Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

ENIYE UHUANGO

Summary

Seasoned licensed nurse professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Clinical Review Nurse

Molina Healthcare
01.2023 - Current
  • Conducted pre-authorization and concurrent review of inpatient and outpatient services using MCG/InterQual criteria
  • Assessed medical records to determine medical necessity and compliance with Medicaid and Medicare policies
  • Participated in peer-to-peer reviews and appeals processes to ensure appropriate care decisions
  • Collaborated with medical directors, providers, and care management teams to ensure optimal patient outcomes
  • Maintained 95% compliance with internal and external audit requirements
  • Contacted providers, state agency offices and applicants to obtain information and records needed to conduct comprehensive clinical review of case and final determination.
  • Conducted routine and ad-hoc evaluations and re-evaluations of services.

Vaccination Nurse & Triage Nurse

Houston Methodist Katy
01.2022 - 01.2023
  • Administered vaccines following CDC guidelines and facility protocols.
  • Provided patient education on vaccine benefits and potential side effects.
  • Conducted triage assessments to determine patient urgency and necessary interventions.
  • Scheduled and coordinated appointments with specialists.
  • Communicated critical patient updates and concerns to physicians.

Licensed Practical Nurse

Lahey Health Behavioral Services
01.2017 - 01.2021
  • Supervised staff and ensured quality nursing care.
  • Oversaw medication administration and maintained pharmacy security protocols.
  • Dispensed methadone in accordance with clinic procedures.
  • Conducted patient assessments, including Clinical Opiate Withdrawal Scale (COWS) evaluations.
  • Maintained detailed and accurate patient records in EMR systems.
  • Administered TB tests and documented results.
  • Monitored patient compliance with medication and reported changes to medical teams.

Education

Licensed Practical Nurse (LPN) Diploma -

Medical Professional Institute
Malden, MA
01.2016

Medical Assistant Certification - undefined

Medical Professional Institute
Malden, MA
01.2015

Bachelor of Language and Literature - undefined

Edo State University
Ekpoma, Nigeria
01.1987

Skills

  • Patient assessment
  • Care
  • Leadership
  • Interpersonal skills
  • Communication skills
  • Organization
  • Responsibility
  • Compassionate caregiving
  • Triage
  • Vaccinations
  • Medication administration
  • Patient education
  • Scheduling appointments
  • Reporting critical changes
  • Electronic medical records (EMR)
  • IV therapy
  • Oxygen therapy
  • Wound care
  • Trach care
  • G-tube care
  • HIPAA compliance

Certification

  • Basic Life Support (BLS) Certification
  • IV Therapy Certification
  • Licensed Practical Nurse (LPN) - MA Board of Nursing # 1027718

Timeline

Clinical Review Nurse

Molina Healthcare
01.2023 - Current

Vaccination Nurse & Triage Nurse

Houston Methodist Katy
01.2022 - 01.2023

Licensed Practical Nurse

Lahey Health Behavioral Services
01.2017 - 01.2021

Medical Assistant Certification - undefined

Medical Professional Institute

Bachelor of Language and Literature - undefined

Edo State University

Licensed Practical Nurse (LPN) Diploma -

Medical Professional Institute

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