ASHLEE GATZMAN
Broken Arrow
Summary
Experienced nursing professional with proven teaching expertise and devotion to building up new nurses with skills necessary to excel in today's healthcare settings. Dedicated to delivering high quality, compassionate care to diverse patient populations. Proven track record of successful outcomes in high-pressure, fast-paced clinical settings. Eager to contribute to team success and further develop professional skills.
Overview
6
6
years of professional experience
1
1
Certification
Work History
UTILIZATION REVIEW NURSE
Saint Francis Health System
10.2023 - Current
- Educate providers on current regulatory standards related to utilization management functions.
- Assist with development of new protocols related to utilization review procedures.
- Analyze patient records to determine whether requested services met established criteria for medical necessity.
- Assess claims data, provider profiles, and member eligibility information to identify potential discrepancies.
- Coordinate appeals process between providers, members, payers and third party administrators regarding denied requests for services.
- Collaborate with medical units to formulate thorough evaluation of care proceedings.
- Collaborate with physicians and other members of the healthcare team to facilitate quality outcomes while optimizing cost containment strategies.
- Monitor trends in utilization patterns within assigned caseloads to ensure compliance with plan requirements.
REGISTERED NURSE, REPRODUCTIVE MEDICINE
OU Health Reproductive Medicine
11.2020 - 08.2023
- Coordinate IVF cycles for four REI physicians, approximately 150 per year
- Perform pre-op, intra-op, and post-op care for oocyte retrieval cases, approximately 30 per month
- Perform intrauterine inseminations, approximately 700+ per year
- Triage patient phone calls, approximately 40+ calls per day
- Follow clinic protocol in order to coordinate patients' OI, IUI, and early pregnancy treatment plans
- Prepare and sanitize clinic rooms in a timely manner in order to see 50-60 patients per day
- Obtain patient labs, approximately 40-50 labs per day
- Perform abdominal ultrasonography for intrauterine inseminations and frozen blast embryo transfers
- Provide thorough documentation during ultrasounds to provide physicians with adequate information for coordination of care
- Obtain patient history prior to exam and accurately relay information to physicians for coordination of care
- Assist with radiography exam during hysterosalpingogram (HSG)
- Administer medications (i.e. methotrexate) to patients when ordered by the physician
- Precept new hire RNs and MAs
REGISTERED NURSE, LABOR AND DELIVERY
The Children's Hospital at OU Health
07.2019 - 11.2020
- Assess patients throughout pregnancy stages
- Interpret nonstress test (NST) and communicate abnormalities to physician
- Assist physician during delivery, treatment, examination and surgical procedures
- Manage high risk obstetrical conditions: preeclampsia, gestational diabetes, multiple gestation, and preterm deliveries
- Educate patients on symptoms to report, plan of care, and self-care/management at home
Education
BACHELOR OF SCIENCE IN NURSING - undefined
The University of Oklahoma Fran and Earl Ziegler College of Nursing
Oklahoma City, OK05.2019
Skills
- Managing Deadlines
- Strong Interpersonal Skills
- Clear Communication
- Epic Training
Certification
- Oklahoma Registered Nurse, Single State License
- AWHONN Intermediate Fetal Heart Monitoring
Timeline
UTILIZATION REVIEW NURSE
Saint Francis Health System
10.2023 - Current
REGISTERED NURSE, REPRODUCTIVE MEDICINE
OU Health Reproductive Medicine
11.2020 - 08.2023
REGISTERED NURSE, LABOR AND DELIVERY
The Children's Hospital at OU Health
07.2019 - 11.2020
BACHELOR OF SCIENCE IN NURSING - undefined
The University of Oklahoma Fran and Earl Ziegler College of Nursing