Ashley McGlaun
Tupelo,MS
Summary
Dedicated professional with clinical practicum experience and passion for delivering quality healthcare. Skilled at establishing care plans and educating patients and families. Offering caring bedside manner, patient-centric focus and expertise in discharge management.
Overview
16
16
years of professional experience
Work History
Utilization Review Nurse
North MS Medical Center
Tupelo, MS
07.2008 - Current
- Identified opportunities for improvement within the utilization review process through data analysis.
- Reviewed denial letters issued by insurance companies to ensure that they were appropriate and timely.
- Maintained up-to-date knowledge of health plan benefits, policies, procedures, regulations, coding guidelines.
- Facilitated communication between members of the healthcare team by attending interdisciplinary meetings.
- Assessed and monitored patient health conditions, including vital signs such as temperature, pulse rate and blood pressure.
- Administered medications, tracked dosages, and documented patient conditions.
- Monitored and managed various treatment and care interventions.
Education
Master of Science - Nursing Leadership
University of North Alabama
Florence, AL05-2020
Bachelor of Science - BSN
Mississippi University For Women
Columbus, MS05-2017
Associate of Science - RN
Northeast Mississippi Community College
Booneville, MS05-2008
Skills
- Utilization Management
- Needs Assessment
- Home Health Care
- Inpatient Care
- Palliative Care
- Performing assessments
Timeline
Utilization Review Nurse
North MS Medical Center
07.2008 - Current
Master of Science - Nursing Leadership
University of North Alabama
Bachelor of Science - BSN
Mississippi University For Women
Associate of Science - RN
Northeast Mississippi Community College
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