Ashley Bowers
San Antonio,TX
Summary
Registered Nurse with 20 years’ experience in a variety of medical settings including Special and General Surgery, Private Practice RN for MD, Labor and Delivery, Telephonic Triage, Case Management, Prior Authorization and IV therapy. I am committed to evolving my nursing expertise and experience.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Mobile IV Practitioner
Mobile IV Medics
09.2024 - Current
- Expert inserting IV’s
- Works completely independent in field
- Extensive knowledge in IV vitamins and IV fluid administration
- Provides concierge service to clients in home, work, or hotel setting
- Inserts and manages IV administration of fluids, medications and vitamins to clients
- Communicate with Medical Director regarding assessments findings out of parameters
- Follows up with client to verify successful IV therapy
- Maintains regular client base
- Vast knowledge regarding contraindications for vitamins and medication administration
- Excel in time management skills, enabling the completion of all daily tasks while providing exceptional care to patients.
Labor and Delivery Nurse
HCA Corporation, Main Methodist Children’s Hospital
05.2024 - 08.2024
- Labor patients, antepartum, circulate cesarean sections and recover. Triage, transition babies
- Manage magnesium drips for preterm and pregnancy induced hypertension.
- Manage high risk patients with diabetes, morbid obesity, drug addiction, and multiple gestation.
- Work in one of the fastest paced Labor and Delivery units in the city with an average birth rate of 6 thousand births/year.
- Recognized by patients/management for meticulous care and high patient satisfaction.
- Consistently asked to start IV’s on hard sticks both in Labor and Delivery and other floors within hospital.
Prior Authorization Nurse
Centene Corporation for Medicaid, DME, Centene Corporation
05.2020 - 08.2023
- Complete medical necessity and level of care reviews for requested services using clinical judgment/criteria. Refer to Medical Director for review depending on case findings
- Educate DME providers on utilization and medical management processes
- Perform review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
- Specially trained Team Member who processes Children’s Health Insurance Program (CHIP) authorizations and attends meetings to collaborate complex members’ needs
- Exceeds expectations in quality audits maintaining an overall audit score of >98% for 12 consecutive months
- Maintain zero percent processing error rate for 12 consecutive months on audit metrics
- Cross trained to work in multiple departments (Non-Par, Intake and Concurrent review)
- Responsible for auditing colleagues’ prior authorizations for errors.
Care Manager II
Centene Corporation for Medicaid, Centene Corporation
06.2018 - 05.2020
- Utilize assessment skills and discretionary judgment to develop a plan of care based upon assessment with specific objectives, goals and interventions designed to meet members’ needs and promote desired outcomes
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio-economic needs of clients
- Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality cost effective care
- Develop a plan of care based upon assessment of specific objectives, goals and interventions designed to meet members’ needs
- Exceeds monthly quality audits for documentation and recorded calls in Uptivity
- Ability to be flexible and learn new work processes in a rapidly fluid position
- Case Manager for complex cases
Registered Nurse
FlexCare Travel Nursing
03.2018 - 04.2018
- To continue extensive Labor and Delivery experience as travel/contract RN
Registered Nurse
Baptist Medical Center
04.2014 - 03.2018
- Labor and Delivery (Regional Pool, Labor patients, antepartum, circulating cesarean sections and recovery, triage, transition babies, manage magnesium for preterm and pregnancy induced hypertension
- Manage high risk patients with diabetes, morbid obesity, drug addiction, and multiple gestation, HIV/Hepatitis C
- Train/mentor new nurses and charge nurses for unit
- Trained to work in all Labor and Delivery units for Baptist Health System within the city based on business need of unit
- Led fetal demise education and regularly cared for fetal demise/end of life care patients
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Registered Nurse
MedTrust Staffing
09.2017 - 12.2017
- Labor and Delivery (Government Contract)
Travel Labor and Delivery Nurse
Medical Staffing Network
12.2011 - 03.2014
Registered Nurse
St. Luke’s Baptist Hospital
08.2009 - 11.2011
- Labor patients, antepartum, circulate cesarean sections and recover, triage, transition babies, manage magnesium for preterm and pregnancy induced hypertension
- Manage high risk patients with diabetes, morbid obesity and multiple gestation
- Led fetal demise education and regularly cared for fetal demise/end of life care patients
Registered Nurse Health Coach
HEALTH DIALOG
09.2007 - 07.2009
- Telephonic nursing
- Required to obtain nursing licenses in all non-compact states
- Coach members to participate more effectively in their healthcare decisions
- Coach members and educate them regarding their chronic medical conditions
Registered Nurse
PRMA of South Texas
09.2006 - 09.2007
- Consult and educate pre- and post-operative patients for breast reconstructive surgery
- Monitor patients in the office during their recovery prior to follow up with doctor
- Suture removal and wound vacuum applications and follow ups
- Set up and assist with office surgical procedures
Team Leader
R.N, Methodist Hospital
07.2004 - 09.2006
- Team Leader within 90 days (about 3 months) of employment
- Team leader for 10-15 patients, responsible for 4-6 nurses and patient care assistants
- Responsible for all admissions, discharges, and transfers from intensive care unit and PACU
- Monitor and assess postoperative patients with a length of stay from 24 hours to 3 weeks
- Manage tracheostomy, nasogastric tubes, peg tubes, Jackson Pratt drains and chest tubes
Education
Bachelor of Science - Nursing
University of Mary Hardin-Baylor
Belton, TX05.2004
Skills
- Managed Care (Medicaid & Medicare)
- Attention to detail
- Prior authorization
- Utilization review
- Excellent communication
- Critical thinking
- Work from home experience
- Cerner, CPN, HED, Citrix, EPIC, Trucare, Microsoft Excel, Interpreta, SharePoint, Impact Pro, IntakeQ (EHR), Microsoft 365
Certification
- Registered Nurse (RN, BSN) June 2004 to present
- ACLS
- NRP
- Basic Life Support
Timeline
Mobile IV Practitioner
Mobile IV Medics
09.2024 - Current
Labor and Delivery Nurse
HCA Corporation, Main Methodist Children’s Hospital
05.2024 - 08.2024
Prior Authorization Nurse
Centene Corporation for Medicaid, DME, Centene Corporation
05.2020 - 08.2023
Care Manager II
Centene Corporation for Medicaid, Centene Corporation
06.2018 - 05.2020
Registered Nurse
FlexCare Travel Nursing
03.2018 - 04.2018
Registered Nurse
MedTrust Staffing
09.2017 - 12.2017
Registered Nurse
Baptist Medical Center
04.2014 - 03.2018
Travel Labor and Delivery Nurse
Medical Staffing Network
12.2011 - 03.2014
Registered Nurse
St. Luke’s Baptist Hospital
08.2009 - 11.2011
Registered Nurse Health Coach
HEALTH DIALOG
09.2007 - 07.2009
Registered Nurse
PRMA of South Texas
09.2006 - 09.2007
Team Leader
R.N, Methodist Hospital
07.2004 - 09.2006
Bachelor of Science - Nursing
University of Mary Hardin-Baylor
Accolades
- Awards: Safety Star Award September 2014: Award for safe practice.
- Multiple Daisy awards
- Top Performer 2023
- Lean Six Sigma Certified
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