Amanda Serna
Nurse
Albuquerque,NM
Summary
Compassionate Registered Nurse seeking to apply and combine nursing with 19+ years of health insurance experience. Works well with diverse provider and patient populations to foster trusting relationships and improve outcomes.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Registered Nurse
Presbyterian Medical Group
09.2019 - Current
- Improve patient outcomes by implementing evidence-based nursing practices and providing individualized care.
- Enhance patient safety by conducting thorough assessments, identifying potential risks, and addressing concerns promptly.
- Support compliance with JCAHO standards and other regulatory requirements
- Collaborate with management and colleagues to identify opportunities for quality improvement
- Triage, assign provider and schedule appointments for approximately 20 incoming referrals daily
- Increase patient satisfaction by consistently delivering high-quality nursing care with a focus on empathy, communication, and professionalism.
- Streamline workflow processes within the nursing unit to maximize efficiency while maintaining exceptional patient care standards.
- Collaborate with physicians to develop comprehensive treatment plans tailored to individual patient needs.
- Update patient charts with data such as medications to keep records current and support accurate treatments.
- Verify patients have information necessary for ongoing care, providing guidance on diagnoses, management of medications, and prevention methods.
- Manage patient needs during recovering from medical or surgical procedures.
Investigative Liaison
Albuquerque Police Department/ Riven Rock Staffing
10.2018 - 01.2021
- Reviewed approximately 20 medical records obtained from SANE (Sexual Assault Nurse Examiner) to identify and combine pertinent information into a database shared with detectives for investigation of assaults.
- Gathered and reviewed medical records, DNA lab reports and police reports for victim files used to investigate and prosecute sexual assault cases.
- Prepared and arranged delivery of medical and legal correspondence to victims, attorneys, detectives and court officials.
- Analyzed modus operandi in database to identify similarities that may indicated repeat offenders.
- Prepared, submitted and tracked requests for DNA testing of the SAEK (sexual assault examination kits) to the lab.
- Monitored DNA results to determine if case DNA was eligible to be uploaded to CODIS (Combined DNA Index System maintained by the FBI)
Small Group Account Executive
Blue Cross Blue Shield Of New Mexico / HCSC
12.1998 - 03.2017
- Delivered informative presentations to new and existing Employers, producers and members showcasing the unique value of products or services offered.
- Streamlined account management processes for increased efficiency and improved client retention rates in my assigned territory of the state. (Farmington, Gallup and Albuquerque)
- Update Employer group's and members on contract changes with provider network including IPA.
- Built and strengthened relationships with new and existing accounts to drive revenue growth.
- Negotiated renewal contracts successfully, securing favorable terms for both the company and employer group.
- Managed 400+ accounts while maintaining organization and prioritizing tasks efficiently.
- Presented detailed reports analyzing utilization, market trend to providing valuable insights for future strategy to optimize benefit options available.
- Set and achieved company defined sales goals.
Education
ADN - Nursing
Carrington College
Albuquerque12.2019
Skills
- Knowledge of standard medical and health insurance practices
- PC proficiency to include Word, Excel and various medical record platforms
- Review, abstraction and documentation of patient medical records
- Triage and assignment of new patient Referrals
Certification
Expires 8/2025 American Heart Association Basic Life Support/ CPR Certified
Expired 10/2019 NM Life, Accident and Health Insurance License #51836
Timeline
Registered Nurse
Presbyterian Medical Group
09.2019 - Current
Investigative Liaison
Albuquerque Police Department/ Riven Rock Staffing
10.2018 - 01.2021
Small Group Account Executive
Blue Cross Blue Shield Of New Mexico / HCSC
12.1998 - 03.2017
ADN - Nursing
Carrington College