Joy Osinowo
Frisco,TX
Summary
Dedicated registered nurse (RN) with specialty experience in med/Surg Telemetry nursing, Rehabilitation, Case management, and Acute care utilization review. Knowledge of cardiac medication administration, management, and training. A reliable healthcare provider with the ability to stay calm and intervene during emergencies. Facilitate groups and educational seminars and collaborate on multidisciplinary teams. Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Nurse III Acute Care Utilization Review Nurse
Texas Health and Human Services
Grand Prairie, Texas
01.2022 - Current
- Determine compliance and provide Managed care organization (MCO) oversight of their prior authorizations to prevent over usage or underage of services
- Review prior authorization requests for procedures, diagnostic testing, and therapies, and determine if the MCO considers medical necessity
- Collaborate with various departments to create and implement utilization management (UM) policies
- Determine compliance with Medicaid program service requirements, state rules, regulations, policies, and procedures for members in the STAR+PLUS, STAR Kids, and STAR Health programs
- Participate in special projects upon request of the legislator
- Addressing quality of care issues affecting members, such as conducting MCO-targeted and ongoing reviews.
Medicaid RN Case Manager
AETNA BETTER HEALTH PLAN
Remote and in DFW, Texas
07.2020 - 09.2021
- Complete face-to-face in-home assessments with Star Kids Medically Dependent Children to prevent hospitalization/Nursing home readmission
- Collaborate with members/family to create an individualized care plan and continue to follow up monthly
- Assess members for skilled nursing needs at home to prevent a gap in care and collaborate with multidisciplinary team/DME providers to help members achieve optimal health.
Disease Management RN
UNITED HEALTH GROUP/ OPTUM
Remote and DFW, Texas
09.2019 - 07.2020
- Conduct face-to-face hospital visits and post-discharge telephone contact with members for Readmission prevention
- Provide education, post-discharge referrals/resources, review discharge medications and instructions with members, and provide continuous case management to members with Acute or chronic conditions
- Manage a caseload of up to 40 or more members
- Receive incoming calls from members as needed.
Waiver Case Management RN
CARESTAR INC.
Field/Remote, Ohio
10.2017 - 06.2018
- Assess, authorize, and provide ongoing case management for a diverse population of members with chronic illnesses or disabilities of all types
- Work independently at home and in the community to manage 50-60 caseload of Ohio Medicaid Waiver Program individuals to provide DME, skilled services, and non-skilled services
- In addition, provide after-hours and weekend on-call services to individuals as needed.
Night shift Charge Rehabilitation RN
REHABILITATION HOSPITAL OF NORTHWEST OHIO
Toledo, Ohio
12.2016 - 03.2018
- Complete physical assessment upon admission and until discharge
- Coordinate and delegate care and treatments with the care team
- Provide education to patients and families regarding treatment plans and medication effectiveness
- Maintain quality, safety, and infection control standards always
- Train/assist new nurses and supervise the health care team throughout the shift
- Complete staff work schedule, callout, patient census/staff ratio, new admission room assignment, and other issues that occur during the shift.
Med/Surg Telemetry RN
VETERANS AFFAIRS MEDICAL CENTER
Huntington, WV
01.2015 - 09.2016
- Compete admissions and discharges, physical assessment, skin assessment, fall assessment, dip notes, PRN Effectiveness (after each med pass and every 2 hours), missed meds (after each med pass), and Blood transfusions
- Attend rounds with physicians, patient care, pain assessment, note orders, medication administration, IVs, IVPBs, IV push meds, Glucoscans, tube feedings, check patient's daily weights, and lab specimens as needed
- Initiate opioid overdoes treatment protocol
Education
Master of Science in Nursing Population Health -
Chamberlain University
08.2022
Bachelor of Science in Biology -
Kean University
05.2021
Bachelor of Science in Nursing -
Seton Hall University
12.2013
Skills
- Proficient in Microsoft Word, PowerPoint, and Excel
- Medication administration, JCAHO standards/compliance, Patient/family education, Patient advocacy, Quality and continuity of Care, and Patient assessment
- Proficient in using EPIC, EMR, ICUE, Avaya, Dynamo, ONXT, and InterQual
- Knowledge of Texas Medicaid policy related to clinical services and service delivery as detailed in the Uniform Managed Care Contract Manual and other applicable Medicaid contracts, STARPLUS, STAR Kids, and STAR Health handbooks, Texas Administrative Code, and the Texas Medicaid Provider Procedures Manual (TMPPM)
- Policy and Procedure Compliance
Certification
- Texas Compact RN licensure, 02/2023
- Basic Life Support CPR certified, 04/2023
- Resource Utilization Group (RUG) certification, 08/2024
Practicum Experience
- American Nurses Association (ANA), 12/2013-Present
- Sigma Theta Tau International Honor Society of Nursing, 07/2022-Present
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
If you really look closely, most overnight successes took a long time.
Steve Jobs
Timeline
Nurse III Acute Care Utilization Review Nurse
Texas Health and Human Services
01.2022 - Current
Medicaid RN Case Manager
AETNA BETTER HEALTH PLAN
07.2020 - 09.2021
Disease Management RN
UNITED HEALTH GROUP/ OPTUM
09.2019 - 07.2020
Waiver Case Management RN
CARESTAR INC.
10.2017 - 06.2018
Night shift Charge Rehabilitation RN
REHABILITATION HOSPITAL OF NORTHWEST OHIO
12.2016 - 03.2018
Med/Surg Telemetry RN
VETERANS AFFAIRS MEDICAL CENTER
01.2015 - 09.2016
Master of Science in Nursing Population Health -
Chamberlain University
Bachelor of Science in Biology -
Kean University
Bachelor of Science in Nursing -
Seton Hall University
- Texas Compact RN licensure, 02/2023
- Basic Life Support CPR certified, 04/2023
- Resource Utilization Group (RUG) certification, 08/2024
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