Summary
Overview
Work History
Education
Skills
Familiar With
Additional experience:
Timeline
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Andrea Narducci RN

Austin,TX

Summary

Dedicated nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable re EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Overview

29
29
years of professional experience

Work History

RN Appeals & Grievances

Evolent Health
07.2021 - Current
  • Responsible for assuring the receipt of high quality, cost efficient medical outcomes for patients demonstrating the need for inpatient and or outpatient precertification / preauthorization
  • Patient population: OB/NICU/pedi/adult/geriatric
  • Able to delve into the background of home environment, parent/caregiver level of knowledge and capacity to learn/provide necessary care
  • Assisting with discharge planning and connecting with appropriate providers for continuity of care
  • Excellent communication and negotiation skills, and relationship-building interpersonal skills, drawing upon years of experience as a RN and knowledge of insurance practices.

RN Care Advisor

Evolent Health
03.2014 - 01.2021
  • Responsible for assuring the receipt of high quality, cost efficient medical outcomes for patients demonstrating the need for inpatient and or outpatient precertification / preauthorization
  • Patient population: OB/NICU/pedi/adult/geriatric
  • Able to delve into the background of home environment, parent/caregiver level of knowledge and capacity to learn/provide necessary care
  • Assisting with discharge planning and connecting with appropriate providers for continuity of care
  • Excellent communication and negotiation skills, and relationship-building interpersonal skills, drawing upon years of experience as a RN and knowledge of insurance practices.

RN IV, Labor and Delivery

Seton Medical Center Williamson
12.2007 - 06.2014
  • RN IV duties include planning and implementation of appropriate care, and evaluation of rapidly changing patient conditions
  • Patient and family teaching
  • Initiating multi-disciplinary care conferences as needed for the complex patient, involving staff as appropriate
  • Relief preceptor to new nurses
  • Due to being a NRP instructor, I was often asked to attend deliveries as the newborn RN
  • Contributor to Compass Redesign for Women’s Health (network committee) and served as a Super User for Compass (EMR system) for unit
  • Neonatal Resuscitation Program instructor, teaching NRP to other nurses, MDs, and respiratory therapists
  • Committee work includes: Perinatal Nutrition Safety (network), Baby Friendly Journey (site based), SuperUser for Compass (unit based); Compass Redesign for Women’s Health (network).

RN Labor and Delivery/NICU

O'Connor Hospital
05.2005 - 11.2007
  • Busy L&D unit serving multicultural community, in-house perinatal clinic for high risk patients
  • Able to effectively care for highest risk patients
  • Delivery of optimum patient care and acts as a resource to others.Patient and family teaching
  • Initiating multi- disciplinary care conferences as needed for the complex patient, involving staff as appropriate
  • Preceptor to new graduate nurses, resource nurse to the newer nurses
  • Assisted in implementing new computer charting system (CliniComp) throughout the Family Center
  • NRP Instructor Professional Practice Committee (my emphasis with this committee was upon patient safety).

Utilization Review RN

Support Systems Homes, Inc.
08.2004 - 05.2005
  • Utilization Review and Case Management in a sub-acute freestanding substance abuse treatment center
  • Duties include working with the patients and Medical Director as clients' detoxification, stabilization, ongoing chemical dependency treatment and medical condition warrant
  • Insurance utilization review and insurance case management, patient advocate.

RN III Labor and Delivery

Good Samaritan Hospital
11.1994 - 02.2004
  • High risk, high volume Labor and Delivery Unit, Antepartum and Perinatology Unit
  • Delivery of optimum patient care and acted as a resource to others
  • Cross-trained to NICU, antepartum and mother/baby units
  • Preceptor to new graduate RNs and resource nurse to less experienced nurses
  • Assisted in teaching new QS Perinatal (Quantitative Sentinel) Clinical Information System computer charting system to other nurses
  • Neonatal Resuscitation Instructor to nurses and other personnel on unit.

Education

BSN - Nursing

University of Texas At Arlington
12.2012

AA Nursing -

Evergreen Valley College
06.1994

Skills

  • Highly skilled professional with experience in hospital environment and 12 years in UM/Appeals
  • Additional experience/area of interest: Case Management, Behavioral Health, Legal Expert Witness
  • Quality Improvement
  • Discharge Planning
  • Clinical judgment
  • Compassion and Empathy
  • Geriatric Care
  • Health Promotion
  • Community health
  • Nursing Informatics

Familiar With

  • Microsoft Word
  • Google Docs
  • Excel
  • Citrix platform
  • Epic

Additional experience:

I also handled all Utilization Review for insurance clients that were at two substance abuse treatment centers from 2013-2016 as an independent contractor.

Timeline

RN Appeals & Grievances

Evolent Health
07.2021 - Current

RN Care Advisor

Evolent Health
03.2014 - 01.2021

RN IV, Labor and Delivery

Seton Medical Center Williamson
12.2007 - 06.2014

RN Labor and Delivery/NICU

O'Connor Hospital
05.2005 - 11.2007

Utilization Review RN

Support Systems Homes, Inc.
08.2004 - 05.2005

RN III Labor and Delivery

Good Samaritan Hospital
11.1994 - 02.2004

BSN - Nursing

University of Texas At Arlington

AA Nursing -

Evergreen Valley College

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