Angela Morgan
Lumberton,TX
Summary
Reliable individual bringing 20 years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
Compact Texas Registered Nurse License
Overview
20
20
years of professional experience
Work History
Utilization Review Registered Nurse
Centene
03.2014 - 10.2023
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Performed admission reviews based for medical necessity based upon MCG and InterQual specification.
- Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
Registered Nurse, Pediatrics
Christus St. Mary's Hospital
10.2009 - 02.2013
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Managed care from admission to discharge.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Oversaw delivery of care for patients on pediatric unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
Licensed Vocational Nurse
Christus St. Mary's Hospital
10.2003 - 10.2009
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Assisted with admissions, transfers, and discharges.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Administered medications and injections to patients.
- Monitored patient health conditions to report changes to assigned physician.
- Delivered emotional support to patients and families during challenging times.
- Provided patient education on health care issues and prescribed medications.
- Developed and implemented individualized patient care plans.
Education
Associate of Science - Registered Nurse
Lamar State College - Orange
Orange, TX08.2009
Licensed Vocational Nurse -
Lamar State College - Port Arthur
Port Arthur, TX08.2003
High School Diploma -
Nederland High School
Nederland, TX2000
Skills
- Utilization Review
- Documentation
- Plan of Care Support
- Discharge Planning
- Inpatient Services
- Patient Admission
- Leadership
- InterQual Criteria
- Milliman Clinical Guidelines (MCG)
- Accurate Documentation
- HIPAA Regulations
Timeline
Utilization Review Registered Nurse
Centene
03.2014 - 10.2023
Registered Nurse, Pediatrics
Christus St. Mary's Hospital
10.2009 - 02.2013
Licensed Vocational Nurse
Christus St. Mary's Hospital
10.2003 - 10.2009
Associate of Science - Registered Nurse
Lamar State College - Orange
Licensed Vocational Nurse -
Lamar State College - Port Arthur
High School Diploma -
Nederland High School
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