High achieving, insightful registered nurse with diverse experience, interested in a remote position working in healthcare or insurance industry, communicating with patients, and providing them with exceptional care and support; Background includes hospital and clinic work as well as triage, and prior authorization expertise
Triage nurse in highly reputable facility for rheumatology/autoimmune clinic. This position included fielding phone calls/computer messages from patients, providers, insurance companies and other healthcare entities related to patients plan of treatment and medications; obtained prior authorization for medications (primarily biologic's, but some more routine drugs, depending on the insurance requirements); communicated directly with insurance companies, infusion companies, specialty pharmacies, as well as equipment companies and home health agencies; drafted letters for patients when a specific request or need was identified;
Telephone calls to patients having upcoming GI procedures, reviewing health history, medications, and identifying need for clearances by other specialists prior to procedure(s); determined need for any medical reason to postpone procedure(s); acted on behalf of anesthetists to garner information which would prevent patient from having procedure(s) done at an outpatient facility; educated patients regarding diet/NPO status, medications to take and those to hold, as well as general instructions regarding pre and post op care.
Employed as a full-time RN on a 35 bed (approximate) medical-surgical unit; provided routine nursing care to patients with various disease processes including diabetes, heart failure, pneumonia, complicated wounds, and many infectious diseases