Jodi Lewis
Jay,FL
Summary
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
10
10
years of professional experience
Work History
RN Case Manager
Emerald Coast Hospice
11.2023 - Current
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
- Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Analyzed patient responses to medications, therapies and variances in plans of care.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
Utilization Review Coordinator
Jay Hospital
01.2019 - 11.2023
- Maintained confidentiality and security of patient data, adhering to all relevant privacy laws and regulations.
- Identified potential areas of risk or non-compliance through regular audits, implementing corrective action plans as needed to mitigate concerns.
- Collaborated with physicians regarding level of care
- Supervised and maintained all utilization review documentation through InterQual.
- Reduced hospital readmissions by implementing effective discharge planning and ensuring appropriate post-acute care.
- Provided ongoing education to clinical staff on importance of proper documentation for optimal reimbursement and compliance with regulations.
- Participated in external audits and surveys, providing documentation and insight to demonstrate effectiveness of the utilization review program.
- Facilitated interdisciplinary team meetings to discuss patient progress, treatment plans, and coordination of care for improved outcomes.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Increased efficiency of the utilization review process through regular communication with insurance companies for timely authorizations.
- Ensured compliance with regulatory guidelines by maintaining accurate documentation and records for all utilization review activities.
- Tracked, trended and reported on patient data such as LOS, readmit data and observation stays and conducted quarterly meetings.
Registered Nurse, Medical-Surgical Unit
Jay Hospital
02.2014 - 01.2019
- Consistently maintained accurate documentation of patient assessments, interventions, and outcomes in accordance with regulatory requirements.
- 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.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Cross trained in Emergency Department as primary nurse, triaging and caring for emergent patients.
- Worked as house supervisor managing acute care patients and emergency department needs
Education
Bachelor of Science - Nursing
The University of West Florida
Pensacola, FL05.2020
Associate of Science - Nursing
Pensacola State College
Pensacola, FL07.2013
Skills
- Medication monitoring
- Healthcare Personnel Supervision
- Strong Clinical Judgment
- Electronic Recordkeeping
- Chronic Disease Management
- Case Evaluation
- Multidisciplinary Approach
- Advanced Cardiovascular Life Support (ACLS)
- Student Precepting
- Discharge Planning
Timeline
RN Case Manager
Emerald Coast Hospice
11.2023 - Current
Utilization Review Coordinator
Jay Hospital
01.2019 - 11.2023
Registered Nurse, Medical-Surgical Unit
Jay Hospital
02.2014 - 01.2019
Bachelor of Science - Nursing
The University of West Florida
Associate of Science - Nursing
Pensacola State College