Hayley Lozada
Vero Beach,FL
Summary
Compassionate and highly skilled Registered Nurse with extensive experience in perioperative, labor and delivery, and patient care. Proficient in-patient assessment, procedural assistance, and patient education, with a strong background in insurance coordination and patient advocacy. Seeking a remote nursing opportunity to leverage my comprehensive clinical expertise, meticulous documentation skills, and ability to navigate complex insurance processes to deliver exceptional patient care and support from a remote setting. Dedicated to improving patient outcomes and enhancing healthcare delivery through innovative remote nursing solutions.
Overview
7
7
years of professional experience
Work History
Registered Nurse
Vinyard's Institute Of Plastic Surgery
03.2023 - Current
- Ensured continuity of care across transitions by collaborating with healthcare providers, patients, and families to facilitate communication and coordination of services.
- Established strong working relationships with insurance representatives, fostering open communication channels for efficient resolution of coverage issues or disputes related to medical necessity determinations.
- Collaborated with physicians to develop appropriate care plans based on utilization review findings that were both medically necessary and costeffective.
- Increased staff knowledge and competency with continuous professional development opportunities related to evolving industry standards and trends in the field of medical necessity evaluations.
- Improved patient satisfaction by conducting thorough utilization reviews and ensuring appropriate care plans were in place.
- Provided accurate documentation of all utilization review findings, ensuring a clear audit trail for future reference or analysis.
- Promoted interdepartmental collaboration to streamline workflow processes, resulting in improved efficiency and patient outcomes.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints, and current symptoms.
- Monitored patient reactions after administering medications and IV therapies.
- Managed patients recovering from medical or surgical procedures.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Provided ongoing education to nursing staff regarding best practices in utilization review and case management strategies.
- Maintained strict adherence to HIPAA regulations, safeguarding sensitive patient information throughout all aspects of the utilization review process.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Managed care from admission to discharge.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Optimized resource utilization within the unit through careful coordination of staffing needs based on anticipated surgical case loads.
- Kept meticulous charting notes regarding patient assessments and medications, later transferring information into records management system.
Registered Nurse, Labor and Delivery
Cleveland Clinic Of Indian River
12.2020 - 03.2023
- Provided emotional support and guidance to new mothers and families during labor, delivery and postpartum.
- Responded to emergency situations such as pre-eclampsia, early labor, and fetal distress.
- Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient, and attending to baby after birth.
- Supported physicians in both planned and emergency Cesarean section procedures.
- Assessed infant health directly after birth using APGAR and monitored health for specified amount of time for any changes in status.
- Managed epidural analgesia infusions and monitored vital signs during labor and delivery.
- Coordinated care of low and high-risk laboring women of childbearing age and immediate stabilization of newborn following delivery.
- Assisted obstetricians and midwives with deliveries and cared for newborns directly after birth.
- Performed vital signs checks and administered vaccinations to infants following birth.
- Facilitated smooth transitions between prenatal care, labor, delivery, postpartum care, ensuring continuity of care for patients.
- Participated in regular departmental meetings, providing valuable insight and suggestions for improvement.
- Anticipated potential complications early in the labor process through vigilant assessment of both mother and fetus vital signs data.
- Improved overall patient outcomes by continuously updating clinical knowledge through professional development opportunities.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Monitored patient reactions after administering medications and IV therapies.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
Dermatology Registered Nurse
SunnyCoast Dematology
03.2018 - 12.2020
- Conducted thorough assessments, identifying early signs of skin cancer and facilitating prompt intervention.
- Developed strong relationships with patients, providing emotional support during challenging health journeys.
- Participated in quality improvement initiatives aimed at enhancing the delivery of dermatological services within the clinic setting.
- Managed inventory levels to ensure adequate supplies were available for all procedures and treatments.
- Assisted in performing minor surgical procedures, ensuring optimal patient comfort and safety.
- Demonstrated expertise in various dermatological treatment modalities, including laser therapy, phototherapy, cryotherapy, and topical medications.
- Collaborated with interdisciplinary teams for effective management of complex skin conditions.
- Contributed to research initiatives within the clinic, advancing the field of dermatology practice through evidence-based approaches.
- Maintained accurate medical records to track progress and facilitate continuity of care between visits.
- Conducted extensive patient education sessions on skincare routines, medication use, sun protection strategies, and other relevant topics for improved self-management.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
- Performed prior authorization review of services requiring notification.
- Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Served as a vital liaison between patients, healthcare providers, and insurance companies, fostering effective communication and coordination among all parties involved in the care process.
- Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.
- Assisted discharge planning efforts through prompt identification of medically stable patients who were ready for transition to alternate levels of care.
- Obtained authorizations from multiple insurance carriers for various levels of care.
Registered Nurse, Medical-Surgical Unit
Tradition Medical Center
10.2017 - 03.2018
- Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.
- Consistently maintained accurate documentation of patient assessments, interventions, and outcomes in accordance with regulatory requirements.
- Skillfully performed venipuncture, IV insertion, and catheterizations, ensuring proper technique and adherence to infection control standards.
- Provided health education to patients and families regarding discharge instructions and plans of care.
- Advocated for and strived to protect health, safety, and rights of patient.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Developed strong rapport with patients and families through active listening, empathy, and clear communication during challenging situations.
- Managed complex wound care, including dressing changes, monitoring for signs of infection, and collaborating with wound care specialists as needed.
- Started intravenous fluids, administered medications, and documented patient charts by recording food and fluid output and intake.
- Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
- Contributed to successful Joint Commission accreditation through strict adherence to policies and procedures.
Education
Bachelor in Science- Nursing -
Indian River State College
Ft. Pierce, FL01.2023
Associates in Science Degree - Nursing -
Keiser University
Melbourne, FL01.2017
Bachelor in Science Degree – Microbiology and Cell Science -
University of Florida
Gainesville, FL01.2014
Associates in Arts Degree -
Indian River State College
Ft. Pierce, FL01.2011
Skills
- Clinical Assessment
- Perioperative Nursing
- Maternal and Neonatal Care
- Dermatological Care
- Procedural Assistance
- Patient Monitoring
- Medication Administration
- Patient Education
- Insurance Coordination
- Patient Advocacy
- Sterilization Techniques
- Aseptic Technique
- Emergency Response
- Log Management
- Accreditation Knowledge
- Quality Improvement
- Regulatory Compliance
- Documentation And Reporting
- Utilization review
- Communication
- Team Collaboration
- Problem-Solving
- Attention to Detail
- Training and Education
Timeline
Registered Nurse
Vinyard's Institute Of Plastic Surgery
03.2023 - Current
Registered Nurse, Labor and Delivery
Cleveland Clinic Of Indian River
12.2020 - 03.2023
Dermatology Registered Nurse
SunnyCoast Dematology
03.2018 - 12.2020
Registered Nurse, Medical-Surgical Unit
Tradition Medical Center
10.2017 - 03.2018
Bachelor in Science- Nursing -
Indian River State College
Associates in Science Degree - Nursing -
Keiser University
Bachelor in Science Degree – Microbiology and Cell Science -
University of Florida
Associates in Arts Degree -
Indian River State College
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