Jessica Vanderburg
Meridian,US
Summary
Registered Nurse with over 12 years of experience in critical care, excelling in high-pressure environments and adept at managing patient care with precision and compassion. Proficient in Power Chart EPIC and Pyxis use. Highly skilled with ventilator care, and trauma care, stroke and cardiac protocols with a strong emphasis on patient education and infection control. Committed to delivering exceptional patient outcomes through detailed monitoring and collaboration with multidisciplinary teams.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Registered Nurse Special Functions UM Clinician
Pacific Source Insurance
Boise, US
11.2022 - Current
- Analyzed prior authorization requests for accuracy and completeness before submission to payer.
- Researched new technologies relevant to the field of utilization management.
- Collaborated with healthcare providers to ensure appropriate level of care was provided in a cost-effective manner.
- Identified potential areas of fraud or abuse within the organization's operations.
- Performed quality assurance audits on completed utilization review cases.
- Preform line item audit reviews of submitted health insurance claims and documentation to assure planned services are medically necessary based on Pacific Source and CMS coding guidelines
- Responsible for reviewing commercial health claims to determine if charges align with healthcare insurance policy for approval of payment
- Responsible for writing prior authorizations of neurosurgical spine operations and intraoperative neuro monitoring by assessing, evaluating, and providing recommendations to MD's for approval or denial of services
- Part of a review committee for adverse events where we go over the medical record and clinical data to determine if an adverse event occurred and what the resolution should be in conjunction with other clinical staff and physician committee members.
Registered Nurse (Travel), ED
Kaiser Permanente
San Fransisco, US
12.2021 - 07.2022
- Performed blood and blood product transfusions and intravenous infusions, medication administration
- Evaluated patient care needs, prioritized treatment and maintained patient flow.
- Discharge education for patients
- Identifying critical and/or non-life sustaining cardiac rhythms
- Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
- Critical thinking in the management of acute and critical patients
- Independently maintained safe and effective care to patients with different acuity levels in a time-restricted and demanding environment
- Assessing the mentation, safety, and fall risk of patients under my care
- Collaborating with various specialists and multi-level providers to provide effective patient care
- Assessment of patients who have a change in their status
- Triaging patients and giving an acuity assigned to them based off clinical judgement
Trauma Nurse
St. Alphonsus
Boise, US
07.2019 - 11.2021
- Administered critical IV medications such as Cardizem, Dopamine, Insulin, Nitroglycerin, and Adenosine
- Assisted in the care of multiple traumas, cardiac arrests, stroke codes, sexual assaults and conscious sedations
Registered Nurse, ED
Billings Clinic
Billings, US
07.2018 - 01.2020
- Compassionately cared for patients, significantly driving satisfaction ratings for the unit.
- Performed blood and blood product transfusions and intravenous infusions.
- Evaluated patient care needs, prioritized treatment and maintained patient flow.
- Managed resources efficiently while providing care to multiple trauma victims at once.
- Collaborated with interdisciplinary team members to ensure optimal patient outcomes.
- Assisted physicians with diagnostic tests such as X-rays, CT scans and ultrasounds.
- Participated in continuing education activities related to Trauma Nursing Care.
- Documented all treatments given to trauma patients according to hospital standards and regulations.
- Assessed and monitored vital signs of trauma patients.
- Monitored progress of recovery from traumatic events using laboratory tests or imaging studies.
- Educated families about home-care instructions after discharge from the hospital.
- Administered life-saving interventions when needed in emergency situations involving trauma cases.
Critical Care Residency Program
The Billings Clinic
Billings, US
04.2018 - 12.2019
Patient Care Technician, ED
St. Vincent Healthcare
Billings, US
04.2012 - 06.2018
- Monitored and charted fluid intake and output to stay current on patient conditions.
- Obtained patient vital signs and reported results to staff nurse or physician to note changes from prior measurements.
- Responded to patient alarms and requests to assess needs and obtain necessary care for medical and personal concerns.
- Kept unit well-stocked and efficient with necessary medical supplies.
- Assisted doctors, nurses and support staff with preparation for and conducting patient procedures.
- Recorded observations and baseline measurements to maintain accurate medical records.
- Improved patient care, safety and compliance by partnering with nurses.
- Kept instruments and equipment clean and effectively sanitized.
Education
Bachelor of Science - Nursing
Grand Canyon University
Phoenix, AZ01.2020
Associate of Applied Science - Nursing
Northern Wyoming Community College District - Sheridan College
Sheridan, WY01.2018
High School Diploma -
Skyview High School
Billings, MT01.2011
Skills
- Critical care
- Optum
- Excel
- Word
- Dynamo
- Facets
- Prior authorization
- Utilization management
- Quality assurance
- Interdisciplinary collaboration
- Critical thinking
- Patient monitoring
- Infection control
- Medical software
- Communication
- EPIC
- Power Chart
- Pyxis
- Omnicell
- Ventilator care
- Blood gas drawing
- Organization
- Multitasking
- IV administration(Ultrasound)
- Patient education
- Pain management
- Trauma care
- Triage
Certification
RN-BSN
References
- Ronie Fry, Pacific Source Insurance and St Alphonsus, ronie_fry@hotmail.com, 208-860-1931
- Aja Dina, Pacific Source Insurance, aja.dina@pacificsource.com, 208-284-0082
- Joel Hernandez, Department Manager/Head at Kaiser, joel.d1.hernandez@kp.org, 628-249-6684
- Aja Dina, Department manager at St. Alphonsus Regional Medical Center, ajaadina@yahoo.com, 208-284-0082
- Brad Vonbergen, Department manager at The Billings Clinic, b.vonbergen@billingsclinic.org, 406-698-8849
- Rob Hart, Former Co worker and Charge RN at St. Alphonsus Regional Medical Center, 208-870-9145
- Jennifer Hordemann, Former Trauma Nurse and co-worker at St. Alphonsus, Jenichole@hotmail.com, 208-850-4916
- Scott Rafa, Former Charge Nurse at Kaiser San Francisco ED, Scott.rafa@kp.org, 415-225-8854
Timeline
Registered Nurse Special Functions UM Clinician
Pacific Source Insurance
11.2022 - Current
Registered Nurse (Travel), ED
Kaiser Permanente
12.2021 - 07.2022
Trauma Nurse
St. Alphonsus
07.2019 - 11.2021
Registered Nurse, ED
Billings Clinic
07.2018 - 01.2020
Critical Care Residency Program
The Billings Clinic
04.2018 - 12.2019
Patient Care Technician, ED
St. Vincent Healthcare
04.2012 - 06.2018
Bachelor of Science - Nursing
Grand Canyon University
Associate of Applied Science - Nursing
Northern Wyoming Community College District - Sheridan College
High School Diploma -
Skyview High School
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