Brittni Buerger
Holliday,TX
Summary
Accomplished Utilization Review Nurse and Emergency Room Registered Nurse at United Regional Health Care, adept in medical coding and critical thinking. Excelled in minimizing financial risks and improving patient outcomes through evidence-based practices. Demonstrated exceptional interpersonal communication and problem-solving abilities, ensuring efficient patient care and operational streamlining.
Overview
11
11
years of professional experience
Work History
Utilization Review Nurse, RN-BSN
United Regional Health Care
06.2019 - 09.2024
- Contributed to organizational success by providing expert advice on medical necessity criteria and evidence-based practices in utilization review nursing.
- Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Improved patient outcomes by meticulously reviewing patient records to ensure appropriate care levels.
Emergency Room Registered Nurse
United Regional Health Care
06.2013 - 09.2019
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assisted physicians during invasive procedures such as central line insertions or intubations, ensuring safe and accurate completion of tasks.
- Streamlined emergency room operations by efficiently triaging patients according to the severity of their condition.
Education
Bachelor Of Science In Nursing -
Midwestern State University
Wichita Falls, TX05.2013
Skills
- InterQual and Indicia Criteria
- Experience using Cortex and EPIC
- Medicare knowledge
- Inpatient Care
- Documentation And Reporting
- Interpersonal and written communication
- Medicaid knowledge
- Managed Care
- Medical Coding
- Time Management
- Medication and IV administration
- Problem-solving abilities
- Reliability
- Critical Thinking
Timeline
Utilization Review Nurse, RN-BSN
United Regional Health Care
06.2019 - 09.2024
Emergency Room Registered Nurse
United Regional Health Care
06.2013 - 09.2019
Bachelor Of Science In Nursing -
Midwestern State University
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