Summary
Overview
Work History
Education
Skills
Timeline
Generic

Haley Newton

Summary

Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.

Overview

12
12
years of professional experience

Work History

Utilization Management Nurse

Cigna Healthcare
09.2022 - Current
  • Ensured compliance with regulatory guidelines by staying current on industry standards and participating in ongoing education opportunities.
  • Applied critical thinking skills to assess complex medical cases and determine appropriate levels of care in accordance with industry benchmarks.
  • Streamlined utilization review processes by collaborating with interdisciplinary teams to develop individualized care plans.

RN Case Manager

TriStar Hendersonville Medical Center
11.2020 - 09.2022
  • Effectively communicated with physicians regarding patient needs.
  • Completed initial assessments of patients and family to determine and address individual needs.
  • Performed concurrent reviews for Observation and Medicare patients using InterQual to help ensure clinically appropriate medical-utilization decisions.
  • Managed caseload of 15-20 patients per day with complex medical and social needs.

RN Home Health

NHC Home Care, Highpoint Home Care
01.2018 - 10.2020
  • Informed physicians of any changes to patients' health or concerns observed during home visits.
  • Provided physical assessments, medication and chronic disease management to home health patients.
  • Educated patients on use and benefits of home medical equipment.
  • Created daily schedule and performed patient visits independently.

RN Traveler

Accountable Healthcare
06.2017 - 12.2017
  • Two consecutive contracts at Centennial Medical center caring for post-op spine/neuro patients.
  • Administered medications and treatment to patients and monitored responses.
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.

Medical-Surgical RN

Sumner Regional Medical Center
07.2013 - 06.2017
  • Educated patients and families on medical-surgical procedures, therapeutic regimens and pain management techniques.
  • Managed caseload of 6 patients simultaneously by providing bedside care, treatments, IV therapy and wound care.
  • Started intravenous fluids, administered medications and documented patient charts.
  • Acted as charge nurse, managing a census of 24 patients and 6 nurses.

Education

Bachelor of Science - Nursing

Tennessee Technological University
Cookeville, TN
05.2013

Skills

  • Organization
  • Prioritization and task management
  • Accurate Documentation
  • InterQual, Midas, Meditech, MCG, EPIC
  • Care coordination
  • Utilization Review
  • Teamwork and Collaboration
  • Interpersonal and written Communication
  • Leadership
  • Critical Thinking

Timeline

Utilization Management Nurse

Cigna Healthcare
09.2022 - Current

RN Case Manager

TriStar Hendersonville Medical Center
11.2020 - 09.2022

RN Home Health

NHC Home Care, Highpoint Home Care
01.2018 - 10.2020

RN Traveler

Accountable Healthcare
06.2017 - 12.2017

Medical-Surgical RN

Sumner Regional Medical Center
07.2013 - 06.2017

Bachelor of Science - Nursing

Tennessee Technological University

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Haley Newton