Kim Mace
Uniontown,OH
Summary
Qualified nurse with background in healthcare with strong organizational skills. Supported teams in ensuring compliance with utilization review standards and improved workflow efficiencies. Demonstrated effective communication and analytical abilities in coordinating patient care reviews.
Overview
26
26
years of professional experience
Work History
Nurse - Utilization Review
The Health Plan
12.2016 - Current
- Current position in insurance pre-authorization for imaging, surgeries, procedures, genetic testing
- I use Interqual and other systems to gather data and follow appropriate guidelines to approve or deny submitted requests by providers
- Computer skills, time-management and communication are all necessary for day to day position
RN
Alere Home Health
04.2013 - 11.2016
- I see high-risk OB patients in their home for complete assessment, injections, education, referral for available resources, IV administration of medication/fluids
- I have a lot of OB knowledge to share with patients
- I was able to educate them in a way that was easy for patients to understand
- I taught them about conditions such as pre-term labor, medication usage, Gestational Diabetes, IV maintenance, and anything related to OB care for a high risk patient
- Education, ability to see a variety of patients with all different levels of education and understanding of their situation, IV skills, injections, computer skills, time management, basic assessment skills
RN
Akron General Womens Health Clinic
03.2007 - 02.2013
- RN-Triage phone calls, computer charting, prior authorizations, chart review, patient education, direct care to include: education, medication injections, new OB assessment, tracking of PAP smears, mammograms, ultrasounds
RN
Aultman Hospital
09.1998 - 06.2006
- Floor RN in OBGYN-direct patient care for new moms, infants, also Gyn patients to include post-op patients
- Includes floating to Labor and Delivery, NICU, Pediatrics
- Duties include assessment and charting of patient care, medication administration to include IV meds, education of patients and their families
Education
Diploma in Nursing - Nursing in RN
Summa School of Nursing/Akron University
Akron, OH01.1998
Skills
- RN
- Charting
- Patient Care
- Pediatrics
- NICU
- Time Management
- Maintenance
- Patient Assessment
- Injections
- Medication Administration
- Training/Teaching
- Medications
- Computer Skills
- Obstetrics and Gynecology
- Patient Charts
- Neonatal Intensive Care Unit (NICU)
- Maternal-Fetal Medicine
- Patient Education
- Nursing
- Utilization Management
- Data Collection
Personal Information
Title: RN
Workauthorization - Authorizedcountries
United States
Timeline
Nurse - Utilization Review
The Health Plan
12.2016 - Current
RN
Alere Home Health
04.2013 - 11.2016
RN
Akron General Womens Health Clinic
03.2007 - 02.2013
RN
Aultman Hospital
09.1998 - 06.2006
Diploma in Nursing - Nursing in RN
Summa School of Nursing/Akron University
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