Barbara Priest

• Evalute and review of patient's clinical infomation to determine status of patient care .
• Obtained data collection and submission to All major insurance companies to obtain precertication and mantained continued stay review's once inital precert was obtained.
• Compentent in interqual criteria.
• collaboate with case managers and physicians for effective DC planning and disposition of patient's.
• Collarborate correct status and change admission orders appropriately.
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Evaluate and review patients clinical information to determine correct status of admissions.

Inpatient and outpatient precertification.

Data collection and submission to insurance companies to obtain pre certification and continued stay review.

Collaborate with case managers and physicians for effective discharge planning and disposition of patients.

Call physicians to collaborate correct status and change admission orders appropriately.

Collaborate with other hospital networks to determine transfer for out of network patients.

Skills

Proficient at providing passionate and cost effective utilization management for a leading hospital. Excellent communication skills proficient at more care M and R Microsoft Word and Excel.

• Administered medications and monitored patient vital signs for optimal health outcomes.
• Assisted in developing individualized care plans based on patient assessments and needs.
• Collaborated with healthcare teams to improve patient care strategies and workflows.
• Educated patients and families on health management, medication usage, and recovery processes.
• Trained and mentored new nursing staff to ensure high standards of care delivery.
• Implemented infection control procedures to enhance safety and compliance within the facility.
• Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
• Cared for wounds, provided treatments, and assisted with procedures.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Demonstrated excellent technical skills in wound dressing changes, IV therapy administration, catheter insertion, and other routine nursing procedures.
• Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
• Educated patients and families on health promotion, disease prevention, and self-care management strategies.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Delivered culturally competent care that respected diverse patient populations'' unique values, beliefs, and traditions.
• Increased patient satisfaction scores by consistently delivering high-quality nursing care tailored to individual needs and preferences.
• Promoted a culture of teamwork through active participation in unit meetings, performance improvement initiatives, and collaborative problem-solving efforts.
• Facilitated patient education on disease management and prevention, empowering individuals towards healthier lifestyles.

• Administered medications and treatments according to established protocols and patient care plans.
• Monitored patient vital signs, observing changes and reporting significant findings to nursing staff.
• Assisted with daily living activities, promoting patient independence and dignity during care.
• Collaborated with interdisciplinary teams to develop individualized care strategies for diverse patient populations.
• Implemented infection control measures, ensuring compliance with safety regulations and improving overall facility standards.
• Assisted with admissions, appointments, transfers, and discharges.
• Obtained patient vital signs and input/output measurements from inpatients.
• Performed routine evaluations of each patient's status, needs, and preferences.
• Provided compassionate palliative care for terminally ill patients while supporting their emotional needs during end-of-life stages.
• Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
• Delivered wound care and managed dressings, preventing infections and promoting healing.
• Reduced medication errors through meticulous charting and double-checking dosages.
• Recorded details regarding therapies to keep patient charts updated.