Open To Work
Jennifer Kinev
Mandan,ND
Work Preference
Summary
Results-driven Utilization Management Nurse Consultant with extensive experience in conducting utilization reviews and process improvement initiatives. Known for high productivity, attention to detail, and efficient task completion. Specialize in clinical guidelines interpretation, patient care coordination, and healthcare policy compliance. Excel in communication, decision-making, and problem-solving to enhance operational efficiency and patient outcomes. Demonstrated proficiency in critical analysis and problem-solving, contributing to collaborative team environments and adaptable to evolving healthcare needs.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Utilization Management Nurse Consultant
Aetna
Hartford, CT
02.2020 - 05.2025
- Conducted comprehensive utilization reviews to ensure compliance with clinical guidelines and protocols.
- Utilized computer systems such as EMRs, CMS, MCG, and claims processing systems for research purposes related to utilization management activities.
- Reviewed documentation from physicians, nurses, therapists, and other health professionals to determine appropriateness of admission or continued stay.
- Actively participated in process improvement initiatives aimed at increasing efficiency within the organization.
- Trained staff on utilization review procedures and document standards.
- Promoted a team-oriented approach to problem-solving, enhancing collaboration and rapport among peers and cross-functional teams.
- Developed and executed new workflow strategies to optimize efficiency and expedite case review processes.
- Provided specialized clinical expertise on internal committees to evaluate and resolve complex case reviews.
- Ensured compliance with regulatory requirements through consistent adherence to established policies and procedures for utilization management nursing practice.
- Exhibited adaptability in response to changing organizational demands while prioritizing cost containment and quality enhancement objectives.
Pain Management Registered Nurse
CHI St. Alexius Health Medical
Bismarck, ND
03.2019 - 02.2020
- Delivered patient-centered care in fast-paced clinical settings.
- Assisted in training new nursing staff on protocols and procedures.
- Developed protocols for clinical staff members to follow in order to provide quality patient care.
- Managed medication inventory levels within the clinic setting.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Facilitated referrals from primary care physicians for specialty consultations and treatments as needed.
- Utilized electronic health record systems to document patient care and outcomes accurately.
- Educated patients and their families on disease management, treatment plans, and preventive health practices.
- Evaluated patient histories, complaints, and current symptoms.
Registered Nurse, Long-Term Acute Care
Vibra
Mandan, ND
11.2018 - 03.2019
- Administered medication and treatments according to established protocols.
- Documented wound assessments and treatment progress in electronic records.
- Utilized advanced wound care technologies to enhance treatment effectiveness.
- Treated complex wounds including diabetic ulcers, vascular wounds, and trauma-related wounds.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Monitored vital signs and assessed patient conditions, promptly reporting changes to the healthcare team.
- Educated patients and families on disease management and aftercare procedures, enhancing understanding of health needs.
Registered Nurse Care Coordinator
PACE
Bismarck, ND
06.2018 - 10.2018
- Coordinated comprehensive care plans for patients, ensuring alignment with interdisciplinary team goals.
- Facilitated communication among healthcare providers, patients, and families to enhance care continuity.
- Assessed patient needs through detailed evaluations, leading to tailored health interventions and support services.
- Implemented effective strategies to manage chronic conditions, improving patient outcomes and satisfaction rates.
Primary Care Registered Nurse
Sanford Medical Center
Bismarck, ND
03.2017 - 06.2018
- Delivered patient-centered care in fast-paced clinical setting.
- Administered medications and monitored patient responses to treatments consistently.
- Educated patients and families on health management and preventive care strategies.
- Collaborated with multidisciplinary teams to enhance patient outcomes and streamline care processes.
- Ordered laboratory tests, reviewed results, and recommended further action if necessary.
- Initiated contact with insurance companies regarding authorization for medical services rendered.
- Coordinated timely refills for patients' prescriptions by obtaining authorizations and transmitted paperwork.
Primary Care Registered Nurse
Mid Dakota Clinic
Bismarck ND
05.2013 - 01.2017
- Conducted patient assessments and gathered medical histories for comprehensive care.
- Coordinated timely refills for patients' prescriptions by obtaining authorizations and transmitting paperwork.
- Mentored junior nursing staff in best practices, enhancing team performance and skill levels.
- Stocked clinical workstations and procedure rooms with necessary supplies.
- Educated patients and family members about preventive health care and recovery.
- Utilized strong assessment skills to determine necessary patient triage and care.
- Administered immunizations to patients to prevent disease.
- Assisted physicians during examinations procedures by preparing necessary equipment supplies providing direct hands-on assistance when required.
Education
Associate of Science - Nursing
Bismarck State College
Bismarck, ND05-2013
Skills
- HIPAA compliance
- Attention to detail
- Multitasking and Problem-solving Abilities
- Team collaboration
- Utilization management
- Clinical assessment
- Medicare
- Quality improvement
- Effective interpersonal and written communication
- Adaptability and flexibility
- Microsoft office, Excel, Teams
- Task prioritization
- Time management
Certification
- RN License - ND Multistate Compact, Expiration: 12/31/2027
Timeline
Utilization Management Nurse Consultant
Aetna
02.2020 - 05.2025
Pain Management Registered Nurse
CHI St. Alexius Health Medical
03.2019 - 02.2020
Registered Nurse, Long-Term Acute Care
Vibra
11.2018 - 03.2019
Registered Nurse Care Coordinator
PACE
06.2018 - 10.2018
Primary Care Registered Nurse
Sanford Medical Center
03.2017 - 06.2018
Primary Care Registered Nurse
Mid Dakota Clinic
05.2013 - 01.2017
Associate of Science - Nursing
Bismarck State College