Kara Borden
Registered nurse
North Port,FL
Overview
18
18
years of professional experience
Education
Associate Degree In Nursing - Nursing
Edison State College
Punta Gorda, FL05.2008
Skills
- Microsoft Excel
- Critical Thinking
- Active Listening
- Diet and Nutrition
- Preventive Healthcare
- InterQual criteria
- Documentation and reporting
- Utilization review
- Patient care plans
- Discharge planning coordination
- Insurance verification
- Medicaid
- Medical coding
Accomplishments
- Supervised team of 15 staff members on busy post cardiac cath lab unit.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Surgical Preparation - Assisted in patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
Work History
Medical Surgical Registered Nurse
Fawcett Memorial Hospital
Port Charlotte , FL
06.2008 - 03.2009
- Managed patients recovering from medical or surgical procedures.
- Educated family members and caregivers on patient care instructions.
- Monitored patient reactions after administering medications and IV therapies.
Cardiac Registered Nurse
Bayfront Port Charlotte
Port Charlotte, FL
01.2010 - 12.2018
- Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.
- Prioritized and revised patient care activities based on acuity of symptoms and patient preferences.
- Assisted in diagnosis and treatment of conditions such as unstable angina, cardiomyopathy, coronary artery disease, and cardiac dysrhythmia.
- Maintained detailed records of patient conditions, reactions and progress in alignment with physician orders.
- Cared for culturally-diverse patients, liaising with family members and specialists to address changing needs and enhance individual experience.
Cardiac Cath Lab Registered Nurse
Bayfront Port Charlotte
Port Charlotte , FL
01.2019 - 12.2019
- Supported physicians throughout introduction of medical devices and vascular closure with collagen plugs and stitches.
- Performed fractional flow reserve tests to measure blood pressure and diagnose severity of restriction at blocked areas within arteries.
- Treated plaque buildup within arteries with angioplasty balloon procedures.
- Installed bare metal, drug-eluting and bioabsorbable stents throughout vascular system.
Registered Nurse
Trilogy Home Healthcare
Sarasota , FL
12.2019 - 06.2022
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Provided direct patient care, stabilized patients and determined next course of action.
- Delivered after-hours care to patients based on strict role-call rotations.
- Took samples to complete diagnostic and routine assessment tests.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
- Proficient with oasis charting
Utilization Review Nurse
Centene
07.2022 - Current
- Led comprehensive utilization reviews to ensure compliance with healthcare regulations and policies.
- Streamlined processes for assessing medical necessity, enhancing operational efficiency across healthcare teams.
- Collaborated with interdisciplinary teams to develop care plans that optimize patient outcomes and resource allocation.
- Analyzed clinical data to identify trends and recommend adjustments to utilization protocols for improved quality of care.
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Performed admission reviews based for medical necessity based upon [Type] specification.
Summary
Experienced with conducting thorough utilization reviews to ensure effective resource use and patient care. Utilizes clinical judgment to assess and recommend appropriate treatment plans. Track record of ensuring compliance with healthcare regulations and improving patient outcomes.
Certification
- Registered nurse multistate license expiration date April 30, 2028
Timeline
Utilization Review Nurse
Centene
07.2022 - Current
Registered Nurse
Trilogy Home Healthcare
12.2019 - 06.2022
Cardiac Cath Lab Registered Nurse
Bayfront Port Charlotte
01.2019 - 12.2019
Cardiac Registered Nurse
Bayfront Port Charlotte
01.2010 - 12.2018
Medical Surgical Registered Nurse
Fawcett Memorial Hospital
06.2008 - 03.2009
Associate Degree In Nursing - Nursing
Edison State College
BLS certified
Bls certification