Open To Work
Kellie Ayne Raggi
Stamford Health
Stamford,CT
Work Preference
Desired Job Title
Utilization Review NurseAcute Psychiatry Case ManagerCharge Nurse, Medicine/OncologyStaff Nurse Medical/OncologyStaff Float Nurse
Work Type
Full TimePart Time
Location Preference
Remote
Important To Me
Company CultureWork-life balanceWork from home option4-day work weekPaid time off401k matchHealthcare benefits
32
years of professional experience
Professional nurse with extensive experience in utilization review. Skilled in analyzing patient care and ensuring compliance with healthcare regulations. Strong focus on team collaboration and achieving optimal patient outcomes. Adaptable and reliable, excelling in dynamic environments requiring precise decision-making and effective communication.
Work History
Utilization Review Nurse
6 Years 9 Months- Conducted comprehensive reviews of patient care plans to ensure compliance with established guidelines.
- Collaborated with healthcare teams to assess medical necessity and appropriateness of services.
- Analyzed complex clinical information to support decision-making in care management strategies.
- Developed training materials for staff on regulatory changes impacting utilization review processes.
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity prior to service provision.
Acute Psychiatry Case Manager
5 Years 6 Months- Collaborated with multidisciplinary teams to ensure holistic patient care approach.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Evaluated submissions to ensure alignment with organizational policies and procedures.
- Analyzed and reviewed documentation for compliance with regulatory standards.
- Provided constructive feedback to improve quality and accuracy of reports.
- Established review criteria that improved consistency across evaluations by team members.
- Conducted in-depth research to strengthen the overall quality and credibility of each review.
Charge Nurse, Medicine/Oncology
1 Year 5 Months- Supervised nursing staff to ensure high-quality patient care and adherence to protocols.
- Implemented efficient patient flow strategies, enhancing overall departmental productivity.
- Oversaw medication administration processes, ensuring accuracy and safety in dosing.
- Managed staffing schedules effectively, optimizing nurse-to-patient ratios during peak hours.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Collaborated with other healthcare professionals to provide quality patient care.
Staff Nurse Medical/Oncology
1 Year 8 Months- Administered patient care, ensuring safety and comfort during procedures.
- Collaborated with multidisciplinary teams to develop individualized care plans.
- Monitored vital signs and documented changes in patient conditions accurately.
- Educated patients and families on health management and disease prevention strategies.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Staff Float Nurse
2 Years 8 Months- Administered medications and treatments according to established protocols and patient care plans.
- Collaborated with interdisciplinary teams to develop comprehensive patient care strategies.
- Monitored patient vital signs and reported significant changes to healthcare team members promptly.
- Educated patients and families on health management, promoting adherence to treatment regimens.
- Implemented quality improvement initiatives that enhanced patient outcomes and operational efficiency.
- Administered and maintained comfort, treatment, medication, intravenous infusion and health care to support patient needs.
- Provided compassionate end-of-life care, prioritizing comfort and dignity for both patients and their families.
Agency Nurse
8 Months- Administered medications and treatments as prescribed by healthcare providers.
- Monitored vital signs and documented changes in patient conditions.
- Collaborated with multidisciplinary teams to develop comprehensive care plans.
- Conducted patient assessments to identify immediate medical needs effectively.
- Observed patients under treatment to identify progress or side effects of medications.
- Reviewed care plans to verify patient's diagnosis, treatment goals and specific nursing orders.
Staff Nurse
1 Year 6 Months- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Educated patients and families on health management and disease prevention strategies.
- Assessed patient conditions, documenting changes accurately for continuity of care.
- Administered medications via oral and intramuscular injections and monitored responses.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Demonstrated excellent time management skills while juggling multiple priorities in a fast-paced environment.
- Acted as a patient advocate, ensuring their needs were met and their rights protected throughout their healthcare journey.
Charge Nurse
5 Months- Coordinated patient assessments, developing individualized care plans in collaboration with interdisciplinary teams.
- Advocated for patients' needs, facilitating effective communication between families and healthcare providers.
- Supervised nursing staff to ensure high-quality patient care and adherence to health regulations.
- Promoted a safe working environment by adhering to infection control policies and regularly reviewing safety protocols.
- Collaborated with interdisciplinary healthcare teams to develop and implement individualized care plans for patients.
Customer Service Representative
1 Year 7 MonthsHospital Manager
3 Years 1 MonthTeller, Cash Vault Supervisor
2 YearsPharmacy Technician
2 YearsEducation
Bachelor of Science - Nursing
Expected graduation date
Associate of Science Degree - Nursing
Licensed Practical Nurse
Skills
Problem-solving
Case management
Time management
Case documentation
Organization and multitasking
Critical thinking
Quality assurance controls
Utilization review
Team collaboration
Utilization criteria
Cost reduction initiatives
Timeline
Utilization Review Nurse
Stamford Health
09.2019 - CurrentRead More
Acute Psychiatry Case Manager
Stamford Health
03.2014 - 09.2019Read More
Charge Nurse, Medicine/Oncology
Stamford Health
10.2012 - 03.2014Read More
Staff Nurse Medical/Oncology
Greenwich Hospital
02.2011 - 10.2012Read More
Staff Float Nurse
Courtland Gardens Health Center
06.2008 - 02.2011Read More
Agency Nurse
Daw's Critical Care Registry, Inc.
09.2007 - 05.2008Read More
Staff Nurse
The Stamford Hospital Ambulatory Care Clinic
02.2006 - 08.2007Read More
Charge Nurse
Greenwich Woods Healthcare Facility
08.2005 - 01.2006Read More
Customer Service Representative
First County Bank
01.2003 - 08.2004Read More
Hospital Manager
New Canaan Veterinary Hospital
09.1999 - 10.2002Read More
Teller, Cash Vault Supervisor
Fleet Bank
01.1997 - 01.1999Read More
Pharmacy Technician
CVS Pharmacy
01.1995 - 01.1997Read More
Practical Nurse Education Program
Licensed Practical Nurse
Read More
Norwalk Community College
Associate of Science Degree from Nursing
Read More
University of Maine at Fort Kent
Bachelor of Science from Nursing
Read More