Ashley Rogers
Akron,OH
Summary
Motivated and dependable licensed utilization review nurse seeking a rewarding career with a reputable company. Equipped with a solid foundation of theoretical knowledge and comprehensive training, I am committed to delivering exceptional healthcare services. Considered an organized critical thinker and problem-solver, excelling in dynamic patient care planning and having a deep understanding of Medicare guidelines. Known for establishing great rapport with providers and insurance carriers, my goal is to positively impact the lives of every patient, ensuring their well-being and making a meaningful difference in their overall quality of life. Additionally, adept at identifying potential overutilization of resources and recommending alternative treatment options.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Utilization Management -Clinical Review Nurse
WNS Health Help
06.2019 - 06.2024
- Contributed to cost containment initiatives by identifying potential overutilization of resources and recommending alternative treatment options.
- Promoted adherence to quality standards by monitoring patient outcomes and suggesting areas for improvement.
- Enhanced interdisciplinary collaboration through regular communication with physicians, case managers, and other healthcare professionals.
- Strengthened nursing practice through ongoing professional development and staying current on best practices in clinical review.
- Maximized efficiency within the department by organizing workload according to priority level, ensuring deadlines were met consistently.
- Maintained strict adherence to HIPAA regulations during all clinical review activities, ensuring patient confidentiality was upheld at all times.
- Reviewed and documented relevant information into data system applications.
- Determined and authorized services for patients in accordance with guidelines and regulations.
LPN Charge Nurse
The Merriman Nursing Home
07.2017 - 06.2019
- Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
- Cared for wounds, provided treatments, and assisted with procedures.
- Assisted with admissions, appointments, transfers, and discharges.
LPN Charge Nurse
Canterbury Villa of Alliance
05.2017 - 07.2017
- Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
- Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards.
- Cared for wounds, provided treatments, medication, and assisted with procedures.
Licensed Practical Nurse
McCrea Manor
08.2014 - 06.2015
- Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
- Cared for wounds, provided treatments, and assisted with procedures.
- Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
Licensed Practical Nurse
Copeland Oaks
05.2014 - 01.2015
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
Education
Diploma -
Hannah E. Mullins School of Practical Nursing
Salem, OH02.2014
Skills
- Utilization Management
- Utilization Review
- Prior Authorization
- Case review
- Patient Assessment
- Leadership
- Computerized charting
- Documentation
- Catheterization
- Tracheotomy care
- Sterile dressing changes
- IV therapy
- Hoyer operation
- Patient care
- NG tube placement and removal
- Blood glucose monitoring
- Injections
- Medication administration
- Therapeutic communication
- Detect sounds related to bodily functions
- Observe and collect data
- Tube feeding
- Care plans
- Acute care
- Skilled care
- Medical terminology
- Vital signs
Certification
LPN.156105.MEDS-IV: Issue date 04/01/14. Expiration date: 10/31/24.
Additional Information
I am seeking employment within a growing company. Thank you for your time and consideration.
Personal Information
- Title: Licensed Practical Nurse
- Work Permit: Authorized to work in the US for any employer
Awards
- Queue Busters: 02/01/24. Dedication, flexibility and commitment to excellence and support of team to drive down queue volumes in the face of shifting priorities.
- Teamwork Nurse: 08/01/20. Always being such a great teamwork nurse.
- Outstanding Team Work: 03/01/20. Continuously striving to go above and beyond to help maintain compliance and ensure patient and peers are happy. For continuing to persevere by working diligently with speed and efficiency through unforeseen obstacles such as technical issues and COVID-19.
Timeline
Utilization Management -Clinical Review Nurse
WNS Health Help
06.2019 - 06.2024
LPN Charge Nurse
The Merriman Nursing Home
07.2017 - 06.2019
LPN Charge Nurse
Canterbury Villa of Alliance
05.2017 - 07.2017
Licensed Practical Nurse
McCrea Manor
08.2014 - 06.2015
Licensed Practical Nurse
Copeland Oaks
05.2014 - 01.2015
Diploma -
Hannah E. Mullins School of Practical Nursing
LPN.156105.MEDS-IV: Issue date 04/01/14. Expiration date: 10/31/24.
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