Belinda W. Hicks
Dunn,USA
Summary
Licensed Practical Nurse with extensive experience in diverse healthcare environments. Demonstrates strong work ethic and adaptability, excelling in both independent and team settings. Proven ability to quickly acquire new skills and tackle challenges effectively. Exceptional interpersonal skills enhance patient care and collaboration with healthcare teams.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Nurse
Department of Corrections
Smithfield, USA
12.2023 - Current
- Maintain production goals and quality standards.
- Pharmacy-pill lines/overstock/expired meds-etc
- Labs- Requisitions and blood draws
- Completed Intakes and transfer out of offenders
- Assisted with Tele-med appointments
- Administer wound Treatments as ordered
- Order medical supplies and Lab supplies
- Assisted with diabetic blood sugar checks and administration of insulin
- Respond to Codes
- Scan and schedule sick calls
- Any other assigned duty from RN
Prior Authorization Nurse
Centene Management Company LLC
St. Louis, USA
05.2021 - 12.2023
- Performs prior authorization review of procedures, supplies, and DME equipment for determination of medical necessity and appropriateness of the request.
- Maintained production goals and quality standards.
- Used appropriated clinical criteria for review.
- Refer reviews to the medical director for a secondary review as necessary.
- Created an authorization request via phone and answered the provider's questions.
- Assisted management with training new staff.
- Collaborated with healthcare providers to ensure accurate submission of required documentation for timely authorizations.
- experienced in InterQual, Milliman, and Care Central programs for reviews.
- Experienced in reviews for North Carolina and Kentucky Medicaid.
- Perform a telephonic review of the prior authorization request for appropriate care and setting, following guidelines and policies, and approve services or forward the request to the appropriate physician or medical director with a recommendation for other determinations.
- Complete the medical necessity and level of care review for requested services, using clinical judgment and criteria. Refer to the Medical Director for review, depending on case findings.
- Enter and maintain pertinent clinical information in various medical management systems.
- Expedited urgent request for prior authorization, ensuring timely access to critical medical treatments.
Nurse
Department of Corrections
Smithfield, USA
06.2018 - 01.2021
- Clinical assessments, referrals, Prior Authorizations for appointments and procedures, all Medication administration, monitoring of patient's overall status
- Conducted screening for Restrictive housing
- Recorded offenders' medical history, vital signs and test result in hero computer system
- Assessed offenders during routine nurse sick call visits
- Administered medication
- Evaluated patient care needs, prioritized treatment and maintained patient flow
- Draw and processed labs tests as ordered
- Assessed patient s during life threatening situations, activated EMS following SOP's and protocols
- Prepare physician weekly schedule
- Scan and pack medications and put into appropriate bag
- Complete intakes and transfers
Nurse
Smithfield Manor
Smithfield, USA
10.2015 - 06.2018
- Performed Acute and Chronic care nursing for geriatric patients, Rehabilitation, wound care, including all medications, personal hygiene, range of motion, tube feeding, PT, OT, other non-medical personal needs.
Education
Nursing -
Johnston Community College
Smithfield, NC, Johnston01.1992
High School Diploma -
North Johnston High
Kenly, NC, Johnston01.1981
Skills
- License Practical Nurse-Compact license
- Procedures and processes
- Training and mentoring other staff
- Goal oriented
- Outlook
- Microsoft Word
- EMR
- Time management abilities
- Accurate documentation
- Strong clinical judgment
Certification
- CPR certified, American Heart Association
- LPN-North Carolina, 44170
References
- Christ Wynn, Nurse Supervisor-919-748-6572
- Scott Dagit-727-514-3414
- Rhonda Fizzell-615-830-1237
Timeline
Nurse
Department of Corrections
12.2023 - Current
Prior Authorization Nurse
Centene Management Company LLC
05.2021 - 12.2023
Nurse
Department of Corrections
06.2018 - 01.2021
Nurse
Smithfield Manor
10.2015 - 06.2018
Nursing -
Johnston Community College
High School Diploma -
North Johnston High