KELLEY TOZOUR, RN
Seminole
Summary
Registered nurse with comprehensive experience in providing exceptional clinical care for a wide variety of patients with diverse needs. Excel at comprehensive assessment, development and implementation of care plans. Experienced in collaborating with patients, families, physicians and other medical providers to provide appropriate resources to enhance patient education, compliance with the healthcare plan. Skilled leader and team member with strong critical thinking and interpersonal skills. Experienced RN serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Registered Nurse Care Navigator - Remote
Healthmap Solutions
09.2021 - Current
- Maintained confidential health information according to state and federal regulations.
- Assisted members with social determinants of health and linked to appropriate community resources.
- Identified gaps in care and assisted in closure of gaps.
- Educated member on gaps in care and assisted with scheduling provider appointments.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Followed document protocols to safeguard confidentiality of patient records.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Facilitated communication between patients and various departments and staff.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Organized patient records and database to facilitate information storage and retrieval.
- Used Microsoft Word and other software tools to create documents and other communications.
- Worked with customers to understand needs and provide excellent service.
Registered Nurse Care Manager
Optum
04.2017 - 09.2021
- Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed quality care for patients with varied conditions, including heart failure, end-stage renal disease and coronary artery disease.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
- Facilitated quality-driven, cost-effective care for many patients each day.
- Gathered lab specimens, ordered testing and interpreted results to diagnose patients.
- Provided direct patient care, stabilized patients and determined next course of action.
- Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
Registered Nurse Emergency Services
HCA Healthcare Inc.
09.2016 - 03.2017
- Management of Critical, acute and chronic patient care in emergency room. Handling all aspects of treatment from triage to wound care, IV insertion, blood collection, diagnostic point of care testing, 12 lead EKG and continuous cardiac monitoring.
- Coordinate care with multi-discipline team of physicians, technicians and care providers.
- Communicate treatment and condition information to patients and their families.
- Responsive patient care
- Detail-oriented
Registered Clinical Nurse II
Baycare Health System
06.2012 - 09.2016
- Admission assessments, care plan development and discharge planning.
- Monitor patient reactions to medications and treatment therapies while documenting and communicating outcomes with physicians and other members of the health care team to ensure efficacy of therapeutic interventions.
- Manage care for post-operative patients through discharge.
- Liaison between patients, families and physicians to ensure patient and Caregiver's comprehension of treatment plans.
- Authorize medication refills and provided detailed prescription information to pharmacies.
- Collect blood, tissue and other specimens and prepared them for lab testing.
- Supervised nursing personnel assigned to the unit/shift.
- Delegated staff nurse duties.
- Instruct patients and family members on proper discharge care.
- Often commended for maintaining the safety, respect and dignity of patients.
Register Nurse
Cypress Healthcare
03.2010 - 06.2012
- Admission assessments, care plan development and discharge planning.
- Liaison between patients, families and physicians to ensure patient and Caregiver's comprehension of treatment plans.
- Monitored patient reactions to medications, procedures and treatments carefully documenting and communicating outcomes with physicians and other members of the health care team to ensure efficacy of therapeutic interventions.
- Assessed need for, ordered, obtained and interpreted appropriate lab tests.
- Authorized medication refills and provided detailed prescription information to pharmacies.
- Collected blood, tissue and other laboratory specimens and prepared them for lab testing.
- Instructed patients and family members on proper discharge care.
Sales Associate
Hendry Realty
09.1997 - 04.2011
- Represent buyers and sellers of developed and undeveloped properties.
- Show properties to potential buyers and other brokers at open houses and by appointment.
- Generate listings for sales through cold calls and referrals.
- Coordinate appointments to show marketed properties.
- Manage contracts, negotiations and all aspects of sales to finalize purchases and exceed customer expectations.
- Maintain connections with clients to encourage repeat business and referrals.
- Guide clients from beginning to end of the home buying process in choosing the right property.
Secretary/Treasurer
Suncoast Aquarium
04.2000 - 03.2010
- Supervised invoice processing, purchase orders, expense reports, credit memos and payment transactions.
- Reconciled vendor statements and handled payment discrepancies.
- Reviewed all expense reports for accuracy and proper expense disclosure.
- Balanced monthly general ledger accounts to accurately record cost and month end accruals.
- Reconciled discrepancies between accounts receivable general ledger account and accounts receivable trial balance account.
- Filed and addressed employee issues in accordance with company policies and government regulations.
Registered Nurse
Pediatric Health Choice
09.1996 - 10.1997
- Primary care, assessment, care plan development and evaluation of pediatric patients.
- Liaison between patients, families and physicians to ensure patient and Caregiver comprehension of treatment plans.
- Assessed need for, ordered, obtained and interpreted appropriate lab tests.
- Monitor patient reactions to medications and treatments while carefully documenting progress of individuals in a home care setting.
- Ensured efficacy of treatments through monitoring of treatment regimens.
- Self-directed with astute judgment and critical thinking skills.
Graduate Nurse/ Registered Nurse
All Children's Hospital
12.1993 - 12.1996
- Primary care, assessment, care plan development and evaluation of pediatric patients.
- Liaison between patients, families and physicians to ensure patient and Caregiver comprehension of treatment plans.
- Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for 4-5 patients per shift.
- Pharmacological and non-pharmacological management and treatment of various disorders and diseases.
- Closely monitored acute conditions.
- Collected blood, tissue and other laboratory specimens and prepared them for lab testing.
- Instructed patients and family members on proper discharge care.
Education
Associate of Science - Nursing
St Petersburg College
St Petersburg, Florida12.1993
Skills
- Managed care experience as it applies to Medical Group delegation and financial risk programs
- Knowledgeable and experienced with referral management/prior authorization/adverse determination
- Assessment/Care planning/evaluation/Referral and discharge planning
- Complaint Investigation
- Documenting and Recording Information
- Explaining Policy and Procedures
- Critical thinking skills
- Communication, negotiation and problem solving skills
- Chronic Disease Management
- Health Plan experience working with large carriers
- Experience working with MCG/Evidence based criteria
- Adept at prioritizing/managing deadlines
- Ability to work independently under general instruction as well as with a team
- Excellent documentation skills w/ EHR proficiency in Allscripts, Cerner, Beacon & Meditech
- Ability to educate patients and other care providers
- Proficient with Microsoft Word, PowerPoint and Excel
- Strong clinical judgment
- Preventative health
- Dedicated home office space with a locked door
- Accessibility to high speed DSL/Cable Modem
Certification
- Registered Nurse in Florida, License number RN2870222
- Basic Life Support (BLS) for Healthcare Providers Certification by AHA, 2015-present
Timeline
Registered Nurse Care Navigator - Remote
Healthmap Solutions
09.2021 - Current
Registered Nurse Care Manager
Optum
04.2017 - 09.2021
Registered Nurse Emergency Services
HCA Healthcare Inc.
09.2016 - 03.2017
Registered Clinical Nurse II
Baycare Health System
06.2012 - 09.2016
Register Nurse
Cypress Healthcare
03.2010 - 06.2012
Secretary/Treasurer
Suncoast Aquarium
04.2000 - 03.2010
Sales Associate
Hendry Realty
09.1997 - 04.2011
Registered Nurse
Pediatric Health Choice
09.1996 - 10.1997
Graduate Nurse/ Registered Nurse
All Children's Hospital
12.1993 - 12.1996
Associate of Science - Nursing
St Petersburg College
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