Christine Chaduka -Ngamalue
Aubrey,TX
Summary
Dedicated Registered Nurse with 9 years of experience in management, leadership and communication. Detail-oriented in problem-solving and planning. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. to make an immediate contribution to the organization.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Concurrent Review Nurse
Centene, Superior Health Services
01.2023 - Current
- Reviewed and documented relevant information into data system applications.
- Prepared and responded to requests for statistics and resource or service data.
- Contacted providers, state agency offices and applicants to obtain information and records needed to conduct comprehensive clinical review of case and final determination.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Determined and authorized services for patients in accordance with guidelines and regulations.
- Maintained professional, organized, and safe environment for employees.
- Established team priorities, maintained schedules and monitored performance.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches for over 100 members.
REGISTERED NURSE, BMT UNIT
UT Southwestern Medical Center
09.2022 - 01.2023
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Monitored patient reactions after administering medications and IV therapies.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans
- Coordinated with healthcare team to establish, enact and evaluate patient care plans
- Arranged placement of new patient admissions and transfers according to clinical standards and guidelines
- Trained over 10 nurses on patient care and daily tasks, supporting growth and professional development
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
REGISTERED NURSE, CARDIAC PROGRESSIVE CARE
Texas Health Harris Methodist Hospital Fort Worth
05.2022 - 09.2022
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments
- Collaborated with doctors to plan post-treatment home care and prevent return hospitalization
- Acted as patient advocate for over 30 patients and implemented total patient care through team nursing process
- Collaborates with physicians, unit manager, unit staff, and interdisciplinary team to ensure safe and timely discharge
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges
- Created safe and positive living situations for clients by communicating with family and other staff about concerns or challenges
UTILIZATION REVIEW NURSE, PRIOR AUTHORIZATION RN
Centene Corporation
08.2019 - 10.2021
- Served as liaison between members, providers, benefits and provide customer service
- Reviewed and update authorizations, applying timeliness guidelines
- Communicated with Medical director reviewer for complicated cases and follow up resolutions of referrals
- Verified member insurance eligibility and benefits
- Acted as member advocate addressing member or provider concerns
- Reviewed patient medical records and utilize clinical and regulatory knowledge and skills as well as knowledge of payer requirements to determine why cases are denied and whether appealing is required
- Drafted, submitted and tracked action on appeal letters, reconsideration and re-determination requests and other communication with medical payers on behalf of providers and patients
- Conducted prior-approval first level review for all requested out-patient physical, occupational and speech therapy, Home health and Durable Medical equipment (DME)
- Engaged with insurance agents regarding ICD-9, CPT codes and InterQual
- Demonstrated solid understanding of managed care trends, Medicare, and Medicaid regulations, reimbursement and effect on utilization and outcomes of different methods of reimbursement
- Completed documentation timely, completely, and accurately in accordance with eligibility & benefits, clinical guidelines/criteria, legal and regulatory requirements
- Collaborated with Care Coordination Medical Director for patients who do not meet criteria and informs Clinical Resource Manager/Director as needed
- Multitasked, prioritized to effectively adapt to fast-paced changing environment
- Very knowledgeable with computer skills which includes navigating multiple systems and keyboarding
- Navigated through internal/external computer systems, and MS Office Suite applications, including Word and Excel
- Collaborated with Case Managers and Concurrent Nurses in group meetings to identify issues and find cost-effective solutions
- Determined medical necessity and cost-effectiveness of services through utilization review processes
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations
REGISTERED NURSE, PACU
Health Trust Staffing
07.2018 - 08.2019
- Assessed patient's condition after any surgery has been performed
- Ensured that all vitals are within normal range
- Developed individualized care plans based on each individual patient's condition
- Ensured that all nursing activities are carried out in accordance to individual patient care plan
- Performed intervention duties in cases of post-operative emergencies
- Monitored patients for condition changes and report any changes to physicians
- Determined when patients are ready to be moved to their rooms
- Managed care for over 100 recovering patients
- Managed care from admission to discharge
Assistant Director of Nursing
Victoria Gardens Of Allen
07.2015 - 03.2019
- Supervised licensed practical nurses and unlicensed professionals
- Communicated with supervisors, health care providers, patients, and family members about patient needs and progress
- Applied clinical expertise in wound care, intravenous therapy, ventilation care, catheterization, and pain management techniques
- Maintaining reports of patients' medical histories, and monitoring changes in their condition
- Identified department issues to recommend corrective actions.
- Analyzed records data and reports in order to identify health care needs and deliver optimum patient care
- Acknowledged patient issues and resolved their problems quickly and efficiently
- Performed rounds to observe care and interview staff, residents, and families.
- Performed patient assessments to monitor expected response to medications and altering treatment plans
- Planned and assigned workload to 20-person nursing staff to direct patient care.
- Managed care for over 30 residents
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
REGISTERED NURSE, CARDIAC TELEMETRY
AMN Healthcare
06.2017 - 05.2018
- Assessed, monitors, records, reports, and follows through on symptoms or changes in patients' conditions
- Demonstrated thorough knowledge of and complies with all policies and procedures related to performance's of job duties
- Consulted and coordinated with healthcare team members to assess, plan, implement, evaluate, and modify plan of care, as indicated by patient's responses and conditions
- Interpreted and treated arrhythmias per ACLS protocol
- Intervened in cardiac arrest, pain management and management of complications of diseases and surgical procedures
- Performed intervention duties in cases of postoperative emergencies
- Assessed patients' condition after surgery has been performed
- Competent at handling patients with post-operative nausea and vomiting by ensuring that steps are taken to ward off respiratory pneumonia and other life-threatening conditions
REGISTERED NURSE, PROGRESSIVE CARE UNIT
Advantage Rn
07.2016 - 05.2017
- Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit
- Organized and managed care of patients undergoing various therapies and procedures
- Maintained quality care and comfort for patients with heart failure, pulmonary hypertension and other conditions
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
CHARGE REGISTERED NURSE
Baylor University Medical Center
07.2015 - 08.2016
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols
- Performed patient assessments and adjusted care plans accordingly
- Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern
- Documented medications administered, treatments and patient procedures performed in appropriate records according to privacy requirements
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
- Trained over 20 new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Documented information in patients' electronic medical record, relaying information to clinicians and care providers to facilitate continuity of care.
Education
Bachelor of Science - NURSING
Texas Tech University Health Sciences Center School of Nursing
Lubbock, TX05.2015
Skills
- Critical Thinking
- Patient Management
- Care Coordination
- Medication Administration
- HIPAA Guidelines
- Utilization Review
- Quality improvement
- Healthcare technology
- Staff management
- Epic systems
- Patient safety & satisfaction
- Conflict resolution
- Quality assurance
- Medical coding
- Utilization management
- Time management abilities
Certification
- Registered Nurse, 12/31/26
- BLS, 07/26
- ACLS, 07/26
Timeline
Concurrent Review Nurse
Centene, Superior Health Services
01.2023 - Current
REGISTERED NURSE, BMT UNIT
UT Southwestern Medical Center
09.2022 - 01.2023
REGISTERED NURSE, CARDIAC PROGRESSIVE CARE
Texas Health Harris Methodist Hospital Fort Worth
05.2022 - 09.2022
UTILIZATION REVIEW NURSE, PRIOR AUTHORIZATION RN
Centene Corporation
08.2019 - 10.2021
REGISTERED NURSE, PACU
Health Trust Staffing
07.2018 - 08.2019
REGISTERED NURSE, CARDIAC TELEMETRY
AMN Healthcare
06.2017 - 05.2018
REGISTERED NURSE, PROGRESSIVE CARE UNIT
Advantage Rn
07.2016 - 05.2017
Assistant Director of Nursing
Victoria Gardens Of Allen
07.2015 - 03.2019
CHARGE REGISTERED NURSE
Baylor University Medical Center
07.2015 - 08.2016
- Registered Nurse, 12/31/26
- BLS, 07/26
- ACLS, 07/26
Bachelor of Science - NURSING
Texas Tech University Health Sciences Center School of Nursing
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