Jenna Connick Foster
Metairie,LA
Summary
Utilization review nurse with over 15 years of experience in ensuring appropriate patient care levels and maximizing facility reimbursements. Expertise in Medicaid criteria and guidelines, with a proven track record in reviewing clinical documentation and supporting appeals with evidence-based rationale. Detail-oriented professional with strong written communication skills and a solid understanding of regulatory compliance. Recognized for effective collaboration with insurance providers to achieve optimal patient outcomes.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Nurse Consultant
Connick & Connick, LLC
Metairie, LA
01.2022 - Current
- Analyzed medical records and provided informed opinions on nursing and healthcare outcomes to guide case evaluations
- Identified deviations from care standards in medical malpractice cases
- Provided analysis of alleged causation and damages claims
- Educated attorneys on nursing standards of practice to enhance understanding in legal contexts
- Reviewed medical records and summarized findings to support legal proceedings
Full Time RN – Utilization Management for NICU/Pediatrics/PICU/Pediatric CVICU/Assist with Coverage for Other Hospital Units
Ochsner Medical Center
Jefferson, LA
06.2011 - Current
- Proactively involved in all aspects of Utilization Management including admission reviews, concurrent reviews, discharge planning, and denials.
- Review clinical documentation via Interqual or Milliman Care Guidelines to determine medical necessity
- Applied nursing procedures and medical terminology to improve patient care outcomes.
- Applied knowledge of state and federal regulatory requirements to ensure compliance in care coordination services.
- Participate in daily multi-disciplinary rounds
- Initiated timely communication with payors to facilitate plan of care and discharge planning.
- Evaluated patient needs during discharge assessments to ensure readiness for discharge.
- Conferred with in-house physician advisor to evaluate appropriate level of care for patients.
- Send reconsiderations and arrange peer to peer discussions for denied cases
- Assist mothers with applying for Medicaid for their child
- Assist with transfers to outside facilities
- Effectively utilized PowerPoint, Excel, Word, Interqual, and Milliman Care Guidelines to support clinical documentation and reporting.
- Communicate with physicians to discuss plan of care and verify patients are in appropriate status
Nurse Consultant
Middleberg Riddle Group
New Orleans, LA
01.2021 - 01.2023
- Analyze medical records and provide informed opinions related to nursing and healthcare outcomes
- Provided analysis of alleged causation and damages claims, assisting legal teams in understanding case implications
- Provide analysis of alleged causation and damages claims
- Informed attorneys about nursing standards of practice to improve case strategies.
- Review medical records and prepare summarization of same
Full Time RN/Charge RN – Pediatric Intensive Care Unit
Ochsner Medical Center
Jefferson, LA
10.2005 - 06.2011
- Care of critically ill patients with age range of newborn to 18 years old
- Demonstrated proficiency in operating ventilators, conducting hemodynamic monitoring, interpreting ECGs, and titrating medications to optimize patient outcomes.
- Demonstrated proficiency in operating ventilators, conducting hemodynamic monitoring, interpreting ECGs, and titrating medications to optimize patient outcomes.
- Ability to analyze complex situations and make rapid life-saving decisions.
- Maintained composure and effectively managed stress in high-pressure scenarios, facilitating timely and effective patient interventions.
- Prioritize patient needs and manage time efficiently.
- Floated to NICU, Pediatric floor, and Mother/Baby Unit
RN in Post Anesthesia Care Unit
Ochsner Medical Center
New Orleans, LA
01.2008 - 01.2009
- Cared for patients recovering from general anesthesia and ICU overflow, ensuring stable post-operative conditions
- Evaluated patients for complications and managed pain levels, monitoring conscious state to enhance recovery outcomes
- Facilitated a smooth recovery process post-anesthesia to enhance patient safety and well-being.
- Recognizing and responding to rapid changes in patient status.
- Types of patients: total knee replacements, total hip replacements, craniotomy, spinal fusions, kidney transplants, carotid endarterectomy, Whipple procedures, etc.
Part Time RN – Recovery/Adult Inpatient
Omega Hospital
Metairie, LA
02.2007 - 07.2008
- Administered medications and monitored patient responses in critical care settings.
- Cared for patients undergoing total hip replacements, total knee replacements, breast flaps, spinal fusions, and gastric bypass procedures
- Performed H&Ps, provided post-op care, and assisted with pre-op preparations for diverse patient surgeries
- Collaborated with interdisciplinary teams to develop and implement patient care plans.
- Educated patients and families on treatment options and post-discharge care instructions.
PRN
Fresinus Kidney Care
St.Rose, LA
01.2007 - 01.2008
- Managed care for chronic dialysis patients throughout treatment process.
- Assessed, cannulated, and maintained AV fistulas, grafts, and central venous catheters.
- Setting up, monitoring, and troubleshooting hemodialysis machines.
- Performing pre and post treatment assessments
- Conducted follow-up care, monitored lab levels, adjusted medications, and communicated changes to MD.
Registered Nurse - Pediatric Intensive Care Unit
Children’s Hospital
New Orleans, LA
06.2005 - 10.2005
- Care of critically ill patients with age range of newborn to 18 years old
- Charge nurse - types of patients: pediatric congenital heart patients, heart transplants, liver transplants, kidney transplants, neuro patients, trauma patients, sepsis, etc.
- Demonstrated proficiency in operating ventilators, conducting hemodynamic monitoring, interpreting ECGs, and titrating medications to optimize patient care.
- Ability to analyze complex situations and make rapid life-saving decisions.
- Maintained composure and effectively managed stress in high-pressure scenarios to ensure patient safety and quality care.
- Prioritize patient needs and manage time efficiently.
Education
Bachelor of Science - Nursing
Our Lady of Holy Cross College
New Orleans, LA05-2005
Skills
- Clinical expertise in care determination
- Understanding of medical necessity and insurance guidelines
- Denial management strategies
- Complex denial resolution
- High overturn rate for Medicaid denials
- Expertise in Milliman MCG and InterQual
- Medical record review
- Meticulous medical record review
- EMR/EHR systems proficiency
- Complex data interpretation
- Documentation and analytical skills
- Critical thinking abilities
- Interdisciplinary collaboration
- Time management proficiency
- Remote work experience
- Independent work capability
- Self-motivation
- Microsoft Office applications
- Microsoft Office applications
Certification
Active RN license, in process of applying for Compact Nursing License, Louisiana State Board of Nursing, RN113021, 2005-present
Timeline
Nurse Consultant
Connick & Connick, LLC
01.2022 - Current
Nurse Consultant
Middleberg Riddle Group
01.2021 - 01.2023
Full Time RN – Utilization Management for NICU/Pediatrics/PICU/Pediatric CVICU/Assist with Coverage for Other Hospital Units
Ochsner Medical Center
06.2011 - Current
RN in Post Anesthesia Care Unit
Ochsner Medical Center
01.2008 - 01.2009
Part Time RN – Recovery/Adult Inpatient
Omega Hospital
02.2007 - 07.2008
PRN
Fresinus Kidney Care
01.2007 - 01.2008
Full Time RN/Charge RN – Pediatric Intensive Care Unit
Ochsner Medical Center
10.2005 - 06.2011
Registered Nurse - Pediatric Intensive Care Unit
Children’s Hospital
06.2005 - 10.2005
Bachelor of Science - Nursing
Our Lady of Holy Cross College