Katy Walters
UT Health Athens
Whitehouse,TX
24
years of professional experience
Experienced Registered Nurse with an extensive clinical background grounded in evidence-based practice, critical appraisal of clinical information, regulatory compliance, and patient advocacy, seeking to transition these skills into human-subject research protection and Institutional Review Board coordination. Hands-on experience in bedside intensive care nursing, case management, and utilization review, with a talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Work History
Remote Utilization Review and Case Manager
1 Year 7 Months- Managed remote utilization review and case management services for eight emergency departments during weekend coverage (Friday-Sunday)
- Maintained accurate, timely documentation of utilization review determinations, medical necessity reviews, and case management assessments and interventions in Epic, ensuring CMS regulations and payor compliance.
- Conducted telephone assessments with patients and families to identify discharge planning needs, social determinants of health, available support systems, and barriers to safe transitions of care.
- Collaborated with physicians, nurses, social workers, and ancillary services to coordinate patient care and facilitate appropriate level-of-care determinations, while applying InterQual criteria to determine medical necessity and appropriate admission status (inpatient vs. observation)
RN Case Manager
11 Years 2 Months- Advocated for patients' rights and preferences, working diligently to align care with individual values and goals.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Facilitated multidisciplinary team meetings to discuss patient care, fostering collaborative approach to healthcare.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Advocated for patients with insurance companies, securing coverage for necessary treatments and medications.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
- Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
Registered Nurse, Intensive Care Unit
11 Years 4 Months- Administered critical care procedures and medications in compliance with hospital protocols.
- Monitored patient vital signs and responded to emergencies, ensuring immediate interventions.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Educated patients and families on disease management, treatment options, and recovery processes.
- Demonstrated advanced critical thinking skills while managing complex clinical situations involving multiple organ systems failures in critically ill patients.
- Assisted physicians with bedside procedures, ensuring accurate treatment administration and timely patient recovery.
- Mentored new nursing staff, facilitating smooth integration into the ICU unit and promoting a supportive workplace culture.
Education
Bachelors Of Science In Nursing - Nursing
Skills
Problem-solving
Organization and multitasking
Research and analysis
Critical thinking
Strength in research
Teamwork and collaboration
Adaptability and flexibility
Self motivation
Interpersonal skills
Timeline
Remote Utilization Review and Case Manager
UT Health Athens
10.2024 - 05.2026Read More
RN Case Manager
UT Health East Texas
08.2013 - 10.2024Read More
Registered Nurse, Intensive Care Unit
East Texas Medical Center / UT Health East Texas
01.2002 - 05.2013Read More
University of Texas at Tyler
Bachelors Of Science In Nursing from Nursing
Read More