Deneshia Mayes
Forest,MS
Summary
Detail-oriented Registered Nurse (RN) with a passion for establishing trusting and compassionate patient care relationships. Skilled in effective communication, empathy, and active listening. Possesses exceptional analytical skills and problem-solving abilities. Recently gained utilization review experience through Remote Learning Services. Demonstrates solid knowledge base, high-level critical thinking skills, and ability to apply evidence-based guidelines. Currently pursuing certifications in Care Management, Care Coordination, and HEDIS Data Abstract to enhance skills further.
I am also an affiliate marketer for prescription peptides. This included GLP1s before the recent FDA ruling. While I do not prescribe these peptides, nor qualify the client, I do help guide them in the right direction to meet their needs.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Registered Nurse
Prime Care Nursing
02.2022 - 02.2024
- Displayed effective communication skills in initiating therapeutic relationships with patients.
- Used nursing skills to evaluate chronic, complex health issues and prioritize treatments.
- Maintained excellent customer service standards while providing compassionate care.
- Collaborated with physicians, nurses, and insurance companies.
- Maintained accurate, detailed medical records/documentation.
- Managed and treated health problems, ranging from common to serious, chronic, and complex for Adult patients by continuously fostering improvement.
Registered Nurse
Oxford Healthcare
06.2019 - 02.2022
- Managed acute, chronic, and complex health problems for homebound pediatric patient.
- Trained other nurses regarding daily treatments and charting.
- Assured quality of care by establishing good rapport with patients and family.
- Kept all company systems and data, (including sensitive member data), secure and safe, according to company’s data and security policies and HIPAA guidelines.
RN DME Sales/Pharmacy Manager
D & B Discount Drugs
01.1999 - 12.2018
- Responsible for eighteen employees including all training.
- Provided excellent customer service.
- Educated patients and caregivers on DME equipment, blood sugar control and treatment options.
- Established and enforced policies and procedures and HIPAA guidelines.
- Responsible for contract procurement.
- Solely responsible for obtaining DSME accreditation.
- Collaborated with multidisciplinary healthcare teams, including doctors, nurses, and insurance to secure prior authorizations for prescriptions and DME, ensuring timely access to necessary medical resources for patients.
Education
Bachelor of Science - Nursing
Mississippi College
Clinton, MS05-1990
Skills
- Utilization Review
- Patient Education
- Appeals/Denials
- Medicare/Medicaid
- Knowledge of Claims/Billing
- Concurrent Reviews
- Retroactive Reviews
- Preauthorization
- Excellent Customer Service
- Patient assessments
- Patient education and counseling
- Compassion and empathy
- Precepting
- Diabetes management
- Insulin medication assistance
- Diabetes and nutrition education
Certification
Registered Compact Nurse License, Mississippi
Professional Education
- Utilization Review-101, Certificate of Completion 2024-07
- Remote Learning Services, LLC, taught by Marie Peppers LPN and Judy Clarke, RN
Timeline
Registered Nurse
Prime Care Nursing
02.2022 - 02.2024
Registered Nurse
Oxford Healthcare
06.2019 - 02.2022
RN DME Sales/Pharmacy Manager
D & B Discount Drugs
01.1999 - 12.2018
Bachelor of Science - Nursing
Mississippi College
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