Seasoned registered nurse with progressive career history seeking to apply clinical, analytical, and communication skills into a growth facilitating role. A driven individual who has always strived to positively impact colleagues, customers, and patients. Recognized by colleagues as dependable, hardworking, knowledgeable, empathetic, and ethical.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Registered Nurse, Utilization Review
Curana Health
05.2023 - Current
Gained extensive knowledge in Medicare benefits, policies, criteria while adhering to URAC standards.
Submits cases for criteria failures and helped facilitate resolutions and approvals.
Utilizes critical thinking to review clinical documentation and electronic medical records, evaluate Medicare Part A and B authorization requests and make case determinations.
Follows all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Skilled at working independently and collaboratively in a team environment.
Registered Nurse
Hospice of Michigan
12.2022 - 05.2023
Provided assessment, evaluation, support, education, and care for hospice enrolled patients.
Regularly collaborated with interdisciplinary team to prioritize and meet patient and family needs.
Utilized technology and software to ensure proper documentation, adherence to Medicare guidelines, and efficient care and delivery of medication, supplies, and durable medical equipment.
Remained flexible and dependable to meet staffing needs of department and region.
Advocated for patients' wishes regarding medical treatment options, respecting cultural beliefs and values throughout the decision-making process.
Public Health Nurse
CDC Foundation
02.2022 - 08.2022
Temporary Contract-Remote Public Health Nurse contracted to support the City of Detroit Health Department COVID-19 Case Investigations Team as Team Lead.
Established team meeting schedule, case investigation assignments and expectations of team members.
Completed high-risk case and outbreak investigations and provided outreach and support to long-term care and adult foster care facilities.
Utilized Michigan Disease Surveillance System to update case details, create aggregate case reports, and complete case reviews.
Completed audits and review of case investigations, provided feedback and education to investigators.
Developed facility guidance documents based on federal and state guidelines.
Met regularly with facility contacts to ensure understanding and implementation of recommended guidelines.
Registered Nurse Educator
Ascension St. John Hospital and Medical Center
09.2020 - 06.2021
Autonomously operated educational program by completing patient scheduling, intake, chart auditing, and tracking program statistics for American Diabetes Association credentialing.
Increased patient load and program attendance during the Coronavirus pandemic.
Implemented accommodating telehealth education and safe in-person learning and consultation.
Assessed, planned, and implemented educational needs and activities for patients with Type 1, Type 2, and gestational diabetes.
Developed patient coursework and presentations in compliance with American Diabetes Association evidence-based practices.
Registered Nurse
Ascension St. John Providence Health System
07.2008 - 09.2020
While working with a diverse patient population, on a fast-paced surgical/trauma unit, performed comprehensive patient assessments, care planning, education, and documentation (2008-2017)
Regularly assigned as unit charge nurse, responsible for ensuring matrix and budget adherence, and safe and efficient patient assignments
Facility trained and certified in IV infusions, wound care, pre- and post-surgical care, tracheostomy care, telemetry monitoring, infection control, electronic medical record, and barcode scanning system
Nominated as Service Excellence Advisor by clinical leader
Facilitated team meetings, communication among staff, and development of new strategies for patient and associate satisfaction
Participated as a member of the Professional Nurse Practice Council
Participated as a member of a flexible, professional float team; maintaining the ability and willingness to work in multiple departments at all operating sites and various subspecialty units (2017-2020).