Summary
Overview
Work History
Education
Skills
Timeline
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Joyetta Weh

Houston,TX

Summary

Self-motivated professional promoting attention to detail and the drive to resolve issues effectively. Calm and poised in the most stressful environments. Seeking the opportunity to join new organization in the role of Utilization Review Nurse.

Overview

4
4
years of professional experience

Work History

Utilization Review Nurse

Voyages Behavior Health
Houston, TX
08.2023 - Current
  • Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
  • Determined medical necessity and cost-effectiveness of services through utilization review processes.
  • Coordinated with healthcare team to establish, enact, and evaluate patient care plans.
  • Contacted insurance carriers to obtain authorizations for services delivered to patients.
  • Reviewed patient admissions to determine medical necessity as directed by criteria.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Managed processes on denials and potential denials as outlined by insurance carriers.
  • Interpreted and evaluated diagnostic tests to identify and assess patient's condition.

Registered Nurse

Taylor Recovery Center
Houston, Tx
11.2022 - 09.2023
  • Coordinated with healthcare team to establish, enact, and evaluate patient care plans.
  • Responded to emergencies with speed, expertise, and level-headed approaches to provide optimal care, support, and life-saving interventions.
  • Assessed patient conditions, monitored behaviors, and updated supervising physicians with observations and concerns.
  • Utilized effective interpersonal, writing, and active listening skills to build and cultivate positive relationships with patients, caregivers, and physicians.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Modified patient treatment plans as indicated by patients' responses and conditions.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Evaluate and report patient symptoms, progress, and reactions to medications; Consult with physicians, psychiatrists, psychologists, and other treatment staff members to communicate necessary information to ensure quality patient care.
  • Delivered respectful, compassionate care to each patient and family member.

Healthcare Associate

United Memorial Medical Centre (UMMC)
Houston, TX
03.2020 - 05.2022
  • Collected specimens from patients for diagnostic testing of COVID-19
  • Administered influenza and/or COVID-19 vaccination to patients.
  • Followed established protocols for COVID-19 screening.
  • Ensure patients are aware of and follow clinic’s COVID-19 protocol
  • Check patient’s temperature
  • Perform COVID-19 tests and patient registration.
  • Scheduled patient appointments
  • Create lab orders.
  • Ability to stand for long periods.
  • Ensure a clean and safe workspace.

Education

Bachelor of Science in Nursing - Nursing

Aspen University
Phoenix, AZ

Associate Degree in Art -

Houston Community College
Houston, TX

High School Diploma -

Westside High School
Houston, TX

CPR & BLS Certificate

Skills

  • Clinical Review and Auditing
  • Attention to Detail
  • Medical Record Documentation
  • Patient Assessment and care
  • Health Compliance and Regulations
  • Team Collaboration and communication
  • Quality Improvement Initiatives
  • Direct Patient Care
  • Patient and Family Education
  • Treatment Plan Modification
  • Date Analysis and Interpretation

Timeline

Utilization Review Nurse

Voyages Behavior Health
08.2023 - Current

Registered Nurse

Taylor Recovery Center
11.2022 - 09.2023

Healthcare Associate

United Memorial Medical Centre (UMMC)
03.2020 - 05.2022

Bachelor of Science in Nursing - Nursing

Aspen University

Associate Degree in Art -

Houston Community College

High School Diploma -

Westside High School

CPR & BLS Certificate

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Joyetta Weh