JASMINE SIMIEN, BSN, RN
Houston,TX
Summary
Oncology-trained Registered Nurse with prior experience in Hematology and Stem Cell Transplant at MD Anderson Cancer Center, complemented by a strong background in bedside Hospice and Palliative care nursing. Proven expertise in case management, currently serving as a Medical Appeals RN specializing in complex medical reviews. Exceptional attention to detail, critical thinking skills, and a steadfast commitment to providing compassionate, safe, high-acuity oncology care. Eager to leverage this diverse skill set to contribute to MD Anderson's mission as an Oncology Registered Nurse.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Registered Nurse – Medical Appeals
Community Health Choice
Houston, TX
06.2025 - Current
- Perform comprehensive medical necessity reviews for inpatient and outpatient appeals in accordance with CMS, state, and federal regulations.
- Evaluate complex oncology, transplant, specialty medication, and advanced imaging cases.
- Apply evidence-based criteria (InterQual/Milliman) to determine authorization outcomes.
- Conduct detailed chart review and medical record analysis to assess level of care and appropriateness of services.
- Draft clear, defensible determination letters supported by clinical rationale and meticulous documentation to withstand regulatory review and external audits.
- Collaborate with Medical Directors and interdisciplinary teams to support appeal determinations.
RN Case Manager and Bedside Nurse
Vantage Hospice
Houston, TX
06.2023 - 06.2025
- Delivered comprehensive end-of-life care at bedside for patients with advanced cancer and chronic progressive disease home, nursing home, skilled nursing facility, long-term care, and hospital settings.
- Conducted comprehensive assessments and managed complex acute and chronic symptoms including pain, dyspnea, agitation, wounds, and excessive secretions at bedside.
- Executed safe administration of chemotherapy, narcotics, sedatives, and cardiac medications, etc. while closely monitoring patients for any adverse reactions.
- Provided in-depth guidance to patients and families on managing diseases, optimizing medication use, and employing assistive devices for improved quality of life.
- Conducted supervision of LVNs and aides after each visit to verify safety measures and adherence to established care plan.
- Coordinated multidisciplinary team meetings regularly to discuss complex cases, share best practices, and develop collaborative care plans.
- Performed frequent oral suctioning, tracheostomy care, breathing treatments, foley catheterization, ostomy and G-tube management, Pleurx, Aspira, ASEPT drain management.
- Administered comprehensive wound care for full-thickness wounds, fungating tumors, surgical sites, pressure ulcers, and fall-related injuries.
- Executed frequent vital sign monitoring, including hourly one-on-one assessments in acute situations.
Registered Nurse – Hematology/Oncology – Stem Cell Transplant
MD Anderson Cancer Center
Houston, TX
02.2022 - 10.2023
- Provided specialized nursing care for patients undergoing autologous and allogeneic stem cell transplantation, and treatment for hematologic cancers.
- Administered high-dose chemotherapy, investigational agents, blood products, and supportive infusions per protocol.
- Monitored for and managed pre and post transplant-related complications including tumor lysis syndrome, cytokine release syndrome, neutropenic fever, sepsis, mucositis, and graft-versus-host disease.
- Performed cardiac telemetry monitoring and managed step-down level patients.
- Executed rapid clinical assessments and interventions for oncologic emergencies.
- Ensured strict adherence to infection control protocols, protective isolation, patient safety measures for immunocompromised patients, and fall risk guidelines.
Patient Care Technician – Float Pool
Christus St. Elizabeth Hospital
10.2020 - 01.2022
- Supported nursing staff across oncology, telemetry, medical-surgical, orthopedic, and COVID units.
- Facilitated tele-neurology rounding and interdisciplinary coordination for patients with neurological disorders.
- Monitored and documented vital signs, and promptly escalated changes in patient condition to nursing staff.
- Provided direct patient care, assisting with daily living activities, comfort, monitoring intake/output, pre-operative preparation, and one to one supervision of patients at high risk.
Patient Advocate
Christus St. Elizabeth Hospital
Beaumont, TX
08.2018 - 10.2020
- Managed patient complaints, grievances, and service recovery in compliance with CMS and Joint Commission standards.
- Advocated for patient rights and collaborated with healthcare teams to address patient concerns and improve satisfaction.
- Analyzed and reported on HCAHPS for bi-weekly Patient Experience Council meeting and department speaker for orientation of newly hired employees.
- Led and participated in hospital-wide quality improvement initiative, engagement projects, and inpatient discharge coordination.
Education
Bachelor of Science - Nursing
Lamar University
Beaumont, TX12.2021
Bachelor of Science - Allied Health
Texas A&M University
College Station, TX05.2018
Skills
- Stem Cell & Bone Marrow Transplant Nursing
- High-Dose Chemotherapy and Blood Product Administration
- Oncology Emergencies & Complication Management
- Regulatory & CMS Compliance
- Medical Necessity Review
- Infection Prevention & Protective Isolation
- Palliative Care and Symptom Management
- Patient & Family Education
- Complex Wound Care
- Drain and Line Management - Foley Catheter, Ostomy, G-tube, Central and Peripheral Line, Pleurx, Aspira, ASEPT drains
Certification
- Registered Nurse – State of Texas
- BLS Certified
Timeline
Registered Nurse – Medical Appeals
Community Health Choice
06.2025 - Current
RN Case Manager and Bedside Nurse
Vantage Hospice
06.2023 - 06.2025
Registered Nurse – Hematology/Oncology – Stem Cell Transplant
MD Anderson Cancer Center
02.2022 - 10.2023
Patient Care Technician – Float Pool
Christus St. Elizabeth Hospital
10.2020 - 01.2022
Patient Advocate
Christus St. Elizabeth Hospital
08.2018 - 10.2020
Bachelor of Science - Nursing
Lamar University
Bachelor of Science - Allied Health
Texas A&M University