Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, data analytics,and interdisciplinary collaboration focused on optimizing outcomes for all stakeholders. Quality-focused and efficiency-driven. Organized, dependable, and successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Seeking a position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
13
13
years of professional experience
Work History
Utilization Review Nurse
Magellan Health
11.2020 - Current
Performed prior authorization review of services requiring notification.
Submitted cases for criteria failures and helped facilitate resolutions and approvals.
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Obtained authorizations from multiple insurance carriers for various levels of care.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Special Projects include utilizing VISIO to create visual representation of workflows for various procedure requests in order to identify areas of need and improve outcomes for all stakeholders.
Registered Nurse
Urgent Care
02.2018 - 12.2020
Execute nursing interventions by collaborating with inter-professional team incorporating standards of care, practice, and patient outcomes.
Asses and systemically collect data related to patient health status working with team members to develop a plan of care.
Evaluate effectiveness of plan of care and adjust as needed
Utilize data to continuously meet care coordination needs across settings in conjunction with patients, family members, and care providers.
Document nursing assessments and interventions.
Telephone triage and in-person triage for symptoms management and general questions.
Serve as a mentor and resource to patients and members of the community.
Assist with coordination of care across the continuum.
Respond to medical emergencies.
Utilize evidence based practice strategies and techniques.
School Nurse
White Township Board Of Education
09.2013 - 11.2018
Administered medication to students as prescribed by physicians to provide necessary treatment and manage health conditions.
Served as liaison between families, school personnel, and other healthcare providers on behalf of students.
Educated students on various health topics to promote overall health and wellbeing.
Provided support to students with special needs and disabilities to deliver appropriate care and meet educational needs.
Implemented emergency protocols in medical emergencies to promote safety for students and staff.
Participated in development of school safety plans to address areas of concern.
Developed care plans and made referrals as necessary for students with health concerns or injuries.
Screened for infectious diseases to help prevent spreading within school community.
Oversaw health services for school of 300 students and faculty.
Performed health screening for students and faculty.
Maintained upkeep on defibrillators, blood pressure monitors and first aid kits to keep resources in working condition for emergencies.
Provided medical consultations to other school personnel to promote well-coordinated school health and safety efforts.
Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
Performed triage on incoming patients and determined severity of injuries and illnesses.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Assessed student health and identified potential health concerns to provide appropriate care.
Utilize Electronic Health Record System to document visits and maintain up to date medical information.
Provide an environment conducive to privacy, confidentiality, and compassion.
Implemented Safe Schools Online yearly training for faculty members.
Registered Nurse
Sparta Cancer Center
05.2012 - 08.2013
Provided patient care for patients receiving external beam radiation therapy
Coordinated multi-disciplinary care and patient services
Performed telephone triage regarding patient’s health concerns, treatment, diagnostic tests, medications, side effects, and prioritized patient care needs.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Provided direct patient care, stabilized patients, and determined next course of action.
Registered Nurse
Newton Medical Center
03.2011 - 05.2012
Enhanced critical thinking skills by caring for patients with complex and interrelated diagnoses.
Recorded patient data in multiple Electronic Health Record systems.
Ensured proper patient care through assistance with activities of daily living.
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Managed care from admission to discharge.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
Generated supportive patient and family communication techniques.
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
Organized and managed care of patients undergoing various therapies and procedures.
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
Education
Master of Science - Nursing Informatics
Walden University
02.2022
Bachelor of Science - Nursing
Walden University
School Nurse Certification (CSN) -
Caldwell College
12.2015
Associates - Nursing Applied Science
Passaic County Community College
12.2010
Skills
BLS
Experience creating flowcharts through Lucidchart and Visio