Deana Galante
Registered Nurse Care Coordinator/Utilization Management
Hamilton,Ohio
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, utilization management and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service. Extensive career history in dealing with patients admitted with many comorbidities during pregnancy and families with extensive social issues.
Overview
16
16
years of professional experience
Work History
Utilization Review Registered Nurse/Patient Care Coordinator
TriHealth Bethesda North Hospital
Hamilton, OH
06.2019 - Current
- Collaborated with physicians, nurses, social workers, and lactation consultants to quickly assess patients discharge needs while managing changing conditions.
- Met daily with physicians, Neonatologist, case managers, bedside RN's, social workers and lactation consultants to work collaboratively, determine appropriate care plans and discharge needs for each patient.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
- Advised patients and caregivers of proper wound management, discharge plan objectives and safe follow up care/instructions.
- Audited charts and reviewed clinical documents to verify accuracy.
- Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and costs for DME and home care
- Created patient assessments and plans for individual home care needs.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed admission reviews based for medical necessity based upon MCG guidelines and specification.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed prior authorization review of services requiring notification.
- Supervised and maintained all utilization review documentation through MCG.
- Devise or identify solutions for irregular requests and issues.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints and current symptoms.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
- Advocated for and strived to protect health, safety and rights of patient.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Cared for patients in 80 bed unit, supporting fellow nurses in delivering outstanding treatment to patients
Mother-Baby Registered Nurse
TriHealth- Good Samaritan Hospital
Cincinnati, OH
01.2016 - 06.2019
- Educated new parents on how to properly care for infants by instructing parents on bottle feeding, bathing, circumcision care and breastfeeding.
- Monitored and assessed mother and newborn after delivery to ascertain proper healing and recovery.
- Assisted mothers in establishing breastfeeding relationships with infants through demonstration, hands on assistance and various teaching methods depending on patient needs.
- Coordinated and consulted with various health care team members to plan, implement and assess both mother and infant care plans.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints and current symptoms.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
- Advocated for and strived to protect health, safety and rights of patient.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Administered different therapies and medications in line with physician orders and treatment plan.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Managed patients recovering from medical or surgical procedures.
- Monitored patient reactions after administering medications and IV therapies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Adhered to strict safety measures by carefully determining proper dosages before administering medications.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Cared for patients in 80 bed unit, supporting fellow nurses in delivering outstanding treatment to patients.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Assessed and evaluated mental health needs, working with multidisciplinary team to initiate, manage and modify individualized care plans.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Strengthened training and nursing knowledge by taking part in continuing education programs and workshops.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
- Recorded details regarding therapies to keep patient charts updated.
- Assessed, evaluated and cared for neonate patients.
- Communicated with family members and loved ones to provide information about patient care, treatments and medical options.
- Administered medications and fluids and checked vital signs on critically ill newborns.
- Provided high level of quality care for infants in Neonatal ICU unit.
- Conducted patient assessments, recorded vitals and analyzed records and charts to define care requirements.
- Guided and educated patients and caregivers on diagnoses, disease management, preventive measures, medication use and self-care to foster consistency in care administration.
- Guided patients, caregivers and family members on plans of treatment and helpful resources available locally to support care.
- Delivered outstanding patient care in Neonatal ICU and Special Care Nursery critical care units.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Carried out day-day-day duties accurately and efficiently.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit patient health and recovery.
Education
Associate of Applied Science - Nursing
Good Samaritan College of Nursing/Applied Science
Cincinnati, OH05.2009
Skills
- Utilization Management
- Care Coordination
- Experience in working with Diverse group of patients
- Patient Condition Monitoring
- Accurate Documentation
- Specialized Healthcare Referrals
- Needs Assessment
- Attention to Detail
Timeline
Utilization Review Registered Nurse/Patient Care Coordinator
TriHealth Bethesda North Hospital
06.2019 - Current
Mother-Baby Registered Nurse
TriHealth- Good Samaritan Hospital
01.2016 - 06.2019
Associate of Applied Science - Nursing
Good Samaritan College of Nursing/Applied Science