Apryl Ball, BSN, RN

• Promoted from Clinical Review Nurse for Hospital Outpatient Department Prior Authorization clinical reviews in August 2024
• Work closely with the nursing staff and Contractor Medical Director to provide updates and education ensuring medical reviews are compliant with guidelines established by Medicare
• Provide one-on-one mentoring sessions with nurses as needed to support individual growth and team success
• Clinical liaison to the IRF providers and provide timely feedback and education as needed
• Attend and participate in all meetings with Medicare and other MACs to stay up to date with any changes and ensure medical reviews remain compliant
• Panelist for all scheduled Webinars with IRF facilities and provided feedback as needed

• Reviewed submitted medical record documentation to determine medical necessity of medical procedures per Medicare guidelines
• Utilized 10+ years of nursing knowledge and patient care to effectively and efficiently review 30+ charts per day
• Worked well in a team environment to ensure all charts were reviewed in a timely manner
• Communicated with provider's offices as needed to ensure quality of patient care and provide education regarding Medicare guidelines
• Provided mentorship to other nurses seeking guidance on best practices related to clinical review and productivity, fostering individual growth and team success
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches

Endoscopy nurse working in procedure rooms, pre-op, and PACU areas of a busy endoscopy center that cares for 50-60 patients per day. In addition, works as the site's Quality Assurance Nurse and helps site prepare for Accreditation Association for Ambulatory Health Care (AAAHC) and ensure continued accreditation with Society of Gastroenterology Nurses and Associates (SGNA).

• Managed care from admission to discharge.
• Performed chart audits and reviewed clinical documents to verify accuracy, track and trend variety of quality measures for CMS and SGNA requirements
• Monitored patient condition and updating team members on changes in stability or acuity.

Charge Nurse of busy endoscopy department caring for inpatients and outpatients. Managed 20-25 staff members and coordinated patient care with physicians and other departments.

• Monitors patient's health status to ensure he/she are optimal to undergo procedure and anesthesia
• Works with physicians (gastroenterologist, surgeons and anesthesiologists) to ensure that all supplies, equipment and medications are available at time of procedure
• Make critical decisions throughout each day to optimize staffing and patient care
• Always strive to stay prepared for every situation that could occur on the unit and stay one step ahead

Circulating endoscopy nurse in a unit that performs highly advanced endoscopic procedures.

• Worked in many advanced therapeutic endoscopic procedures
• Selected by physicians/management staff to work procedure rooms that are observed by other physicians/product representatives
• Ensure that all supplies are prepared and available in anticipation of different endoscopic procedures based on physician/patient needs
• Charge nurse when needed, managed unit of 15 staff members and collaborated with interdisciplinary team to ensure all cases were completed safely and efficiently
• Active role on Unit Practice Council to strive for better working environment for unit staff members
• Preceptor for new nurses in proper techniques, care standards, operational procedures, and safety protocols.

Circulating Endoscopy nurse working in all areas of busy endoscopy department caring for 50-60 patients per day.

• Provides optimal nursing care by obtaining thorough medical history, implementing physicians and CRNA orders, and alerting various members of the team if a patient's plan of care needs to be addressed
• Comfortably circulates within endoscopy suite and assists physicians and endoscopy technicians with procedures
• Regularly rotates between circulating procedure rooms, pre-operative and PACU areas
• Acting Infection Control Nurse for facility and ensures all requirements are met for optimal patient safety
• Previously, acted as site's Safety Officer overseeing occupational safety standards set forth by OSHA
• Charge Nurse when needed, managing all clinical staff in day-to-day operations
• Conducted pre-op calls to review specific instructions and patient's medical history prior to procedures

Staff nurse fulfilling roles as a primary nurse for post-operative patients and observation medical-surgical patients on a 20+ bed unit.

• Monitored patients for possible post-operative complications and worked with multidisciplinary team to ensure best patient outcomes
• Provided optimal bedside nursing care by monitoring patient's vital signs, administering medications, performing nursing tasks, and implementing physician's orders in a timely manner
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.