Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Ellen Ball

Rockport,TX

Summary

Skilled utilization review nurse offering talents in continuous assessments and clinical records oversight. Pleasant individual with several years in the nursing field. Ready to join new company that appreciates attention to detail and exemplary clinical review skills. I have a strong work ethic and I am very productive. I am passionate about patient care and my work. I am know for my sense of humor and my team work.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Utilization Review Nurse

Christus Health
Corpus Christi, TX
10.2019 - Current
  • Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
  • Reviewed denial letters issued by insurance companies to ensure that they were appropriate and timely.
  • Evaluated patient care and outcomes to identify opportunities for improvement in treatment plans.
  • Participated in multidisciplinary team meetings to discuss patient care issues and utilization review findings.

RN

St. Joseph
Tucson, AZ
07.2016 - 10.2019
  • Managed complex cases involving multiple diagnoses or treatments.
  • Administered prescribed medications and treatments in accordance with approved nursing protocols.
  • Performed physical examinations and assessments of patients' medical histories.
  • Responded quickly to life-threatening situations by providing appropriate interventions.
  • Identified potential safety hazards in the environment or among patients' behaviors.
  • Educated patients on health maintenance, disease prevention, and treatment options.
  • Maintained accurate documentation of patient records in accordance with HIPAA regulations.
  • Provided direct nursing care to patients, including administering medications, wound care, and IV therapy.

RN

Parkland Memorial Hospital
Dallas, TX
05.2013 - 07.2016
  • Managed complex cases involving multiple diagnoses or treatments.
  • Responded quickly to life-threatening situations by providing appropriate interventions.
  • Maintained accurate documentation of patient records in accordance with HIPAA regulations.
  • Educated patients on health maintenance, disease prevention, and treatment options.
  • Provided direct nursing care to patients, including administering medications, wound care, and IV therapy.
  • Administered prescribed medications and treatments in accordance with approved nursing protocols.
  • Provided emotional support to families facing difficult decisions about a loved one's care.
  • Carried out physician orders regarding tests or medication administration accurately and safely.

Education

Associate of Science - Nursing

Custer County Community College
Miles City, MT
05-1997

Skills

  • Utilization Management
  • Utilization review
  • Medicaid knowledge
  • Inpatient Care
  • HIPAA Compliance
  • Documentation And Reporting
  • Communication

Certification

Arizonia compact RN license RN127272 10/21/200 - 04/01/2028

Timeline

Utilization Review Nurse

Christus Health
10.2019 - Current

RN

St. Joseph
07.2016 - 10.2019

RN

Parkland Memorial Hospital
05.2013 - 07.2016

Associate of Science - Nursing

Custer County Community College

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Ellen Ball