Accomplished RN with a proven track record at North Okaloosa Medical Center, specializing in case management and critical thinking. Excelled in utilization review and interdisciplinary collaboration, significantly enhancing patient outcomes. Expert in clinical assessment and adept at navigating complex healthcare environments. Demonstrated leadership in reducing healthcare costs while maintaining high-quality care standards.
Assess the patient's discharge needs through personal interview.
Help patient and family access necessary services and resources.
Identify potential discharge problems and how to overcome them.
Utilization review of observation, Medicare inpatients, and self pay inpatients: Examine medical records to insure treatments and interventions received by the patient in order to avoid denials in payment and optimize reimbursement for services. Determine what level of care is necessary while ensuring the patient receives the best care. Collaborate with providers while accumulating information to confirm patient's mayor source will authorize services.