Erin Taylor
Aurora,CO
Summary
Highly motivated professional nurse eager to secure entry-level claims representative position. Possess strong understanding of insurance industry. Adept at handling difficult situations and building trust with clients. Highly organized and detail-oriented with strong ability to solve problems and develop solutions. Proven success at managing high caseloads in fast-paced environments.
Overview
8
8
years of professional experience
Work History
Registered Nurse Case Manager
UCHealth
02.2023 - Current
- Perform telephone triage for clinical assessment of injury and complex medical conditions utilizing evidence-based protocols and guidelines to determine appropriate level of care for timely medical treatment
- Serve as a patient advocate by providing care coordination to holistically evaluate medical, psychosocial, and social determinants of health needs
- Reduced hospital readmissions through effective discharge planning, patient education, and follow-up care coordination.
- Collaborate with patients, clinicians, insurance agencies, social work, and interdisciplinary teams to optimize patient care and health outcomes
- Provide patient and family education about treatment options and community resources in order to set goals and help patients develop self-care skills
- Utilize critical thinking and decisive judgement to effectively prioritize multiple tasks in a fast-paced environment
- Proficient with navigating simultaneous databases, EMR systems, Microsoft 365 applications, internet navigation.
Registered Nurse Case Manager
Humana
09.2021 - 01.2023
- Facilitated outbound calls to assess and evaluate patient’s needs to achieve or maintain optimal wellness
- Independently determined appropriate courses of action and utilized a variety of strategies to manage patients physical, environment, and psycho-social health issues
- Continuously monitored patient care through assessments and evaluations to achieve desired outcomes
- Developed a strong knowledge of various insurance products to provide comprehensive guidance on individual patient benefits
- Created patient care plans and completed medication reviews
- Worked in collaboration with multi-disciplinary teams to advocate for patient health needs such as Social Work, Behavioral Health, Pharmacy, Primary Care Providers and Specialty Providers
- Provided education and guidance on the management of chronic health conditions
- Worked with external vendors, home health agencies, and community networks to support social determinants of health needs
- Expertly navigated EMR systems, Microsoft 365 applications, and computerized documentation platforms simultaneously in fast-paced metric based environment.
Registered Nurse
UCHealth
10.2020 - 09.2021
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation at a Level 1 trauma hospital
- Assessed and identified individual patient educational needs, removing barriers to learning and supporting comprehensive progress.
- Performed follow up post-operative phone calls and triage to ensure patients receive appropriate level of care
- Communicated with ancillary staff and health care team members to improve patient care outcomes to meet departmental goals and objectives
- Achieved Nurse II clinical advancement through research and evidence-based practice implementation to promote positive outcomes and best practices in nursing care.
Registered Nurse
Department of Veterans Affairs
04.2016 - 09.2020
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Provided and prioritized expert critical care response in emergency situations involving illnesses or injuries.
- Communicated effectively with interdisciplinary team members to plan, organize, and evaluate patient health care options in order to best serve the individual needs of the patient
- Expertly managed post-operative airway and code emergencies
- Performed telephone outreach and triage to patients post procedure to assess for issues and patient concerns in order to restore post-surgical health
- Supervised patient admissions and discharges from hospital to home care, rehabilitative facility, or self-care.
- Supervised and managed daily scheduling, tasking, and administration as Charge RN overseeing 30 staff members
- Trained 5 new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Led Unit Based Council committees and quality improvement processes
- Developed and implemented quality improvement initiatives to provide best possible patient care and identify and address areas of concern.
- Demonstrated adaptability by floating to various units throughout the hospital as needed, providing high-quality acute nursing care in diverse clinical settings.
- Expertly navigated computerized documentation systems and databases.
Education
BSN -
University of Colorado at Denver and Health Sciences
05.2007
Bachelor of Science - Communications
Montana State University - Billings
Billings, MT12.2004
Skills
- Active Listening
- Attention to Detail
- Call triaging
- Client Interviews
- Collaborative relationships
- Conflict Resolution
- Customer Service
- Data Entry
- Database Management
- Documentation Review
- Friendly, Positive Attitude
- Managing deadlines
- Medicaid knowledge
- Medical Terminology
Timeline
Registered Nurse Case Manager
UCHealth
02.2023 - Current
Registered Nurse Case Manager
Humana
09.2021 - 01.2023
Registered Nurse
UCHealth
10.2020 - 09.2021
Registered Nurse
Department of Veterans Affairs
04.2016 - 09.2020
BSN -
University of Colorado at Denver and Health Sciences
Bachelor of Science - Communications
Montana State University - Billings
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