Cheryl Vaughan
Tyler,TX
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Pre Op Nurse
Christus Trinity Mother Frances Hospital
03.2022 - Current
- Provided pre-operative care to patients by conducting patient assessments, obtaining vital signs and medical histories.
- Administered medications and IV fluids to monitor reactions, side effects and adverse effects.
- Educated patients and families on pre-operative instructions, such as fasting and medications.
- Reviewed patient charts for accuracy prior to surgery and communicated any discrepancies to appropriate personnel.
- Maintained accurate records of patient information and data related to pre-operative activities.
- Administered intravenous fluids or medication when necessary for optimal patient outcomes.
- Consulted with anesthesiologists regarding the type of anesthesia needed based on individual patient needs.
- Adhered to infection control policies while providing care in order to minimize risk of contamination or spread of disease.
- Assisting Anesthesia with Interscalene Nerve Blocks Administer IV Sedation
- Collaborated with members of the interdisciplinary team such as nurses, technicians and anesthesiologists throughout the perioperative period.
Utilization Review Nurse
Christus Trinity Mother Frances Hospital
03.2021 - 03.2022
- Assessed patient medical records to determine the appropriateness of requested services and procedures.
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Analyzed data from patient surveys, interviews and other sources to assess healthcare service quality.
- Provided education to providers regarding utilization management processes and protocols.
- Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Generated reports related to utilization management activities such as length of stay trends, denials rates.
- Performed discharge planning including referrals for post-acute care services when appropriate.
- Identified opportunities for improvement within the utilization review process through data analysis.
- Coordinated with other departments within the organization regarding changes in policy or procedure implementation.
Care Coordinator
Compassus Hosp
09.2020 - 03.2021
- Conducted initial assessments and evaluations of patient's needs.
- Provided case management services to ensure the delivery of quality care.
- Coordinated with other health professionals to develop individualized plans of care for patients.
- Monitored and evaluated patient progress, adjusting treatment plans as needed.
- Maintained accurate client records in accordance with agency policies and procedures.
- Assisted in the development of discharge plans for clients transitioning out of care programs.
- Facilitated referrals to community resources such as housing, transportation, employment opportunities.
- Attended meetings with families and other members of the interdisciplinary team to discuss patient progress and plan for future interventions.
- Provided crisis intervention services when needed.
- Developed individualized service plans based on assessment findings.
- Supported clients during hospital admissions and discharges.
Primary Nurse Case Manager
Horizon Blue Cross Blue Shield of NJ
09.2017 - 07.2020
- Assessed clients' needs, developed service plans and monitored progress towards goals.
- Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
- Developed individualized care plans with input from clients and their families.
- Collaborated with medical professionals to coordinate treatment plans for clients.
- Acts as a clinical resource educator for the multi-disciplinary healthcare team on an ongoing basis.
- Monitored client progress through regular follow-up contacts.
- Works with a diverse Medicare/Medicaid population, applies nationally recognized criteria such as Milliman to all cases.
Case Manager Utilization Review
JFK Medical Center
06.2016 - 09.2017
- Assessed clients' needs, developed service plans and monitored progress towards goals.
- Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
- Provided crisis intervention support for clients in emergency situations.
- Developed individualized care plans with input from clients and their families.
- Collaborated with medical professionals to coordinate treatment plans for clients.
- Maintained accurate case records and documentation according to agency guidelines.
- Counseled clients on available resources within the community that could help meet their needs.
- Provided referrals to appropriate health care providers or other community resources.
- Monitored client progress through regular follow-up contacts.
Pre-Op/Circulating OR Nurse
RWJ Endosurgical Center
08.2015 - 06.2016
- Administered medications and IV fluids to monitor reactions, side effects and adverse effects.
- Responded to distress and adverse indications to prevent emergent conditions and stabilize patients.
- Maintained sterile surgical environment and secured confidential data to protect patients' health and privacy.
- Evaluated patients to detect contraindications before anesthesia or scheduled surgery.
- Documented procedure plans, surgery notes and progress updates to facilitate communication among healthcare providers.
- Communicated medical information and discharge instructions to patients and families to reduce return visits.
- Evaluated patient histories, complaints, and current symptoms.
- Assisted MD in OR during EGD/Colonoscopy, Bravo and Pain Management
Pre-Op Nurse
Center For Advanced Surgery And Pain Management
06.2013 - 09.2015
- Opening the Surgical Center
- Accurate Assessments
- Administered IV/PO medications and IV fluids to monitor reactions, side effects and adverse effects.
- Assisting Anesthesia with Interscalene Nerve Blocks
- PAT's
- IV start on children ages 8 and above
Pre-Op/PAT/Circulating Endoscopy Nurse
Center For Ambulatory/Minimally Invasive Surgery
05.2012 - 06.2013
- Opening the Surgical Unit
- Assessments
- IV Starts, Patient Teaching
- Dispensing of and Monitoring Patients receiving IV/PO Medication pre operative
- Circulating/Assisting MD during EGD/Colonoscopy procedures
- IV Conscious Sedation, Cardiac monitoring during and after procedure
- PAT's
Endoscopy Nurse
Richmond University Medical Center
06.2000 - 05.2012
- Assessing/Teaching Patients PreOp
- IV/PO Medication administration
- Circulating/Assisting MD during EGD/Colonoscopy
- Evaluated patient histories, complaints, and current symptoms.
- Monitored patient reactions after administering medications and IV therapies.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Managed patients recovering from medical or surgical procedures.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
Floating Professional RN
St. Vincent's Medical Center That Became Richmond
05.1995 - 06.2000
- Assignments in Critical Care Units, ER, Medicine, Surgery, Pediatrics, Adult Clinics, Urge Care Center, Endoscopy Recovery, Oncology Units, Telemetry Units, Mechanical Ventilator Experience, Maternity Ante Partum, Postpartum and Peritoneal Dialysis Units
- Managed care from admission to discharge.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Organized and managed care of patients undergoing various therapies and procedures.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Neurological Science
St. Vincent's Medical Center
07.1992 - 05.1995
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Managed patients recovering from medical or surgical procedures.
- Monitored patient reactions after administering medications and IV therapies.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
- Recorded details regarding therapies to keep patient charts updated.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Education
Diploma in Nursing - Nursing
St Vincent's School of Nursing
Staten Island, NY05.1991
Associate of Science - Nursing
College of Staten Island
Staten Island, NY05.1991
Skills
- Critical Thinking
- Communication
- Data Management
- Planning and Coordination
- Friendly, Positive Attitude
- Time Management
- Problem Solving
- Reliable and Trustworthy
- Decision-Making
Certification
IV Conscious Sedation
BLS, ACLS, PALS Certified
Hold Multistate Texas, New York, New Jersey Registered Professional Nurse License
Member of American Nurses Association
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Pre Op Nurse
Christus Trinity Mother Frances Hospital
03.2022 - Current
Utilization Review Nurse
Christus Trinity Mother Frances Hospital
03.2021 - 03.2022
Care Coordinator
Compassus Hosp
09.2020 - 03.2021
Primary Nurse Case Manager
Horizon Blue Cross Blue Shield of NJ
09.2017 - 07.2020
Case Manager Utilization Review
JFK Medical Center
06.2016 - 09.2017
Pre-Op/Circulating OR Nurse
RWJ Endosurgical Center
08.2015 - 06.2016
Pre-Op Nurse
Center For Advanced Surgery And Pain Management
06.2013 - 09.2015
Pre-Op/PAT/Circulating Endoscopy Nurse
Center For Ambulatory/Minimally Invasive Surgery
05.2012 - 06.2013
Endoscopy Nurse
Richmond University Medical Center
06.2000 - 05.2012
Floating Professional RN
St. Vincent's Medical Center That Became Richmond
05.1995 - 06.2000
Neurological Science
St. Vincent's Medical Center
07.1992 - 05.1995
Diploma in Nursing - Nursing
St Vincent's School of Nursing
Associate of Science - Nursing
College of Staten Island
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