Crystal Carter
Sacramento,CA
Summary
Professional nurse with strong background in utilization management. Skilled in assessing patient care needs, coordinating treatment plans, and ensuring compliance with healthcare regulations. Known for effective collaboration with multidisciplinary teams and driving results in dynamic healthcare environments. Reliable and adaptive, with focus on quality outcomes and patient advocacy.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Case Manager/ Utilization Management
UC Davis Health
01.2018 - Current
- Conducted comprehensive chart reviews to assess medical necessity, ensuring optimal reimbursement levels for services rendered for concurrent and prior authorization review's.
Patient Care Resources/Critical Care Float Pool
UC Davis Medical Center
01.2010 - 01.2018
- Enhanced patient care by providing specialized critical care nursing services in multiple departments, including ICU, CCU , NSICU, Burn ICU and SICU.
Clinical Instructor
California State University School of Nursing
01.2016 - 04.2016
- Fostered a culture of safety within the learning environment by emphasizing proper use of equipment, infection control measures, and patient privacy guidelines.
MICU/CCU staff nurse
Glendale Adventist Medical Center
01.2008 - 01.2010
- Administered life-saving medications and therapies under strict protocols, guiding patients towards recovery from acute illnesses or injuries.
- Monitored hemodynamic parameters and analyzed complex data sets, making appropriate adjustments to treatment plans based on patient response.
Medical- Surgical Staff Nurse
Providence St. Joseph Medical Center
01.2004 - 01.2008
- Maintained accurate electronic medical records for all patients under my care, ensuring timely communication among healthcare team members.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Managed complex medication regimens for multiple patients simultaneously while ensuring accuracy in administration and timely delivery of prescribed treatments.
Home Health Staff Nurse
Accredited Home Health
01.2002 - 01.2004
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
Medical- Surgical Staff Nurse
Portsmouth Naval Hospital
01.1994 - 01.2001
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Maintained accurate and detailed records of patient assessments, treatments, and progress notes for seamless continuity of care.
Education
Master of Science Degree - Nursing
University of Phoenix
01.2015
Bachelor of Science - Nursing
University of Phoenix
01.2013
Skills
- Problem-Solving
- Case Management
- Case Documentation
- Organization and Multitasking
- Decision-Making
- Conflict Resolution
- Email and Telephone Etiquette
Personal Information
Title: Public Health Nurse-PHN/License RN, CCM
Education memberships
- Master of Science Degree in Nursing, University of Phoenix, 01/01/15
- Bachelor of Science in Nursing, University of Phoenix, 01/01/13
- AACN / Sigma Theta Tau, 01/01/15
Certification
- Certified Case Manager (CCM)
Timeline
Case Manager/ Utilization Management
UC Davis Health
01.2018 - Current
Clinical Instructor
California State University School of Nursing
01.2016 - 04.2016
Patient Care Resources/Critical Care Float Pool
UC Davis Medical Center
01.2010 - 01.2018
MICU/CCU staff nurse
Glendale Adventist Medical Center
01.2008 - 01.2010
Medical- Surgical Staff Nurse
Providence St. Joseph Medical Center
01.2004 - 01.2008
Home Health Staff Nurse
Accredited Home Health
01.2002 - 01.2004
Medical- Surgical Staff Nurse
Portsmouth Naval Hospital
01.1994 - 01.2001
Bachelor of Science - Nursing
University of Phoenix
- Certified Case Manager (CCM)
Master of Science Degree - Nursing
University of Phoenix
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