ANDREA OLIVEIRA
South Jordan,Utah
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Registered Nurse / Charge Nurse
University of Utah Health
2022.06 - Current
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
Registered Nurse
Encompass Rehab Hospital
2021.09 - 2022.06
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Utilization Review Coordinator
Medical Review Institute of America
2019.02 - 2021.08
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Served as subject matter resource, providing information related to all levels of prior authorization and appeal situations for multiple insurance carriers .
- Performed prior authorization review of services requiring notification.
- Discussed medical histories with patients in effort to provide most effective medical advice.
Director, Provider Relations
Medical Review Institute of America, Inc
2014.12 - 2016.04
- Managed daily operations while overseeing multiple locations to foster increased productivity.
- Spearheaded innovative approaches to resource allocation and strategic planning.
- Evaluated company documentation to verify alignment with regulatory requirements.
- Conducted reference checks, background screening and other pre-employment checks to verify information on applicant's resume.
- Assisted with onboarding and orientation of new hires to expedite acclimatization process.
- Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
Pharmacy Services Department Supervisor/Manager
Medical Review Institute of America, Inc
2011.10 - 2015.03
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Developed and nurtured lasting relationships with clients through dedicated assistance, issue resolution and active listening.
- Created, trained and enforced employees on department policies, procedures and standards to establish productivity and quality.
- Introduced new methods, practices, and systems to reduce turnaround time.
- Liaised with sales, marketing, and management teams to develop solutions and accomplish shared objectives.
- Successfully drove new product lines to increase annual profits exponentially.
Utilization Review Coordinator
Medical Review Institute of America, Inc
2009.05 - 2011.10
- Reviewed physician case reports for grammar, spelling, punctuation, syntax, accuracy, and compliance with quality standards.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Followed established auditing processes to meet internal and regulatory requirements.
- Devise or identify solutions for irregular requests and issues.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Communicated directly with physician reviewers to collaboratively assess work and guide editorial improvements.
Education
Bachelor of Science - Nursing
Ameritech College (Joyce University)
Draper, UT12.2021
Bachelor of Science - Health Administration
Weber State University
Ogden05.2009
Skills
- Licensed by Utah (compact) Nursing Board
- Effective Communication
- Time management
- Forward/Global-thinker
- Resourceful Problem Solver
- Precepting
- Care Plan Implementation
- Patient Education
- Healthcare Management
- Medical Necessity Assessment
- Clinical Knowledge
- Computer Proficiency
Certification
- Registered Nurse (RN) - Utah
- Basic Life Support (BLS)
Timeline
Registered Nurse / Charge Nurse
University of Utah Health
2022.06 - Current
Registered Nurse
Encompass Rehab Hospital
2021.09 - 2022.06
Utilization Review Coordinator
Medical Review Institute of America
2019.02 - 2021.08
Director, Provider Relations
Medical Review Institute of America, Inc
2014.12 - 2016.04
Pharmacy Services Department Supervisor/Manager
Medical Review Institute of America, Inc
2011.10 - 2015.03
Utilization Review Coordinator
Medical Review Institute of America, Inc
2009.05 - 2011.10
Bachelor of Science - Nursing
Ameritech College (Joyce University)
Bachelor of Science - Health Administration
Weber State University
- Registered Nurse (RN) - Utah
- Basic Life Support (BLS)
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