JAMIE BOONE

• Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
• Prevented medication errors by meticulously reviewing physician orders and administering medications as prescribed.
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
• Cared for wounds, provided treatments, and assisted with procedures.
• Promoted patient safety through vigilant monitoring of vital signs and reporting any abnormalities to the appropriate healthcare provider promptly.
• Assisted with admissions, appointments, transfers, and discharges.
• Facilitated effective communication between patients, families, and healthcare providers to ensure continuity of care during transitions between facilities or levels of care.
• Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
• Advocated for patients'' needs effectively, working closely with healthcare providers to develop and implement appropriate care plans.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Improved patient satisfaction by providing compassionate and attentive care.
• Documented patient vitals, behaviors and conditions to communicate concerns to supervising nurse.
• Strengthened infection control measures by strictly following hand hygiene protocols and utilizing personal protective equipment when necessary.
• Responded to patient requests with appropriate clinical and personal assistance.
• Documented patient vitals, behaviors, and conditions to communicate concerns to supervising [Job Title].
• Administered controlled narcotics, inserted IVs, and performed catheterizations.
• Fostered a positive work environment by collaborating with colleagues, sharing knowledge, and mentoring new nursing staff members.
• Conducted comprehensive assessments of newly admitted patients, identifying individual needs and developing tailored nursing interventions accordingly.
• Educated family members on proper caregiving techniques, alleviating stressors associated with caring for loved ones at home.
• Developed comprehensive care plans for patients with chronic illnesses, promoting adherence to treatment regimens and self-management strategies.

• Enhanced employee well-being through the development of stress management workshops and mental health resources.
• Maintained accurate records of employee health data, ensuring confidentiality and adherence to HIPAA guidelines.
• Assisted in planning annual health fairs to increase awareness of available resources and promote overall wellness among employees.
• Promoted a culture of safety by collaborating with management to establish clear policies and procedures for injury prevention.
• Developed targeted interventions for high-risk populations within the company, such as employees with chronic conditions or those in physically demanding roles.
• Improved employee health by conducting regular assessments and implementing tailored wellness programs.
• Evaluated the effectiveness of wellness initiatives using key performance indicators, adjusting strategies as needed to achieve desired outcomes.
• Provided ongoing support to employees dealing with personal health challenges, offering guidance on managing symptoms and maintaining productivity at work.
• Educated employees on self-care techniques, including proper nutrition, exercise routines, and stress reduction strategies.
• Supported employees in maintaining compliance with OSHA regulations through regular trainings and educational materials.
• Responded promptly to workplace incidents, providing immediate care and coordinating appropriate follow-up treatment when necessary.
• Offered ambulatory care by treating sore throats, earaches, rashes, pink eye and other ailments to proactively manage chronic conditions, prevent serious illness and improve overall health of employees.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Managed patients recovering from medical or surgical procedures.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
• Investigated and resolved issues affecting hospital operations and patient care.
• Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
• Fostered a supportive environment by actively listening to employee concerns and addressing issues related to workplace stressors or barriers to wellness.

• Assisted clients with daily living needs to maintain self-esteem and general wellness.
• Educated clients and families on community resources, treatment options and health care services to better manage conditions.
• Assessed clients and developed plans to meet needs.
• Developed strong rapport with patients and families through empathetic listening and compassionate communication techniques.
• Serve as a point of contact for patients, families, and healthcare providers, addressing concerns related to care, transfers, and authorizations.
• Review clinical information and authorize medical services, ensuring adherence to established criteria and regulatory timeframes.
• Coordinate and monitor member care, applying evidence-based guidelines to assess and approve treatment plans.
• Manage patient discharge needs, including home health services, DME, specialist referrals, and transportation.
• Conduct outreach calls to high-risk patients to monitor health status and adjust care plans accordingly.
• Collaborate with Integrated Care Nurse Practitioners and other care team members to coordinate care, including wound care, Foley catheter management, infusion orders, and other services.
• Organize and lead skilled nursing rounds and high-risk huddles, ensuring that patient needs are addressed promptly.
• Prepare and issue determinations and non-coverage explanations for skilled nursing appeals.
• Support care team administrative functions, ensuring end-to-end coordination of care.
• Responsible for drafting, reviewing and technical editing emails, technical reports, and standard operating procedures. Ability to check all documentation for consistency and accuracy.

• Review, proofread and otherwise ensure complex medical topics and technologies are documented in easily understood ways by a broad audience.

• Responsible for generating innovative ideas for content while working both independently and collaboratively as part of a team

• Prepares clinical information for each concurrent review directly from the medical record

• Schedules and performs concurrent reviews with Pre-Certification companies for all levels of care

• Maintains the Utilization Review Census with up-to-date authorization information necessary notations

• Maintains each client's Utilization Review chart with current authorization information and relevant notes in the EMR system

• Schedules and performs basic benefit verifications for clients with no authorization policies, lapses in coverage, or COBRA benefits, County Care, and Bright Health

• Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
• Reviewed and authorized healthcare services, ensuring medical necessity and appropriate utilization of resources.
• 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.
• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Performed prior authorization review of services requiring notification.
• Mitigated potential legal issues related to improper admission or discharge decisions by consulting with physicians regarding complex cases that required further clarification.
• Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
• Fostered a culture of continuous learning by actively participating in departmental meetings, trainings, and continuing education opportunities related to utilization review.
• Streamlined the case management process by effectively prioritizing high-risk cases for timely intervention and followup.
• Enhanced patient satisfaction by collaborating with interdisciplinary teams to develop individualized care plans, ensuring appropriate level of care.
• Promoted positive outcomes with proactive assessment of patients'' needs and development of targeted interventions to address identified barriers to recovery.
• Supported data-driven decision-making by regularly analyzing trends in resource utilization, identifying opportunities for improvement, and implementing best practices.
• Optimized hospital stays by monitoring admissions for appropriateness based on established clinical guidelines while considering each patient''s unique circumstances.
• Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Managed patients recovering from medical or surgical procedures.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Educated family members and caregivers on patient care instructions.

• 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.
• Reviewed and authorized healthcare services, ensuring medical necessity and appropriate utilization of resources.
• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Mitigated potential legal issues related to improper admission or discharge decisions by consulting with physicians regarding complex cases that required further clarification.
• Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.

• 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.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Contributed to organizational success by providing expert advice on medical necessity criteria and evidence-based practices in utilization review nursing.
• Fostered a culture of continuous learning by actively participating in departmental meetings, trainings, and continuing education opportunities related to utilization review.
• Supervised and maintained all utilization review documentation through MCG, Interqual.
• Streamlined the case management process by effectively prioritizing high-risk cases for timely intervention and followup.
• Obtained authorizations from multiple insurance carriers for various levels of care.

• Enhanced patient care by providing comprehensive medical assessments and developing tailored treatment plans for inmates.
• Served as a liaison between healthcare providers and corrections staff, facilitating clear communication regarding inmate health needs.
• Promoted a culture of continuous improvement within the nursing team by actively participating in quality assurance initiatives and process improvement efforts.
• Assisted in emergency situations, providing critical first-response care while adhering to strict safety protocols.
• Offered compassionate care to all individuals regardless of their backgrounds or circumstances, upholding ethical nursing standards at all times.
• Improved overall patient outcomes by closely monitoring vital signs and adjusting treatments as necessary.
• Increased efficiency of medical record management by implementing electronic documentation systems and maintaining organized patient files.
• Developed strong rapport with inmates, fostering trust and open communication for effective healthcare delivery.
• Managed high-stress situations effectively by maintaining a calm, professional demeanor and prioritizing patient safety above all else.
• Fostered positive relationships with correctional officers and other facility staff to promote a collaborative approach to inmate healthcare.
• Streamlined medication administration processes, maintaining accurate records and ensuring timely distribution to patients.
• Contributed to the successful rehabilitation of inmates by addressing underlying health issues that could impact their ability to reintegrate into society postrelease.
• Recorded details regarding therapies to keep patient charts updated.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
• Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
• Investigated and resolved issues affecting hospital operations and patient care.

• Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
• Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
• Provided crisis intervention support for clients experiencing emergencies, using appropriate techniques to de-escalate situations safely.
• Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
• Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
• Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
• Coordinated essential services for clients, resulting in improved overall well-being and selfsufficiency.
• Monitored clients' progress and tracked client services to provide crisis interventions.
• Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
• Participated in regular professional development opportunities to stay current on best practices within the field of case management.
• Facilitated successful transitions between levels of care by developing detailed discharge plans and coordinating resources.
• Provided education on health and nutrition for patients to maintain healthy habits and wellbeing.
• Developed and implemented safety plans for clients at risk of harm to provide protection.
• Established and maintained relationships with key stakeholders.
• Partnered with local organizations to expand access to social and community services.
• Researched best practices and developed strategies to improve program outcomes.
• Created and managed budgets, efficiently allocating resources for social and community service projects.
• Conducted outreach activities to engage local stakeholders in programs.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Utilized strong clinical judgment in prioritizing patient needs during high-stress situations, ensuring optimal outcomes.
• Streamlined communication between patients, families, and healthcare providers to ensure comprehensive understanding of care plans.
• Met with and patients to discuss and distribute information on health maintenance and disease prevention.
• Educated patients and families on diagnosis, neurological conditions and processes, treatments and expected outcomes.
• Identified and assisted with opportunities for performance improvement activities on unit and with other service areas.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Investigated and resolved issues affecting hospital operations and patient care.
• Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.