Beth Marion
Mount Airy,NC
Summary
Experienced RN specializing in utilization review and clinical assessment. Proven ability to enhance patient outcomes through effective discharge planning and quality improvement initiatives.
Overview
20
20
years of professional experience
Work History
Utilization Review Registered Nurse
Elevance
Remote
01.2020 - Current
- Conducted comprehensive utilization reviews of patient care plans to ensure medical necessity and appropriateness.
- Collaborated with healthcare teams to optimize treatment options and enhance patient outcomes.
- Analyzed clinical information and documentation for compliance with regulatory standards and guidelines.
- Facilitated interdisciplinary communication to streamline care coordination among providers and patients.
- Reduced hospital readmissions with proactive identification of high-risk patients and implementation of targeted interventions.
- Mentored junior staff on utilization review protocols, fostering professional development within the team.
- Expedited discharge planning processes through timely completion of utilization reviews that identified necessary services, supports, or referrals postdischarge.
Clinical Education Specialist
TriStar Centennial Medical Center
Nashville, TN
01.2019 - 11.2019
- Developed and implemented clinical education programs to enhance staff competency and patient care quality.
- Collaborated with multidisciplinary teams to assess educational needs and design targeted training initiatives.
- Facilitated workshops and seminars to promote best practices in clinical procedures and patient management.
- Evaluated training effectiveness through assessments, feedback, and continuous improvement strategies.
- Streamlined onboarding processes for clinical staff, reducing transition time into roles significantly.
- Utilized data analytics to identify knowledge gaps and tailor education materials accordingly.
Director of Women's & Children's Services
Tidelands Health
Murrells Inlet, SC
02.2017 - 01.2019
- Led strategic initiatives to enhance patient care and operational efficiency across healthcare departments.
- Collaborated with cross-functional teams to implement system-wide improvements in service delivery.
- Directed budget planning and resource allocation, ensuring alignment with organizational goals.
- Mentored department leaders on best practices for performance management and staff development.
Interim Clinical Director of Women's Services
Tidelands Health
Murrells Inlet, SC
07.2016 - 02.2017
- Led clinical operations, enhancing patient care quality and safety protocols.
- Developed and implemented evidence-based treatment strategies across clinical teams.
- Mentored interdisciplinary staff, fostering professional development and collaboration.
- Streamlined patient intake processes, improving operational efficiency and reducing wait times.
Head Nurse
Waccamaw Community Hospital
Murrells Inlet, SC
08.2013 - 07.2016
- Led nursing team to enhance patient care quality and operational efficiency.
- Developed and implemented staff training programs to improve clinical skills and knowledge retention.
- Coordinated patient care plans, ensuring compliance with hospital policies and regulatory standards.
- Streamlined communication between interdisciplinary teams, fostering collaboration and improving patient outcomes.
Staff Nurse
Waccamaw Community Hospital
Murrells Inlet, SC
06.2006 - 08.2013
- Administered medications and monitored patient vital signs to ensure optimal recovery outcomes.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Educated patients and families on health management strategies and post-discharge care.
- Mentored junior nursing staff on best practices in patient care and safety protocols.
- Led quality improvement initiatives that enhanced patient satisfaction scores across departments.
Education
Master of Science - Nursing Leadership And Management
Walden University
Minneapolis, MN2016
Bachelor of Science - Nursing
Charleston Southern University
Charleston, SC05-2006
Skills
- Patient confidentiality
- Medical documentation
- Clinical assessment
- Quality improvement
- Discharge planning coordination
- Utilization review
- Utilization management
- Medicare
- Electronic health records
Timeline
Utilization Review Registered Nurse
Elevance
01.2020 - Current
Clinical Education Specialist
TriStar Centennial Medical Center
01.2019 - 11.2019
Director of Women's & Children's Services
Tidelands Health
02.2017 - 01.2019
Interim Clinical Director of Women's Services
Tidelands Health
07.2016 - 02.2017
Head Nurse
Waccamaw Community Hospital
08.2013 - 07.2016
Staff Nurse
Waccamaw Community Hospital
06.2006 - 08.2013
Master of Science - Nursing Leadership And Management
Walden University
Bachelor of Science - Nursing
Charleston Southern University