Jaime Crook
Benld,IL
Summary
Seeking employment in the medical field where I can contribute my hardworking ability and medical professional and practical experience.
Compassionate Utilization Review Nurse with diversified experience in healthcare settings. Proficient in ensuring patient care services are medically necessary and within the parameters of prescribed protocols. Strengths include strong clinical judgment, critical thinking skills, and proficiency in using medical software for data analysis. Known for contributing to team success by promoting best practices in patient care management.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Care Coordinator
Anderson Healthcare
Staunton, Illinois
03.2022 - Current
- Reviewed patient records to determine medical necessity for services.
- Collaborated with healthcare teams to ensure quality patient care.
- Coordinated communication between providers and insurance companies.
- Assessed patient medical records to determine the appropriateness of requested services and procedures.
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Reviewed denial letters issued by insurance companies to ensure that they were appropriate and timely.
- Collaborated with staff members in group meetings to identify issues and find cost-effective solutions.
- Performed discharge planning including referrals for post-acute care services when appropriate.
Care Coordinator
Macoupin Family Practice
Gillespie, US
05.2011 - 08.2022
- Experience as a clinic nurse in a busy family practice.
- Transitioned into a role of a nurse care coordinator in May of 2017 with experience of transitional care management and chronic care management.
Staff RN
Community Memorial Hospital
Staunton, US
06.2007 - 09.2016
- Medical surgical staff nurse.
- Filled in as a charge nurse when needed and floated to the ER as needed.
WIC RN, Family Case Management
Montgomery County Health Department
Hillsboro, US
07.2013 - 10.2014
- Worked with pregnant mothers and babies in the WIC/Family Case Management program.
- Breastfeeding peer counselor supervisor.
Labor and Delivery Staff Nurse/Postpartum Nurse
St. Francis Hospital
Litchfield, US
06.2009 - 08.2011
- Worked in antepartum and postpartum.
- NRC certified from 2009-2011.
- Fetal heart monitoring course completed in 2009.
Student Nurse
St. Anthony's Health Center
Alton, US
02.2006 - 02.2007
- Student nurse tech/CNA
Education
RN - Nursing
Lewis and Clark Community College
Godfrey, ILSkills
- RN
- Coordination
- Care management
- Utilization review
- Discharge planning
- Chronic disease management
- Time management
- Dependable and responsible
- First Aid/CPR
Certification
- CPR & First Aid
- Basic EKG Dysrhythmia Course
- Advanced Cardiovascular Life Support (ACLS), 04/13, 04/16
- Fetal Heart Monitoring Course, 2009
- Neonatal Resuscitation Certification, 2009, 2011
Additional Information
Seeking employment in the medical field where I can contribute my hardworking ability and medical professional and practical experience.
Personal Information
Work Permit: Authorized to work in the US for any employer
Nursing Licenses
RN
Timeline
Care Coordinator
Anderson Healthcare
03.2022 - Current
WIC RN, Family Case Management
Montgomery County Health Department
07.2013 - 10.2014
Care Coordinator
Macoupin Family Practice
05.2011 - 08.2022
Labor and Delivery Staff Nurse/Postpartum Nurse
St. Francis Hospital
06.2009 - 08.2011
Staff RN
Community Memorial Hospital
06.2007 - 09.2016
Student Nurse
St. Anthony's Health Center
02.2006 - 02.2007
RN - Nursing
Lewis and Clark Community College