Summary
Overview
Work History
Education
Skills
Timeline
Generic

Dawn Goldsmith

Warminster,PA

Summary

Healthcare professional with substantial experience in utilization review and patient care management. Known for precision in evaluating patient treatment plans and making critical decisions to optimize resource use. Valued team collaborator with focus on achieving impactful results and adapting to dynamic healthcare environments. Proficient in providing clear and concise information to payors when submitting clinical reviews to support patients hospital stay and receive full reimbursement for the institution.

Overview

20
20
years of professional experience

Work History

RN Utilization Review Managment

Jefferson Health Northeast
04.2012 - Current
  • Reviewed care strategies from across disciplines to optimize approaches, minimize liability, and improve patients' outcomes.
  • Helped patients and family members make ideal choices to best meet needs and work within current capabilities.
  • Worked with interdisciplinary teams to evaluate and revise plans of care.
  • Proficient in Interqual and MCG.
  • Uses clinical information from prior experience to build clinical reviews for payors.
  • Proficient in Epic and Microsoft Word
  • Reviews denials and adds clinical information pertinent to support inpatient reimbursement.

RN, ICU

Jefferson Health Northeast
06.2005 - 04.2012
  • Used medical equipment and devices to closely evaluate cardiac and pulmonary conditions of each patient.
  • Monitored specialized patient equipment and adjusted controls to obtain accurate readings.
  • Assisted physicians with procedures such as bronchoscopies, endoscopies and intubations.
  • Prioritized care given to each patient based on factors such as diagnoses and current medical needs.
  • Continuously monitored unit's patients to quickly identify and address adverse conditions such as shock and sepsis.
  • Set up and managed use of devices such as mechanical ventilators, cardiac monitors and oxygen delivery devices.
  • Delivered compassionate bedside care, calming patients and families and offering support.
  • Tracked vital signs, laboratory data and responses to determine need for emergency intervention.

Education

Bachelor of Science - Nursing

Chamberlain University
Warminster, PA
06.2017

Associate of Science - Nursing

Community College of Philadelphia
Philadelphia, PA
06.2005

Skills

  • Patient counseling
  • Disease management
  • Care planning
  • Electronic recordkeeping
  • Case management
  • Case documentation
  • Time management
  • Problem-solving
  • Organization and multitasking
  • Documentation proficiency
  • Case management tracking
  • Utilization review
  • Utilization management

Timeline

RN Utilization Review Managment

Jefferson Health Northeast
04.2012 - Current

RN, ICU

Jefferson Health Northeast
06.2005 - 04.2012

Associate of Science - Nursing

Community College of Philadelphia

Bachelor of Science - Nursing

Chamberlain University

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