Julie Nabors
Gadsden,AL
Summary
Licensed RN/BSN with over 20+ years of multiple career experiences ranging from Mother/Baby, PACU, Triage, Hospice and Clinical Reviewer. who is excited about a full-time opportunity with your organization. Adaptability, readiness to learn, effective communication skills, ability developing patient/client rapport with excellent customer support, and team involvement and participation have made me a valuable employee over the course of my career.
Overview
25
25
years of professional experience
Work History
RN Clinical Reviewer - Remote
Global Computer Products, Inc. / Novitas Solutions
05.2024 - Current
- Conduct clinical prepay probe reviews of Skilled Nursing Facility (SNF) medical claims to ensure accuracy, medical necessity, and compliance with CMS regulatory guidelines
- Analyze Hospital and SNF Physician documentation, including MDS data, Skilled Nursing, and Rehab documentation of SNF Medicare Part A claims.
- Maintain strong knowledge of medical terminology, diseases and conditions and procedures.
- Identify and validate necessary compliance with CMS guidelines and provide detailed rationale to establish decisions for approvals, recodes and denials for post acute Medicare Part A SNF claims.
- Manage electronic clinical documentation for validation and placing decisions or changes using Medicare billing software; FISS and HIMR.
- Proficient skills in Microsoft Excel, Outlook, Word, Teams.
- Collaborate with healthcare providers and compliance officers during the intra probe process to resolve discrepancies and obtain additional documentation, as needed, for appropriate claim reimbursement.
- Responsible for creating both initial review letters and post probe result letters to facilities using Jarvis, Inspire and Recon charting software.
- Provide telephonic post probe education to facilities/providers to promote documentation accuracy for maximizing CMS Part A reimbursement outcomes.
- Working independently to maintain daily and weekly workloads, complete assignments and tasks in a timely manner.
RN, BSN, MAS
Shepherd's Heart Residential Group Home
08.2023 - 03.2024
- As the certified Medication Administration Supervisor, by the Alabama Department of Mental Health, I delegated medication administration education and compliance to non-medical staff working with the intellectually disabled in Group Home settings.
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Administered medications via oral, subcutaneous and intramuscular injections and monitored responses.
- Conducted multiple group home weekly visits to monitor resident progress and make adjustments to care plans as needed.
- Provided emotional support to residents during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
- Accompanied residents to various physician appointments to discuss changes in conditions and update care plans, ensuring continuity of care.
- Enhanced resident satisfaction through effective communication, empathy, and timely response to their needs.
- Contributed to a positive work environment by maintaining open lines of communication, demonstrating respect for fellow team members, and offering assistance when needed.
- Collaborated with Director, Physician, Behavioral Counselor, Pharmacy and residential group home team leaders to ensure continuity of care.
Triage Nurse
Women's Health Partners
04.2022 - 11.2022
- Counseled patients via telephone according to established guidelines and protocols, advising on provider-established plans of care.
- Maintained accurate patient records, ensuring thorough documentation of triage assessments and treatment plans.
- Developed strong rapport with patients through active listening skills, empathetic communication, and genuine concern for their wellbeing.
- Obtained case history and gathered triage information to determine appropriate avenue for care.
- Enhanced patient satisfaction by efficiently prioritizing and addressing urgent medical concerns in a timely manner.
- Scheduled appointments for patients not requiring emergency services but needing examination from provider and consulting directly with provider.
- Provided clear and concise instructions to patients regarding home care plans, ensuring proper understanding and adherence to treatment protocols.
- Provided compassionate care for patients experiencing acute symptoms, offering emotional support and comfort during stressful situations.
- Collaborated with multidisciplinary teams to develop individualized care plans for high-risk or complex patients.
- Performed additional clinic and non-triage nurse duties such as instructing patients in general and specific medical care and health issues and administering or dispensing medication and injections.
- Assisted in management of patient utilization of health care system and provided patient education relative to health care needs, use of community resources and responsibilities of membership in managed care.
- Routinely evaluated effectiveness of current triage protocols, recommending changes when necessary to optimize patient outcomes.
- Verified, updated and communicated patient history prior to clinic appointments and procedures with providers.
- Ensured timely patient care, consistently monitoring and updating patient status and needs in electronic health record system.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
RN Hospice Case Manager
Southern Care New Beacon Hospice
02.2021 - 05.2021
- Provided emotional support to patients and their families during the end-of-life process, promoting dignity and comfort.
- Collaborated with physicians to optimize medication regimens for symptom control in terminally ill patients.
- Improved patient care by developing and implementing comprehensive hospice nursing plans tailored to individual needs.
- Managed complex caseloads effectively, prioritizing tasks based on patient acuity levels.
- Served as a liaison between patients, families, and healthcare providers to ensure seamless delivery of hospice services.
- Maintained accurate documentation of patient interactions, assessments, interventions, and responses to care.
- Efficiently managed caseloads while adhering to regulatory guidelines ensuring compliance with Medicare conditions of participation.
- Educated patients and families about illness progression, treatment options, and available resources for additional support.
- Cultivated a positive team culture through role modeling, active listening, and open communication with peers and supervisors.
- Offered listening ear to both patients and loved ones to meet emotional and mental, as well as physical needs.
- Developed and implemented individualized care plan for each hospice patient while following physician instructions.
- Educated family members and caregivers on patient care instructions.
Telephonic Triage Nurse
Children's Hospital of Alabama
09.2017 - 02.2021
- Increased efficiency within the triage team through regular collaboration on best practices for phone-based nursing interventions.
- Improved patient outcomes by conducting thorough telephonic assessments and promptly addressing medical concerns.
- Maintained compliance with regulatory standards by adhering to established protocols for telephonic nurse triage services.
- Delivered quality nursing care remotely, utilizing clinical knowledge and strong communication skills to assess and advise patients effectively.
- Promoted preventive care through proactive health education during telephonic consultations, decreasing the need for hospitalization.
- Ensured patient safety during crisis situations by rapidly assessing symptoms over the phone and guiding individuals toward appropriate emergency resources.
- Advanced professional development by attending training workshops on topics such as motivational interviewing, mental health first aid, and chronic disease management.
- Demonstrated adaptability during periods of high call volume or staffing shortages while maintaining consistent quality of care.
- Enhanced patient satisfaction through compassionate communication and timely triage responses.
- Relayed triage information and facilitated communication between provider and patient concerning patient disposition.
- Documented treatments delivered, medications administered, patient reactions after administration, discharge instructions, and follow-up care.
Outpatient Surgery/Registered Nurse, PACU
Coosa Pain and Wellness, P.C.
08.2014 - 01.2020
- Enhanced patient recovery by consistently monitoring and assessing post-operative vital signs.
- Reduced complications through timely administration of medications and pain management strategies.
- Assisted physicians in conducting bedside procedures, such as wound dressing changes or IV insertions, to foster optimal healing processes.
- Maintained accurate documentation of patient medical records, ensuring compliance with hospital policies and regulatory standards.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Labor and Delivery RN
Northeast Alabama Regional Medical Center
05.2009 - 08.2014
- Educated expectant parents on prenatal care, childbirth options, breastfeeding techniques, and newborn care for informed decision making
- Contributed to efficient unit operations by maintaining accurate medical records, updating care plans, and documenting interventions.
- Reduced complications by closely monitoring patient vital signs, fetal heart rates, and labor progress.
- Contributed to lower infection rates through diligent adherence to infection control protocols such as hand hygiene and equipment sterilization procedures.
- Enhanced patient satisfaction with compassionate and personalized support during the birthing process.
- Promoted a safe and supportive environment for mothers, newborns, and families through effective communication and teamwork.
- Improved patient outcomes by implementing evidence-based practices in labor and delivery nursing care.
- Developed strong rapport with patients and families through empathetic communication, active listening, and cultural sensitivity during challenging times in labor and delivery process.
- Assessed neonates immediately after delivery for any signs of distress or complications, initiating appropriate interventions when necessary.
- Facilitated smooth transitions from labor rooms to postpartum units or neonatal intensive care units as needed for appropriate patient care continuity.
- Managed complex high-risk pregnancies alongside obstetricians, anesthesiologists, neonatologists, and other specialists for optimal patient safety measures.
- Mentored new nurses by providing guidance on best practices in labor and delivery nursing care for successful skill development.
- Assisted physicians during cesarean sections, forceps deliveries, and vacuum extractions to ensure optimal patient outcomes.
- Responded to emergency situations such as pre-eclampsia, early labor, and fetal distress.
- Managed epidural analgesia infusions and monitored vital signs during labor and delivery.
- Aided with induction of labor for women suffering from complications such as preeclampsia.
- Coordinated care of low and high-risk laboring women of childbearing age and immediate stabilization of newborn following delivery.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Managed patients recovering from medical or surgical procedures.
RN
University of Alabama at Birmingham Hospital
01.2000 - 01.2009
- Responded to emergency situations such as pre-eclampsia, early labor, and fetal distress.
- Provided emotional support and guidance to new mothers and families during labor, delivery and postpartum.
- Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient, and attending to baby after birth.
- Supported physicians in both planned and emergency Cesarean section procedures.
- Managed epidural analgesia infusions and monitored vital signs during labor and delivery.
- Assessed infant health directly after birth using APGAR and monitored health for specified amount of time for any changes in status.
- Coordinated care of low and high-risk laboring women of childbearing age and immediate stabilization of newborn following delivery.
- Conducted comprehensive physical assessments and assisted with pain management.
- Maintained a safe and sterile environment, ensuring optimal conditions for successful deliveries.
- Actively participated in interdisciplinary team meetings to discuss complex cases, leading to more effective treatment plans.
- Facilitated smooth transitions between prenatal care, labor, delivery, postpartum care, ensuring continuity of care for patients.
- Mentored new nursing staff members, sharing best practices and offering guidance to ensure a high level of patient care.
- Provided emotional support to patients experiencing difficult births or pregnancy complications.
- Assisted physicians in performing complex medical procedures, including cesarean sections and forceps deliveries.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Managed patients recovering from medical or surgical procedures.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Education
Bachelor of Science - Nursing and Health Sciences
Jacksonville State University
Jacksonville, AL12-1999
HS Graduate/Advanced Academic Diploma -
Hokes Bluff High School
Hokes Bluff, Alabama05.1995
Skills
- Skilled in digital charting
- Proficient in working with teams
- Customer service in healthcare
- Collaboration with physicians on patient care
- Skilled in conveying patient information
- Strong commitment to customer satisfaction
- Evidence-based clinical reasoning
- Supportive interpersonal skills
- Effective case oversight
- Electronic medical record proficiency
Timeline
RN Clinical Reviewer - Remote
Global Computer Products, Inc. / Novitas Solutions
05.2024 - Current
RN, BSN, MAS
Shepherd's Heart Residential Group Home
08.2023 - 03.2024
Triage Nurse
Women's Health Partners
04.2022 - 11.2022
RN Hospice Case Manager
Southern Care New Beacon Hospice
02.2021 - 05.2021
Telephonic Triage Nurse
Children's Hospital of Alabama
09.2017 - 02.2021
Outpatient Surgery/Registered Nurse, PACU
Coosa Pain and Wellness, P.C.
08.2014 - 01.2020
Labor and Delivery RN
Northeast Alabama Regional Medical Center
05.2009 - 08.2014
RN
University of Alabama at Birmingham Hospital
01.2000 - 01.2009
Bachelor of Science - Nursing and Health Sciences
Jacksonville State University
HS Graduate/Advanced Academic Diploma -
Hokes Bluff High School
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