Dana Parson
Amarillo
Summary
Dynamic Concurrent Review Nurse with extensive experience at Superior Health Plan, excelling in utilization review and regulatory compliance. Proven ability to advocate for patients while collaborating with multidisciplinary teams to enhance care outcomes. Skilled in clinical assessment and discharge planning, ensuring optimal resource utilization and member satisfaction.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Concurrent Review Nurse
Superior Health Plan/ Centene
Austin
01.2012 - Current
- Monitored utilization review activities for the appropriateness of services provided by healthcare providers in the acute care and post-acute care settings.
- Provided guidance on utilization review decisions when requested by providers.
- Actively participated in utilization review activities such as concurrent review, discharge planning and pre-authorization requests.
- Performed administrative tasks such as preparing reports on utilization review activities or reviewing personnel files for accuracy.
- Collaborated with internal departments, such as Medical Management and Case Management teams, on complex cases.
- Collaborated with providers regarding utilization review activities.
- Defined and applied utilization review methods to guarantee conformance with medical coverage plans.
- Established and maintained relationships with external vendors providing utilization review services.
- Participated in utilization review activities by providing clinical expertise related to appropriateness of admissions and length of stay decisions.
- Responded promptly to inquiries from internal departments such as patient accounts, health information management or utilization review.
- Provided input into process improvement initiatives designed to enhance efficiency in the Utilization Review Department.
- Attended continuing education courses related to case management topics such as chronic illness management, utilization review techniques and ethical considerations.
- Performed utilization review and concurrent care management services to ensure appropriate use of resources and compliance with regulatory requirements.
- Ensured compliance with regulatory standards concerning utilization review, ethical decision-making, and legal aspects of member management practice.
- Utilized evidence-based guidelines to support utilization review decisions and recommendations.
- Participated in multidisciplinary teams to develop policies related to formulary management and utilization review processes.
- Ensured compliance with applicable state and federal guidelines related to utilization review activities.
- Participated in multidisciplinary team meetings to discuss patient care issues and utilization review findings.
- Ensured timely submission of reports related to financial performance or utilization review requirements.
RN Floor Nurse
Plum Creek Specialty Hospital
Amarillo
05.2011 - 01.2012
- Ensured accurate documentation of patient records according to hospital policy.
- Collaborated with multidisciplinary team members to ensure best possible outcomes for the patient's recovery.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Participated in interdisciplinary rounds on each assigned unit at least once per week.
- Instructed patients on pre-and post-operative care instructions, diet modifications, medications and self-care techniques.
- Responded to medical emergencies promptly and provided life-saving interventions when necessary.
- Provided emotional support to patients and their families during difficult times.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.
- Developed individualized plans of care based on assessment data that addressed identified problems or needs.
- Communicated effectively with all levels of personnel within the healthcare setting regarding patient care issues.
- Stocked clinical workstations and procedure rooms with necessary supplies.
- Maintained a safe environment for staff members and patients through infection control practices or safety protocols.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Initiated admissions, transitions and discharges by communicating with colleagues as well as patients and family members.
- Assessed and monitored patients' health condition, including vital signs, physical assessments, and laboratory test results.
- Educated families about nutrition, hygiene needs and home safety measures for successful discharge planning.
- Utilized evidence-based guidelines while providing quality nursing care services.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Promoted continuity of care by accurately communicating patient information during shift change report times.
- Supervised CNAs and other staff delivering care in setting by coaching and supporting.
Procedures Nurse/Clinic Nurse Manager
Amarillo Heart Group
Amarillo
06.2003 - 04.2011
- Collaborated with other healthcare professionals to develop individualized plans of care for each patient.
- Advocated for patients by supporting and respecting basic rights, values, and beliefs.
- Educated patients, caregivers and families on diagnoses, treatment options and disease prevention.
- Responded quickly and effectively to changes in condition or response to treatment.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Participated in quality improvement initiatives in order to improve patient outcomes.
- Educated patients on their medical condition, treatment plans, and self-care management techniques.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Provided emotional support to patients and their families during difficult times.
- Delivered compassionate care to increase comfort and psychological, social and spiritual well-being.
- Answered patient and family questions to educate on optimal treatment procedures.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Mainatined ACLS ecucational program for the facility physicians and staff
RN/Charge Nurse
Northwest Texas Hospital
Amarillo
12.1998 - 06.2003
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
- Educated patients and families on health care needs, conditions, and options.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Identified potential safety hazards in the environment or among patients' behaviors.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Managed complex cases involving multiple diagnoses or treatments.
- Stocked clinical workstations and procedure rooms with necessary supplies.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Participated in quality improvement initiatives to enhance patient care outcomes.
- Recorded patient condition, vital signs, recovery progress and medication side effects.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Participated in continuing education programs related to nursing practice.
- Provided direct nursing care to patients, including administering medications, wound care, and IV therapy.
- Assisted doctors during medical procedures.
- Ensured compliance with infection control policies and procedures.
- Educated patients on health maintenance, disease prevention, and treatment options.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Monitored patients after surgery, answered questions, and provided home care strategies.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Monitored vital signs, such as blood pressure, temperature, respiration rate, pulse rate and weight.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Maintained personal and team compliance with medication administration standards and patient care best practices.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Carried out physician orders regarding tests or medication administration accurately and safely.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Performed physical examinations and assessments of patients' medical histories.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Collaborated with physicians in developing patient-specific treatment plans. Maintained staffing and support of a team of nurses and aides in a critical care environment.
- Advocated for staff with management, as well as physicians and patients' families.
Charge Nurse
Memorial Hospital West
Dumas
06.1996 - 11.1998
- Ensured compliance with infection control protocols throughout the facility.
- Assisted with admission and discharge planning for assigned patients.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Built and maintained strong working relationships between nursing department and other disciplines.
- Implemented safety protocols when administering medications or performing treatments.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Conducted daily rounds to assess patient conditions, evaluate progress towards goals, and document changes in status or plan of care as needed.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Coordinated communication between physicians and other healthcare professionals regarding patient care.
- Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
- Audited patient charts in real-time, verifying accuracy and completion of information.
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
- Managed inventory of medical supplies and equipment.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Advised, coached and mentored experienced and student nurses on medical issues, crisis management, and appropriate nursing interventions.
- Delegated tasks appropriately among staff members according to their qualifications.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Monitored vital signs, medication administration, and fluid balance for assigned patients.
- Provided direct patient care, including assessments and treatments, to a variety of patients.
- Complied with OSHA programs, maintaining safe and clean working environment.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Supervised Registered Nurses, Licensed Practical Nurses and Certified Nursing Assistants.
Education
Associate of Science - Nursing
Amarillo College
Amarillo, TX12-1995
Skills
- Utilization review
- Case management
- Regulatory compliance
- Patient advocacy
- Discharge planning
- Clinical assessment
- Evaluation and assistance with policies and procedures
- Establish and maintain relationships with providers
- Advocate for members' needs in the acute care and post-acute care settings
- Monitor and assist as needed with discharge planning for members
- Worked with multiple teams for members' well-being
Certification
- Current Texas Registered Nurse compact License in good standing.
Timeline
Concurrent Review Nurse
Superior Health Plan/ Centene
01.2012 - Current
RN Floor Nurse
Plum Creek Specialty Hospital
05.2011 - 01.2012
Procedures Nurse/Clinic Nurse Manager
Amarillo Heart Group
06.2003 - 04.2011
RN/Charge Nurse
Northwest Texas Hospital
12.1998 - 06.2003
Charge Nurse
Memorial Hospital West
06.1996 - 11.1998
Associate of Science - Nursing
Amarillo College
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