Seasoned Nursing professional spanning 50 years of diverse experience with the past eight years proven clinical knowledge of the utilization review processes, natural interpersonal strengths, and technical abilities.
Ready to help team achieve company goals. Hardworking and passionate with strong organizational skills eager to secure entry-level Nurse IV position. Ready to help team achieve company goals.
MAY 2018-Current
Register Nurse III HHSC/Office of Inspector General Surveillance Utilization Review| Houston,
TX.
Experienced in the Utilization Review process independently conducting Hospital/NFUR case
reviews to determine necessity of admissions, identification of primary and secondary medical
diagnoses/medical procedures and accepted medical treatment patterns.
Maintains accuracy in analyzing/evaluating /defining the problems, detailed case documentation,
and appropriate notification regarding the Medicaid approved hospitals and approved nursing
facilities through the onsite/desk review processes treating patients under Medicaid program.
Offering expertise with MDS assessment; knowledge and skill in Resident Assessment Instrument; MDS items; form completion; InterQual criteria; Coding guidelines; and ability to input data into/from computer system utilizing Microsoft, Word documentation; Adobe; Rt. Fax; Email; Scanners; SharePoint; Excel; IT support: and other resources available in the
performance of duties.
Skilled at multitasking, planning, prioritizing, coordinating, and scheduling daily assignments to meet deadlines and metrics. Critical thinker maintains flexibility, interacts, communicates, and collaborates with peers/managers/ providers to provide a smooth working relationship in completion of task.
Annual Attendance ICD 10 CM Coding Diagnosis/Procedures-Training sessions – Current 28 CEUs -May 2024.
MAY 2016 - 2014
Registered Nurse | Medical Center of Southeast Texas | Port Arthur, TX.
Critical Care Nurse | MICU/SICU/CCU/CVICU
Proven knowledge and skills in the performance and management of assigned critically ill
patients. Skills: Critical decision making; Managing emergencies; Assessment; Administering
Medications; Performance of and assisting with Invasive and Non-invasive with procedures;
Documentation; Communication of progress and concerns with Physicians/Patients/Ancillary
team/Family support.
JUNE 2014 - 2013
Registered Nurse | Harbor Hospital | Beaumont, TX.
Registered Nurse| LTAC -ICU
Staff Nurse accountable for the management and provision of care to the intensive and
intermediate ly ill assigned patients to me with knowledge and skills in the execution of treatment
plan.
50yr. Nursing Career | Travel -Agency-2yrs | Vocational Nursing Instructor Lamar University-
3yrs | Charge Nurse MICU Renaissance Hospital -22 yrs. | Asst Head MICU Nurse Ben-Taub
Hospital -5yrs| /Head Nurse Clinician Hemodialysis Unit- St. Mary’s Hospital-1yr