A Registered Nurse with 14 years of experience providing quality care and services in diverse healthcare settings. Adept at coordinating and communicating with various other medical professionals, patients, and families. Experienced in maintaining efficiency in a high-volume hospital setting.
Overview
14
14
years of professional experience
Work History
Registered Nurse, Utilization Review/Case Manager
Lima Memorial Health System
09.2018 - Current
Evaluating patient insurance and payer information to ensure proper coverage and appropriate progression of care
Reviewing patient charts to ensure patients are in the correct status
Submitting chart reviews to various insurance companies
Managing insurance denials and arranging peer to peer discussions when appropriate
Assisting with proper bed management and patient placement.
Working directly with core nursing staff, physicians, physical and occupational therapists, and social workers to facilitate the care plan for patients and coordinate their discharge
Managing all discharge needs including setting up home health care, home infusion medications, patient therapies, skilled nursing facilities, setting up home medical devices and transfers to higher levels of care
Registered Nurse, Quality Assurance/Risk Manager
Findlay Surgery Center
09.2016 - 06.2019
Responsible for working with staff and other department managers to ensure that the facility remains compliant with standards set by accrediting bodies
Developing and carrying out process improvement projects and quality improvement issues
Work closely with the Administrator to develop processes and action plans to ensure a positive patient experience while providing appropriate care that follows current healthcare standards
Responsible for monitoring sterile processing, OR, PACU, and endoscopy departments practices and tracking quality indicators in all areas.
Registered Nurse, Labor and Delivery; Postpartum
Blanchard Valley Health System
07.2013 - 10.2016
Work directly with patients, physicians, and other nursing staff to ensure a safe and healthy labor and delivery experience, and that the patient’s needs are met
Completing tasks in a small, contained unit while managing every aspect of the patient’s care including, but not limited to: admission and discharge planning, assessment of mother and newborn, medication administration and monitoring, assisting with procedures, order implementation, and detailed and continuous patient education for themselves and their newborn
Trained as circulator when needed in unscheduled C-sections
Registered Nurse, 6K Renal Telemetry
St. Rita’s Medical Center
09.2009 - 04.2013
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions, for up to five patients in the critical care block.
Work directly with patients and their families, physicians, and other nursing staff to ensure proper care is given and the patient’s needs are met
Involved in every aspect of direct patient care including, but not limited to: admission and discharge planning, assessment, medication administration, patient education, patient care management, and order implementation.
Education
Bachelor of Science - Nursing, RN, BSN
Ohio University
Athens, Ohio
06.2012
Associate of Applied Science - Nursing, RN
Rhodes State College
Lima, Ohio
06.2009
Bachelor of Arts - Business Administration
Bluffton College
Bluffton, Ohio
05.2004
Skills
Strong problem-solving skills, proficient in assessment and patient care management
Proven track record of being dependable, reliable, and responsible
Team player whose experience has been used as a resource for other employees
Resourceful and adaptable to various situations and circumstances
Maintains positive relationships with co-workers, managers, and physicians
Able to provide valuable input in meetings, committees, and work-related projects
Experience in using Meditech, Cerner, and EPIC
Competent in Microsoft Office and various insurance portals
Experienced in interpreting standards from various agencies (TJC, AAMI, CMS)
Nursing Experience
Lima Memorial Health System, Lima, Ohio, Registered Nurse, Case Management/Utilization Review, Working directly with core nursing staff, physicians, physical and occupational therapists, and social workers to facilitate the care plan for patients and coordinate their discharge. Managing all discharge needs including setting up home health care, home infusion medications, patient therapies, skilled nursing facilities, setting up home medical devices and transfers to higher levels of care. Also includes evaluating patient insurance and payer information to ensure proper coverage and appropriate progression of care. Reviewing patient charts to ensure patients are in the correct status. Submitting chart reviews to various insurance companies. Managing insurance denials and arranging peer to peer discussions when appropriate. Assisting with proper bed management and patient placement., 09/2018, Present
Findlay Surgery Center, Findlay, Ohio, Registered Nurse, Quality Assurance/Risk Manager, Responsible for working with staff and other department managers to ensure that the facility remains compliant with standards set by accrediting bodies. Developing and carrying out process improvement projects and quality improvement issues. Work closely with the Administrator to develop processes and action plans to ensure a positive patient experience while providing appropriate care that follows current healthcare standards. Responsible for monitoring sterile processing, OR, PACU, and endoscopy departments practices and tracking quality indicators in all areas., 09/2016, 06/2019
Blanchard Valley Health System, Bluffton, Ohio, Registered Nurse, Labor and Delivery; Postpartum, Work directly with patients, physicians, and other nursing staff to ensure a safe and healthy labor and delivery experience, and that the patient’s needs are met. Completing tasks in a small, contained unit while managing every aspect of the patient’s care including, but not limited to: admission and discharge planning, assessment of mother and newborn, medication administration and monitoring, assisting with procedures, order implementation, and detailed and continuous patient education for themselves and their newborn. Trained as circulator when needed in unscheduled C-sections. Also responsible for managing the employee schedule and completing patient chart reviews., 07/2013, 10/2016
St. Rita’s Medical Center, Lima, Ohio, Registered Nurse, 6K Renal Telemetry, Work directly with patients, physicians, and other nursing staff to ensure proper care is given and the patient’s needs are met. Provide direct care to four to five patients in the critical care block. Involved in every aspect of direct patient care including, but not limited to: admission and discharge planning, assessment, medication administration, patient education, patient care management, and order implementation., 09/2009, 04/2013
Timeline
Registered Nurse, Utilization Review/Case Manager
Lima Memorial Health System
09.2018 - Current
Registered Nurse, Quality Assurance/Risk Manager
Findlay Surgery Center
09.2016 - 06.2019
Registered Nurse, Labor and Delivery; Postpartum
Blanchard Valley Health System
07.2013 - 10.2016
Registered Nurse, 6K Renal Telemetry
St. Rita’s Medical Center
09.2009 - 04.2013
Bachelor of Science - Nursing, RN, BSN
Ohio University
Associate of Applied Science - Nursing, RN
Rhodes State College
Bachelor of Arts - Business Administration
Bluffton College
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