Beatrice Ruto
Fort Worth
Summary
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
21
21
years of professional experience
1
1
Certification
Work History
RN Inpatient Case Manager
UnitedHealth Group - Optum Enterprise Clinical Services
10.2017 - Current
- Perform clinical reviews, which require interpretation of state and federal mandates, applicable benefit language, and consideration of relevant clinical information
- Function as a member of a self-directed team to meet specific individual and team performance metrics
- Communicate in writing and verbally, all types of benefit determinations including decisions regarding coverage guidelines, contractual limitations and reimbursement determinations
- Work independently and collaboratively with Medical Directors and non-clinical partners
- Adapt to a highly changing environment and a heavy caseload
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
- Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
RN Utilization Review Nurse
Baylor Scott and White, Dallas TX
06.2014 - 09.2017
- Performs initial concurrent, discharge and retrospective reviews of all cases.
- Communicate with physicians, nurse, social work and other interdisciplinary team members to coordinate patient care
- Identifies documents and communicates potential quality assurance or risk management issues as appropriate.
- Independently reviews clinical for appropriateness and correct admission status (inpatient, observation, bedded outpatients)
- Collaborates with appropriate Utilization Review leadership concerning patients who do not meet medical appropriateness criteria.
- Communicates with attending physician regarding patients who do not meet criteria in order to identify additional documentation needs or potential status change
- Refers cases to UM Medical Director as appropriate for review for cases not meeting medical necessity
- Participate in process improvement projects
- Primary Responsibilities:
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
- Managed care from admission to discharge.
- Participated in professional development opportunities regularly to stay current on best practices in the field of nursing.
- Coordinated discharge planning efforts with social workers, case managers, and other multidisciplinary team members for smooth transitions posthospitalization.
Registered Nurse
Epic Healthcare
12.2011 - 02.2014
- Assess, plan, implement, evaluate, and document nursing care for pediatric patients in home settings within current nursing standards
- Provided in home care to clients ensure maintenance of client’s safety and compliance with nursing standards of care and practice.
- Actively participate in patient care through the nursing process to safely and accurately care for children with ventilator-dependency, feeding tubes needing nutritional supplementation and other medical needs
- Provide patients and family members with relevant healthcare education and plan of care.
- Educated children about their medical conditions in age-appropriate language, empowering them to take an active role in managing their health.
- Assessed pediatric patients'' growth and development, identifying potential issues early for timely intervention.
- Advocated for patients'' needs during multidisciplinary meetings, ensuring appropriate resources were allocated for optimal care outcomes.
- Monitored vital signs closely during procedures or treatments, intervening swiftly when necessary to maintain patient stability.
- Maintained accurate documentation of patient progress, enabling informed decision-making among healthcare providers.
- Collaborated with interdisciplinary teams for comprehensive patient care, resulting in improved overall health outcomes.
- Provided education to parents on proper home care techniques, minimizing hospital readmissions and promoting long-term wellbeing.
- Administered medications accurately, ensuring optimal treatment efficacy and patient safety.
- Enhanced patient satisfaction through compassionate and empathetic communication with children and families.
- Implemented evidence-based nursing practices to optimize patient care quality and effectiveness.
- Improved patient outcomes by developing individualized care plans tailored to the needs of pediatric patients.
Registered Nurse, Medical-Surgical Unit
All About Staffing Agency
12.2008 - 11.2011
- Assess, plan, implement, evaluate, and document nursing care for patients in cardiac unit, medical/surgical, PCU, ICU
- Interpret complex cardiac and hemodynamic monitoring data utilizing non-invasive monitoring equipment including; CVP, Telemetry, EKG, SPO2, respiratory ventilator, temporary pacemakers and defibrillator.
- Provide individualized, complex patient care consistent for patients recovering from cardiac catheterization, electrophysiological study, ambulatory surgical procedures, invasive and extensive surgeries and traumas.
- Provide intravenous therapy, enteral and parenteral nutrition, complex wound care including monitoring and managing various drainage devices and tracheal care.
- Facilitate the recovery process by educating patients and their families on ordered procedures, diagnostic testing, medication, preventative care, pain management and discharge planning.
- Implement cost control measures without compromising patient safety, quality of care or the service delivered.
- Make quick independent decisions within established protocol limitations
- Provide individualized patient care to patients with a wide range of diagnosis.
- Ensured quality nursing care within the scope of practice
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
RN Travel nurse
GSN inc
12.2004 - 04.2008
- Assess, plan, implement, evaluate, and document nursing care for patients in ICU, cardiac, medical/surgical, psychiatric units.
- Provide individualized patient care to patients in a wide range of diagnosis
- Provide nursing care, medications via different routes of administration.
- Provide patient caregiver and family education on disease process, disease management procedures, diagnostic testing and continued care post discharge.
- Ensured quality nursing care within the scope of practice
Staff Nurse
Overland Park Regional Medical Center
06.2004 - 03.2008
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Educated patients on disease prevention and management, promoting healthier lifestyles.
- Maintained accurate and detailed records of patient assessments, treatments, and progress notes for seamless continuity of care.
- Provided compassionate and empathetic support to patients and their families during difficult situations.
- Served as a liaison between patients, families, and healthcare providers to facilitate clear communication and coordination of care plans.
Education
Master of nursing - Nursing Education
University of Texas at El, Paso TX
El Paso, TXBachelors of Science - Nursing
University of Kansas
Kansas City, KSAssociates Degree - undefined
Donnelly College
Kansas City, KSSkills
- High level of autonomy
- Complex Problem-solving
- Infection control measures
- Medication and IV administration
- Patient care
- Strong clinical judgment
- Patient education and counseling
- Patient assessments
- EMR systems
- Case management
- Exceptional critical thinking skills
- Effective written and oral communication skills
Certification
- Texas Registered Nurse License
- Accredited Case Manager Certification
Timeline
RN Inpatient Case Manager
UnitedHealth Group - Optum Enterprise Clinical Services
10.2017 - Current
RN Utilization Review Nurse
Baylor Scott and White, Dallas TX
06.2014 - 09.2017
Registered Nurse
Epic Healthcare
12.2011 - 02.2014
Registered Nurse, Medical-Surgical Unit
All About Staffing Agency
12.2008 - 11.2011
RN Travel nurse
GSN inc
12.2004 - 04.2008
Staff Nurse
Overland Park Regional Medical Center
06.2004 - 03.2008
Bachelors of Science - Nursing
University of Kansas
Associates Degree - undefined
Donnelly College
Master of nursing - Nursing Education
University of Texas at El, Paso TX
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