Bryan Faulkner
Malvern,AR
Summary
Dynamic Utilization Review Nurse at Levi Hospital with expertise in prior authorization and a proven track record of enhancing patient care quality. Skilled in documentation and communication, I successfully minimized financial risks and improved staff efficiency through targeted training and quality improvement initiatives. Compassionate and detail-oriented, I excel in care coordination and problem-solving.
Healthcare professional with substantial experience in utilization review and patient care management. Known for precision in evaluating patient treatment plans and making critical decisions to optimize resource use. Valued team collaborator with focus on achieving impactful results and adapting to dynamic healthcare environments.
Experienced with conducting thorough utilization reviews to ensure effective resource use and patient care. Utilizes clinical judgment to assess and recommend appropriate treatment plans. Track record of ensuring compliance with healthcare regulations and improving patient outcomes.
Professional nurse with extensive experience in utilization review. Skilled in analyzing patient care and ensuring compliance with healthcare regulations. Strong focus on team collaboration and achieving optimal patient outcomes. Adaptable and reliable, excelling in dynamic environments requiring precise decision-making and effective communication.
Overview
12
12
years of professional experience
Work History
Utilization Review Nurse
Levi Hospital
01.2024 - 06.2025
- Performed prior authorization review of services requiring notification.
- Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
- Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.
- Increased staff efficiency by providing ongoing education on proper documentation techniques necessary for accurate claims processing.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Promoted positive outcomes with proactive assessment of patients'' needs and development of targeted interventions to address identified barriers to recovery.
- Conducted training sessions for new nurses, enhancing team's review capabilities.
- Monitored patient care outcomes to identify trends and areas for improvement.
Intake Coordinator
Levi Hospital
01.2023 - 01.2024
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- Reduced errors in patient data entry with thorough verification processes and attention to detail.
- Completed intake assessment forms and filed clients' charts.
- Collaborated with healthcare professionals to ensure patients received appropriate services and resources.
- Contributed to a positive work environment through effective teamwork and open communication among colleagues.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Expedited critical cases through close coordination with clinical teams, reducing wait times for essential services.
LPN
Levi Hospital
07.2016 - 01.2023
- Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
- Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards.
- Implemented infection control measures, ensuring a clean and safe environment for patients and staff.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Assisted with admissions, appointments, transfers, and discharges.
- Obtained patient vital signs and input/output measurements from inpatients.
LPN
Brookfield Assisted Living
03.2014 - 06.2016
- Administered controlled narcotics, inserted IVs, and performed catheterizations.
- Performed wound care treatments using sterile techniques, promoting healing and preventing complications.
- Cared for wounds, provided treatments, and assisted with procedures.
- Reduced medication errors by accurately administering medications and diligently verifying patient information.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
LPN
CHI Hospital
08.2013 - 03.2014
- Adhered to treatment plan instructions when administering medications and treatments to patients.
- Improved patient outcomes by providing high-quality nursing care and closely monitoring vital signs.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Comforted and counseled patients and families throughout care process.
Education
LPN - Nursing
National Park Community College
Hot Springs, AR05-2013
Skills
- Documentation and reporting
- InterQual criteria
- Utilization review
- Records analysis
- Prior authorization
- Insurance verification
- Quality improvement
- Managed care
- Discharge planning
- Utilization management
- Communication
- Performing assessments
- Attention to detail
- Problem-solving abilities
- Compassionate and caring
- Multitasking Abilities
- Basic life support
- Reliability
- Excellent communication
- Critical thinking
- Strong clinical judgment
- Direct patient care
- CPR certification
- Organizational skills
- Team collaboration
- Active listening
- Effective communication
- Decision-making
- Safety protocols
- Care coordination
Timeline
Utilization Review Nurse
Levi Hospital
01.2024 - 06.2025
Intake Coordinator
Levi Hospital
01.2023 - 01.2024
LPN
Levi Hospital
07.2016 - 01.2023
LPN
Brookfield Assisted Living
03.2014 - 06.2016
LPN
CHI Hospital
08.2013 - 03.2014
LPN - Nursing
National Park Community College
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