Summary
Self-motivated, detailed oriented seasoned ICU RN with 20 years of diverse experience My clinical background demonstrates my excellent communication skills and attention to detail in high stress environments. I recently obtained utilization review experience with Remote Learning Services. I have a solid knowledge base, high level critical thinking and ability to apply evidence-based guidelines during the determination process. My clinical knowledge as a full time Float RN has also given me the foundation that is needed in utilization review in critical acute, chronic and emergent conditions.
Overview
19
19
years of professional experience
1
1
Certification
Work History
RN, ICU and FT FLOAT
Self Regional Hospital
Greenwood, SC
07.2018 - Current
- Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
- Organized and managed care of patients undergoing various therapies and procedures.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Contributed substantially to successful department accreditation by consistently operating to highest standards of care.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Therapeutic communication in English/Spanish.
RN Staff Nurse, Float
University Of Toledo Medical Center
Toledo, OH
05.2015 - 06.2018
- Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies, and methods to improve health and meet recovery goals.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.
- Therapeutic communication in English/Spanish.
LPN Charge Nurse
Brookdale Sterling House And Clare Bridge
Bowling Green, OH
05.2014 - 10.2014
- Assisted in coordinating transfers, discharges and admissions to establish smooth transition of patients.
- Documented patient care plans and progress to enable tracking history and maintain updated records.
- Participated in development and implementation of quality improvement initiatives to raise healthcare standards.
- Maintained and promoted autonomy and rights of patients to provide protection and enforce dignity and respect.
- Reviewed patient history to verify conditions and current medications.
LPN Charge Nurse
Heatherdowns Rehabilitation
Toledo, OH
10.2014 - 05.2015
- Assisted in coordinating transfers, discharges and admissions to establish smooth transition of patients.
- Documented patient care plans and progress to enable tracking history and maintain updated records.
- Collaborated with interdisciplinary teams to establish proper patient care and provide education to patients and family members.
- Reviewed patient history to verify conditions and current medications.
- Developed and implemented individualized patient care plans.
LPN Charge Nurse- Pediatric
Home Care Network
Perrysburg, OH
09.2012 - 03.2014
- Participated in development and implementation of quality improvement initiatives to raise healthcare standards.
- Collaborated with interdisciplinary teams to establish proper patient care and provide education to patients and family members.
- Evaluated patient histories, complaints, and current symptoms.
LPN-HYPERBARIC TEC/LPN Wound Care Nurse
Wood County Hospital
Bowling Green, OH
11.2008 - 09.2012
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Performed prior authorization of services requiring notifications with 99% approval increasing patients healing rates.
- Evaluated medical guidelines & benefit coverage to determine appropriateness of service.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Performed as Safety Director for Wound Care/Hyperbaric department.
- Cross Trained and maintained nurse and physicians certifications to meet Undersea and Hyperbaric Medical Society UHMS standards for FDA approved HBO treatment.
- Developed spreadsheets of prerequisites for HBO and specialty wound care products for all benefit coverages.
- Translated English-Spanish in Diabetic Education Department.
LPN-Staff Nurse ER
Houston County Community Hospital
Erin, TN
07.2004 - 10.2008
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Coordinated patient transfers to other facilities.
- Evaluated patient histories, complaints, and current symptoms.
- Trained staff in Emergency Management as Pandemic Flu Coordinator: Utilized National Incident Management system NIMS and Hospital Incident Command System HICS.
- Assessed Quality Assurance as CMS Assistant Coordinator, utilizing Content Management System CMS
- Offered therapeutic communication in English/Spanish.
Education
Utilization Review 101
04.2023
Taught by Marie Peppers LPN and Judy Clarke, RN
Associate Degree In Nursing - Nursing
05.2015
Associate of Science - Science Education
Skills
- Utilization Review
- Quality Chart Review
- Care Coordination
- Admission/Discharge Reviews
- Appeals/Denials
- Medicare/Medicaid
- Knowledge of Claims/Billing
- Concurrent Reviews
- Retroactive Reviews
- Pre authorization
- EMR/EHR-Systems
- Intensive Care Unit
- Emergency Department
- Behavioral Health Department
- Managed Care
- Time Management
- Attention to Detail
- Critical Thinking
- Microsoft Office/Excel
- Telemetry
- Therapeutic Communication English/Spanish
- Excellent Customer Service
- Project Management
- Hyperbaric Oxygen Therapy HBO
- Wound Care Department
Certification
- Hyperbaric Oxygen Therapy HBO Technician
- Wound Care Specialist
- Daisy Award for Extraordinary Nurse 2021
Military
Nuclear Biological Chemical - NBC Officer, US ARMY
Honorable Discharge, Army Commendation Medal - ARCOM, 3 separate awards, Airborne Parachutist Badge, German Armed Forced Badge for Military Efficiency
License
Registered Nurse, South Carolina- Current #244821R COMPACT
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
RN, ICU and FT FLOAT - Self Regional Hospital
07.2018 - Current
RN Staff Nurse, Float - University Of Toledo Medical Center
05.2015 - 06.2018
LPN Charge Nurse - Heatherdowns Rehabilitation
10.2014 - 05.2015
LPN Charge Nurse - Brookdale Sterling House And Clare Bridge
05.2014 - 10.2014
LPN Charge Nurse- Pediatric - Home Care Network
09.2012 - 03.2014
LPN-HYPERBARIC TEC/LPN Wound Care Nurse - Wood County Hospital
11.2008 - 09.2012
LPN-Staff Nurse ER - Houston County Community Hospital
07.2004 - 10.2008
Remote Learning Services, LLC - , Utilization Review 101
Excelsior College - Associate Degree In Nursing, Nursing
New Mexico Military Institute - Associate of Science, Science Education
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