Casey Knight
Registered Nurse
Sanford,FL
Summary
Looking for the opportunity to use my clinical expertise and leadership abilities as a Utilization Management Nurse Manager. Aiming to bring my organizational, problem-solving, and communicative skills to assist in the management of staff; while ensuring efficiency of the department therefore contributing to the success of the health care organization.
Overview
25
25
years of professional experience
Work History
Utilization Review Nurse
AdventHealth
Maitland, FL
08.2018 - Current
- Evaluates medical guidelines and benefit coverage to determine appropriateness of services.
- Performs prior authorization review of services requiring notification.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed admission reviews based for medical necessity based upon Medicare guideline specification.
- Supervised and maintained all utilization review documentation through Cortex and Epic.
- Performed admission reviews based for medical necessity based upon Medicare guideline specification.
- Served as subject matter resource, providing information related to Observation case situations.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
Clinical Documentation Specialist
AdventHealth
Orlando, FL
04.2012 - 08.2018
- I am responsible for reviewing in-house adult and pediatric patient charts to ensure the physician’s documentation is clear, concise, and accurate
- I work closely with the physicians to assist in providing the appropriate diagnoses needed to reflect the patient’s severity of illness and risk of mortality
- I also provide education to the physicians, and other health care providers on any new updates for ICD10 coding guidelines
- Thorough chart review and proficient with IC-10 coding and guidelines
- Good verbal and written communication skills with physicians and other health care providers
- Works closely with case management, physicians, and the coding department
- Provides approximated length of stay to case workers, and physicians based on patient diagnosis, severity of illness, and risk of mortality
- Skillful with Excel, Word, Cerner, PowerPoint, Outlook, Clintegrity, and Iodine
- Member of the Florida Hospital Innovation Lab Onboarding project
- Helped design a CDI orientation Onboarding program for all new hire physicians and providers.
- Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
- Reviewed medical records and summarized care.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Evaluated patient histories, complaints, and current symptoms.
- Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
- Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
- Processed records quickly to avoid delays and keep workflows running smoothly.
- Managed electronic clinical documentation and uploaded changes or updates using Software.
Perioperative Nurse
Rapid, Florida Hospital South
Orlando, FL
01.2011 - 01.2017
- Implement time sensitive preoperative readiness to multisystem surgical patients including cardiac, and vascular to both adult and pediatric patients
- I also work closely with surgeons and anesthesiologist regarding patient care and treatment
- Chart review for pre-operative patients
- Performance improvement projects
- Chart audit
- Drawing Blood
- Starting intravenous lines 18-16 gage
- Carrying out surgical orders
- Administering preoperative and postoperative medications
- Proficient time management skills
- Provide preoperative and postoperative teaching to both patents, family and parents
- Provide spiritual and emotional support to patients and family
- Postoperative incision care and patient assessment
- Obtaining EKG’s from both adults and children
- Co-chair NPC member.
Emergency Staff Nurse
Florida Hospital South
Orlando, FL
01.2004 - 01.2011
- Delivered a complete range of nursing services to patients with life threatening illnesses and traumas
- I became proficient in many cardiac, sedative, and lifesaving medications
- I also advanced my knowledge in EKG rhythms, and telemetry while becoming highly experienced with Code Stemi / Code Grey patients and other protocols
- Triage Nurse with exceptional assessment skills, and communication to both patient and family
- Implemented the GRI process of decreasing metric “Door to Discharge” within my department
- Active member with Nurse Practice Council
- Actively involved with the Grass Roots Initiative
- Proud member of the Emergency Moral Committee
- A committee that strives in proving a positive and fun environment to the department
- Encouraging staff members and family to come together out of work, giving positive reinforcement to staff members, and celebrating member’s life successes while providing a happy and safe work environment
- Active within the Lean Track process with relief charge responsibilities
- Current Champion for Trans Life that provides information and guidance related to Trans Life patients and prospects
- Current Champion for blood product administration and documentation.
Staff Nurse, Medical
Surgical, PCU - Florida Hospital Altamonte
Altamonte Springs, FL
01.2001 - 01.2004
- Provided care to patients suffering from multiple system illness on a telemetry floor
- Other responsibilities included providing nursing care for five to six patients per scheduled shift
- Some of my duties included passing medications, preparing patients for surgeries, extensive wound and respiratory care, telemetry, and provide emotional support to the patient and family
- Received my CN2 with certification in Pulmonary Nursing and specializing in Pneumonia care
- Preceptor for new hire and Graduate nurses
- Provided before and after care to surgical patients as well as orthopedic cases.
Staff Nurse, Medical / Surgical
Florida Hospital Waterman
Eustis, FL
01.1999 - 01.2001
- I administered nursing care for up to eight patients per scheduled shift
- My duties included passing medications, extensive wound care, telemetry, and relief charge
- I also administered Chemotherapy to the patients on my unit as well as the rest the hospital as needed
- Received Certification in Chemotherapy.
Education
Bachelors of Science - Nursing
Grand Canyon University
Associates of Science - Registered Nursing
Daytona Beach Community College
Associates of Arts - General Education
Daytona Beach Community College
High School Diploma - undefined
Deltona High School
Skills
Preceptor for new hire and Graduate nurses
Proficient in medical record review
Microsoft Word, Excel, EMR systems, and Microsoft OfficeProficient In EPIC software
Proficient in CORTEX software
Proficient in Microsoft
Process improvements
Record auditing
Documentation compliance
Exemplary communication skills
Clinical documentation management
Medical terminology
EMR / EHR
Adept multi-tasker
Medical terminology expert
Patient chart auditing ability
Hospital inpatient and outpatient records
Timeline
Utilization Review Nurse
AdventHealth
08.2018 - Current
Clinical Documentation Specialist
AdventHealth
04.2012 - 08.2018
Perioperative Nurse
Rapid, Florida Hospital South
01.2011 - 01.2017
Emergency Staff Nurse
Florida Hospital South
01.2004 - 01.2011
Staff Nurse, Medical
Surgical, PCU - Florida Hospital Altamonte
01.2001 - 01.2004
Staff Nurse, Medical / Surgical
Florida Hospital Waterman
01.1999 - 01.2001
Bachelors of Science - Nursing
Grand Canyon University
Associates of Science - Registered Nursing
Daytona Beach Community College
Associates of Arts - General Education
Daytona Beach Community College
High School Diploma - undefined
Deltona High School