Dedicated and compassionate registered nurse skilled at completing daily assignments and contributing to team success. Always willing to take on any task while exhibiting leadership skills. Adapts quickly to new needs, policies and procedures.
Overview
10
10
years of professional experience
Work History
Utilization Review Nurse
Cigna
08.2022 - Current
Submitted cases for criteria failures and helped facilitate resolutions and approvals.
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Performed prior authorization review of services requiring notification.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Registered Nurse
Liken Home Care
12.2021 - 04.2022
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.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Registered Nurse
Davita Dialysis
05.2021 - 08.2021
Team player that help with all portions of care while collaborating with other teammates from the moment the patient signed in until treatment was completed
Helped patients feel comfortable and at ease with treatments and care using culturally-appropriate strategies
Protected patients through careful monitoring and consistent use of aseptic techniques
Developed and implemented treatment plans for patients with various acute and chronic concerns.
Registered Nurse Case Manager
Concordia
09.2019 - 05.2021
Coordinating all care between hospitalized and newly discharge patients with their pcp or specialist
Helped to organize patient care activities between all modalities such as physical therapy, occupational therapy and speech therapy
Worked closely with insurance department to obtain all proper documentation to be able to continue care
Scheduled all follow up appointments within an appropriate amount of time to keep the continuity of care
Verified all prescriptions and orders with drs and ensuring appropriate and necessary changes are made
Demonstrated extensive documentation on all visits, including start of care, resumption of care, discharge and recerts, to ensure proper reimbursement from insurance and continuing care
Achieved team efficiency, optimal patient flow, and accuracy in treatments by maintaining accurate and detailed reports and records
Administered medications to patients and monitor patients for reactions or side effects to quickly intervene in serious issues
Enhanced patient outcomes through careful monitoring of conditions and comprehensive support
And extensive case management.
Registered Nurse
Encompass Health
07.2018 - 09.2019
Enhanced patient outcomes through careful monitoring of conditions and comprehensive support
Resolved or reduced patient symptoms with intramuscular, intravenous and oral medicines
Worked effectively with diverse team to accomplish daily objectives and meet long-term goals.
Registered Nurse
Discovery House
03.2019 - 05.2019
Administered medications to patients and monitor clients for reactions or side effects to quickly intervene in serious issues.
Customer Service Advocate
Cigna
05.2014 - 06.2018
Independent, work from home, customer service advocate for a top-leading insurance company
Moral Team Leader that kept teammates motivated and positive with weekly meeting about surveys, kudos and parties celebrating our success
Elected for chat support twice for teammates to outreach in regards to any questions they or the customers may have
Exhibited leadership skills by being nominated for the escalation team where I would work with customers to resolve and issues and find proper answers or outcomes
Exceeded inbound customer needs while maintaining strict performance targets
Helped aid in quality improvement processes by educated the patient on policies and procedures
Filed level 1 and level 2 appeals for customers who claims were denied
Followed up with customers about any discrepancies or issues with the product
Helped improve processes and products by relaying customer feedback
Assisted customers by listening closely, finding solutions to problems and making recommendations based on extensive product knowledge
Yearly volunteering for STEM projects focusing on girls participation.