Bethsheba McCullough
Care Review Clinician, RN
Phoenix,AZ
Summary
Professional Registered RN with 8 + Years Experience & Over 6 + Years ER Experience -Current Traveling Experience -Critical Access Facility and Level III Trauma Experience CPSI & Meditech Charting Experience -Active ACLS, BLS, PALS and TNCC Certifications.
Highly motivated and dedicated Registered Nurse with over 6 years of experience in utilization review, seeking a position as a Utilization Review Nurse. Offering strong clinical knowledge, excellent communication skills and proficiency in medical software to effectively assess patient's need for medical services and ensure efficient use of resources while maintaining high quality care. Committed to improving patient outcomes through detailed case analysis and coordination with health care teams.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Outpatient IOP/PHP Behavioral Clinic Nurse
Valley Hospital & Medical Center
Phoenix, AZ
02.2023 - Current
- Demonstrated empathy towards patients while maintaining professional boundaries.
- Collaborated with other healthcare professionals such as social workers, physical therapists, dietitians.
- Nursing assessments .
- Providing medical advice and guidance to insurance companies on some complex cases.
- Documentation of admission and discharge orders as per physicians' orders.
- Admitting and discharging of those patients who meet criteria.
- Cared for clinic patients by administering medications and treatments for various conditions.
Per Diem staff Nurse
Advanced Medical Staffing
01.2013 - Current
- (Active in between travel assignments)
UM/RN Case Manager
Culinary Urgent Care
Las Vegas, Nevada
05.2020 - 12.2022
- Provided direct nursing care to patients, including administering medications, wound care, and IV therapy.
- Responded quickly to life-threatening situations by providing appropriate interventions.
- Identified potential safety hazards in the environment or among patients' behaviors.
- Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
- Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
- Collaborated with physicians, nurses, and other healthcare professionals to ensure optimal patient outcomes.
- Ensured compliance with regulatory standards concerning utilization review, ethical decision making and legal aspects of case management practice.
- Facilitated referrals to community resources for additional support services.
- Monitored and evaluated effectiveness of treatment plans and interventions.
- Facilitated transitions between levels of care through effective coordination of resources within a managed care environment.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Analyzed financial information related to insurance coverage eligibility prior to initiating services.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
- Maintained accurate documentation of patient progress in the electronic health record.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
ER travel nurse
Seneca Healthcare District Hospital
02.2019 - 11.2019
- Company Overview: Critical access facility with ER
- Paper charting.
- Critical access facility with ER
Travel Nurse, ER RN
Northern Inyo Hospital
Bishop, CA
09.2018 - 12.2018
- Company Overview: 25 bed Critical Access
- Epic computer system
- 25 bed Critical Access
ER travel nurse
Banner Lassen
Susanville, CA
01.2018 - 07.2018
- Corner computer system
Travel RN - ER RN
Surprise Valley Community Hospital
, CA
02.2017 - 12.2017
- Company Overview: Cedarville, CA
- Cedarville, CA
Travel RN - ER RN
Pioneer Medical Center
Meeker, CO
04.2016 - 08.2016
- Company Overview: Critical Access Facility
- Critical Access Facility
Travel RN - ER RN
Havasu Regional Medical Center
Lake Havasu, AZ
11.2015 - 03.2016
- Company Overview: 99 Bed, Level III Trauma Center
- 99 Bed, Level III Trauma Center
Travel RN - ER RN
Rehoboth McKinley Christian Hospital
Gallup, NM
01.2015 - 10.2015
- Company Overview: 80 Bed, 13 Bed ER
- Charting: McKesson
- Duties: Complete and accurate nursing assessments. Provided quality care to critically ill Pediatric, Adolescent, Adult, and Elderly patients. Participation in life resuscitation. Administered medications, Insertion of urinary catheters, inserting of NG tubes, enemas, and IV insertion. Care of MI, COPD, Renal Failure, Stroke, SOB, Abdominal pain, Fever, SZ, etc. Proficient in all EHR documentation, record maintenance, paperwork to ensure accuracy and patient confidentiality. All areas of major and minor surgical procedures performed in hospital environment.
- 80 Bed, 13 Bed ER
Travel RN - ER, Float to ICU, Med-surg
CHI LakeWood Health Center
Baudette, MN
12.2014 - 10.2015
- Company Overview: 15 Bed Critical Access Facility, 44 Bed Skilled Nursing Longterm care Center
- Duties: Complete and accurate nursing assessments. Provided quality care to critically ill Pediatric, Adolescent, Adult, and Elderly patients. Participation in life resuscitation. Administered medications, Inserting urinary catheters, inserting NG tubes, enema, and IV insertion. Care of MI, Stroke, SOB, Abdominal pain, Fever, SZ, etc. Proficient in all EHR documentation, record maintenance, paperwork to ensure accuracy and patient confidentiality. All areas of major and minor surgical procedures performed in hospital environment.
- 15 Bed Critical Access Facility, 44 Bed Skilled Nursing Longterm care Center
Per Diem RN- Wellness RN
Summit Health
Las Vegas, NV
01.2014 - 10.2014
- Duties: On-site wellness programs, immunizations, physicals, health care screenings and education.
- Duties: Assess, plan, evaluate, implement and provide general care to patients in a home health setting. Education of the patient, family and caregivers on the disease process, medications and prevention of further hospitalizations according to the patient plan of care.
Emergency Room Staff RN
Nye Regional Medical Center
Tonopah, NV
02.2013 - 11.2013
- Company Overview: 24 bed Critical Access Facility
- Duties: Complete and accurate nursing assessments. Provided quality care to critically ill Pediatric, Adolescent, Adult, and Elderly patients. Participation in life resuscitation. Administered medications, Inserting urinary catheters, inserting NG tubes, enema, and IV insertion. Care of MI, Stroke, SOB, Abdominal pain, Fever, SZ, etc. Proficient in all EHR documentation, record maintenance, paperwork to ensure accuracy and patient confidentiality. All areas of major and minor surgical procedures performed in hospital environment.
- 24 bed Critical Access Facility
Education
Associates of Science - Nursing
National American University
Denver, CO12.2013
Certified Nurse Aide -
St. Luke's Ministry Nurse Aide Training Program
Denver, CO01.2010
Bachelor of Arts - Social Work And Social Admnistration(SWASA)
Makerere University, Uganda.
Kampala, Uganda03-1998
Skills
Clinical expertise in utilization management
Knowledge of evidence based practices
Ability to educate and evaluate appropriate treatment plans
Proven track record of success in reducing costs while maintaining quality care
Excellent communication and interpersonal skills
Certification
BLS, ACLS, PALS, NV, CO, MN, NM, AZ, CA RN licensed.
Timeline
Outpatient IOP/PHP Behavioral Clinic Nurse
Valley Hospital & Medical Center
02.2023 - Current
UM/RN Case Manager
Culinary Urgent Care
05.2020 - 12.2022
ER travel nurse
Seneca Healthcare District Hospital
02.2019 - 11.2019
Travel Nurse, ER RN
Northern Inyo Hospital
09.2018 - 12.2018
ER travel nurse
Banner Lassen
01.2018 - 07.2018
Travel RN - ER RN
Surprise Valley Community Hospital
02.2017 - 12.2017
Travel RN - ER RN
Pioneer Medical Center
04.2016 - 08.2016
Travel RN - ER RN
Havasu Regional Medical Center
11.2015 - 03.2016
Travel RN - ER RN
Rehoboth McKinley Christian Hospital
01.2015 - 10.2015
Travel RN - ER, Float to ICU, Med-surg
CHI LakeWood Health Center
12.2014 - 10.2015
Per Diem RN- Wellness RN
Summit Health
01.2014 - 10.2014
Emergency Room Staff RN
Nye Regional Medical Center
02.2013 - 11.2013
Per Diem staff Nurse
Advanced Medical Staffing
01.2013 - Current
Associates of Science - Nursing
National American University
Certified Nurse Aide -
St. Luke's Ministry Nurse Aide Training Program
Bachelor of Arts - Social Work And Social Admnistration(SWASA)
Makerere University, Uganda.
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