordinator, Emergency Department

Integris Baptist Medical Center
08.2016 - 03.2017
  • Provided excellent customer service to patients and healthcare professionals while managing patient scheduling and registration
  • Demonstrated strong organizational skills by accurately entering patient information into EPIC while ensuring compliance with all HIPAA regulations regarding patient privacy and confidentiality
  • Processed payments received from patients according to established guidelines for proper accounting procedures.

Patient Access Representative,Emergency Department

Mercy Hospital
01.2015 - 08.2016
    • Ensured excellent customer service by promptly greeting all incoming Emergency Department visitors and answering patient questions and concerns in a positive manner
    • Collected and entered patient demographic and insurance data into EPIC to establish patient's medical record in compliance with HIPAA privacy rule standards to protect patient's privacy
    • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.

Customer Service Advocate Specialist

Health Care Services Corporation
01.2009 - 07.2014
  • Developed and maintained in-depth understanding of insurance policies provided by BlueCross BlueShield in five states to offer knowledgeable and educated responses to diverse customer questions
  • Supported call center associates by taking on escalated calls, handling complex concerns and achieving customer satisfaction targets
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
  • Fulfilled and exceeded all production and quality goals, while regularly providing support as subject matter expert for other departments, including underwriting, accounting, and administrative services.

Education

Associate of Applied Science in Nursing - Nursing

Oklahoma State University - OKC
Oklahoma City, OK
01.2018

Associate in Arts Degree in General Studies -

College of DuPage
Glen Ellyn, IL
01.2011

Skills

  • Step-Down, Med-Surg, Emergency Dept & Trauma ICU Hospital Experience
  • EPIC, Meditech, MIDAS & Cerner Experience
  • Interqual Experience
  • Discharge Planning
  • Call Center Experience
  • Insurance Verification
  • Organ Transplant Knowledge
  • Patient Education
  • Direct Patient Care
  • Patient Needs Assessment
  • Chronic Disease Management
  • Complaint Handling and Resolution
  • Policy Understanding
  • Data Entry Proficiency
  • Eligibility Determination
  • Case Management
  • Utilization review

Licenses

  • Oklahoma (multistate) RN License - R0129753
  • Illinois RN License - 04153519

Timeline

RN Case Manager, Emergency Department

Ascension St. Mary of Nazareth Hospital
04.2024 - Current

Travel Registered Nurse

Travel Nurses Across America
12.2022 - 11.2023

RN Case Manager, Trauma ICU

OU Medical Health Science Center
01.2022 - 11.2022

Registered Nurse, Liver Transplant Unit

Integris Baptist Medical Center
05.2018 - 01.2022

Nursing Assistant, Liver Transplant Unit

Integris Baptist Medical Center
03.2017 - 05.2018

Admission Access Coordinator, Emergency Department

Integris Baptist Medical Center
08.2016 - 03.2017

Patient Access Representative,Emergency Department

Mercy Hospital
01.2015 - 08.2016

Customer Service Advocate Specialist

Health Care Services Corporation
01.2009 - 07.2014

Associate of Applied Science in Nursing - Nursing

Oklahoma State University - OKC

Associate in Arts Degree in General Studies -

College of DuPage
Amanda McHugh