Elizabeth Key
Gulf Breeze,FL
Summary
Quality-oriented professional with proven expertise in case management, continuity of care, and data collection/analysis. Recent role as Utilization Management RN in the Quality Department of the Department of Veterans Affairs. Also served as Implant Coordinator for our main VA and associated Community Based Outpatient Clinics (CBOCs). Extensive nursing background dedicated to providing exceptional care and being a valuable asset to employers.
Overview
15
15
years of professional experience
Work History
Utilization Management RN
Ascension Sacred Heart
Pensacola, FL
03.2024 - Current
- Demonstrated proficiency with InterQual, Xsolis, and MCG
- Conducted initial and continued stay reviews for inpatient and day stay cases
- Communicates regularly with providers about documentation status by phone and hospital messaging system.
- Ensured accurate inputting of clinical details for authorization processes
- Executed tasks with proficiency in Microsoft Excel and Office tools
- Adaptability to evolving conditions ensuring optimal outcomes from real-time data
- Demonstrated adaptability during evolving cybersecurity threats
- Assess medical records for thoroughness and precision
Quality Services, Utilization Management/Collaterally Assigned Implant Coordinator
Battle Creek Veteran’s Affairs
Battle Creek, MI
08.2021 - 03.2024
- Experience with HEDIS, PCMH, and NUMI data
- Integrated utilization review processes seamlessly with departments and care venues
- Conduct utilization review studies to analyze medical activities
- Collected medical data from various sources for review and trend analysis
- Facilitated work groups to enhance medical care
- Guides collaborative workgroups towards achieving improved procedural standards
- Leveraged military and VHA information systems to evaluate utilization management functions.
- Trained staff in creating precise and thorough records in EHR
- Aided in creating comprehensive patient care plans
- Implements procedures and templates through collaboration with outside VISNs and community partners
- Developed new role for Implant Coordinator,
- Ensure facility compliance with national and local directives related to Implant Coordination
- Utilize the National Utilization Management Integration system to review inpatient admissions
- Present clinical reports to the Clinical Executive Board every week
- Streamlined admission processes with providers
- Ensures effective coverage in Transfer Coordination Management
- Develop and enforce SOPs and MCMs for Implant Coordination adhering to legal, ethical, medical, administrative standards
- Developed detailed action plans ensuring facility compliance with regulatory standards
- Enhanced user competency in using TrackCore software through effective training
- Ensured audit documentation met regulatory standards
- Ensured adherence to bi-directional tracking standards for implantable devices
- Provide assistance to Infection Control Department periodically
- Managed staff access permissions based on government program requirements, including TrackCore.
- Excelled in navigating web-based applications
- Ensured criteria satisfaction for admissions, continued stays, and payment through expert guidance
- Establishes strong connections with providers and care teams
- Confirm transfer process compliance with VA benefits criteria
Mental Health/Substance Abuse RN/Case Manager/Clinic RN
Battle Creek Veteran’s Affairs
Battle Creek, MI
09.2019 - 08.2021
- Identifies and advises on appropriate client care levels
- Facilitated access to healthcare resources
- Ensured timely delivery of psychiatric care through consistent medication management
- Conducted thorough evaluations pre, during, and post-Suboxone administration
- Utilizes evidence-based practices to enhance patient healing through the nursing process
- Enhance well-being for patients and families through dedicated psychological and physical support
- Facilitated smooth transitions from acute and residential care settings
- Supervised team and managed resources efficiently.
- Assigned work responsibilities adhering to safety protocols and education levels
- Contributed to candidate evaluation by aiding in interviews
- Collaborated with families and multidisciplinary teams for optimal care plans
- Designed and implemented patient care plans collaboratively with families and medical teams
- Adapted treatment plans based on patient feedback
- Developed SOP for Naltrexone injections through collaboration
- Collaborated with patients to promote adherence to treatment plans
- Developed strong rapport through consistent communication
- Efficiently managed psychiatric crises involving hostile or psychotic patients
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
- Facilitated referrals to community resources for additional support services.
Women's Health Clinic/Mammogram Coordinator
Battle Creek Veteran’s Affairs
Battle Creek, MI
08.2016 - 09.2019
- Facilitated appropriate referrals based on chart reviews
- Monitored and managed all aspects of breast care diagnostics.
- Effectively managed new consult reviews with accurate remarks.
- Conducted phone assessments for patient consult suitability
- Ensured seamless post-visit arrangements for patients
- Work alongside diverse medical specialties to ensure comprehensive patient care, including Radiology, Oncology, Gynecology and Primary Care
- Collaborated with EBQI team and local VA VISN members to enhance women's health care quality in BCVA.
- Analyzed EPRP and SHEP data to track communication improvements
- Directed workgroup efforts to bridge Breast Care services across multiple locations
- Regularly presented breast care data and follow-up at the Tissue and Tumor Board
- Addressed audience at Women Veterans Town Hall.
- Engaged in regular VISN discussions focused on mammography coordination and maternal health
Patient Aligned Care Teams (PACT)- LPN
Battle Creek Veteran’s Affairs
Battle Creek, MI
09.2012 - 08.2016
- Suggested optimal treatment plans for better outcomes
- Evaluated lab results, diagnostic tests, and referrals ahead of appointments
- Maximized provider-patient interaction quality through effective data management
- Conducted initial patient interviews to collect vital signs and medical history
- Conducted chart assessments to facilitate accurate consult information
Post Traumatic Stress Disorder Inpatient Unit/LPN
Battle Creek Veteran’s Affairs
Battle Creek, MI
04.2010 - 09.2012
- Facilitated patient education groups on stress relief, diet, and exercise
- Managed timely medication distribution as per directives
- Detected variations in health metrics, emotional state, and discomfort
- Facilitated patient admissions and discharges
Education
RN -
Kellogg Community College
MI05.2019
LPN -
St Clair County Community College
Port Huron, Mi12.1995
Skills
- Cross-Functional Collaboration
- Critical Analysis
- Diagnostic Clinical Expertise
- Clinical Assessment
- Resource Analysis
- Case Analysis
- Health Data Retrieval
- Consultation Management
- Interdepartmental Coordination
- Patient-Centered Care
- Value-Driven Patient Care
- Issue Mitigation
- Performance Optimization
- Precise Documentation
- Data Interpretation
- Organizational Time Management
- Effective Communication
- Professional Conduct
- Secure Information Handling
References
Excellent references available upon request.
Professional Involvement
- Participating and engaging in facility committees to improve quality for veterans.
- Performed as co-chair for the Evidence Based Practice Committee.
- Active member of the Veteran Experience Committee and the Nursing Recruitment and Retention Committee.
- Experience with staff and patient education such as nursing skills fair, women's task force training and women's health town hall.
- Experience working with resources for quality improvement such as Evidence Based Quality Improvement (EBQI).
- Experienced with outreach to veterans, represented women's health at the homeless veteran stand down, volunteered at the 5k suicide prevention run, and assisted with BCVA annual baby shower which provides support, resources and education to new parents.
Timeline
Utilization Management RN
Ascension Sacred Heart
03.2024 - Current
Quality Services, Utilization Management/Collaterally Assigned Implant Coordinator
Battle Creek Veteran’s Affairs
08.2021 - 03.2024
Mental Health/Substance Abuse RN/Case Manager/Clinic RN
Battle Creek Veteran’s Affairs
09.2019 - 08.2021
Women's Health Clinic/Mammogram Coordinator
Battle Creek Veteran’s Affairs
08.2016 - 09.2019
Patient Aligned Care Teams (PACT)- LPN
Battle Creek Veteran’s Affairs
09.2012 - 08.2016
Post Traumatic Stress Disorder Inpatient Unit/LPN
Battle Creek Veteran’s Affairs
04.2010 - 09.2012
RN -
Kellogg Community College
LPN -
St Clair County Community College
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