Krissandra Blanco
Key Largo,FL
Summary
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Hands-on professional proudly offering more than 20 years of expertise in nursing field. Well-rounded and personable Utilization Review Nurse talented in reporting, records oversight and performance improvement.
Overview
23
23
years of professional experience
Work History
Utilization Review Nurse, Team Lead
TurningPoint Healthcare Solutions
09.2019 - 07.2022
- Performed prior authorization review of services requiring notification.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Supervised and maintained all utilization review documentation through CRM, InterQual.
- Performed admission reviews based for medical necessity based upon Medicare Chapter 7, LCD/NCD specification.
- Supervised and maintained all utilization review documentation through CRM.
- Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
Licensed Practical Nurse Unit Manager
Orange City Nursing & Rehab
03.2018 - 09.2019
- Maintained medication room in full compliance with government and facility requirements.
- Evaluated and improved team member performance through coaching and training.
- Oversaw medication passes and all direct patient care.
- Scheduled staff and delegated work assignments.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Delivered emotional support to patients and families during challenging times.
- Reviewed patient history to verify conditions and current medications.
- Clearly and thoroughly explained diagnoses, treatment options and procedures to patients and loved ones, checking in to verify understanding.
- Administered medications and injections to patients.
- Coordinated patient transfers to other facilities.
- Monitored patient health conditions to report changes to assigned physician.
- Provided diagnosis information, treatment possibilities, disease management tips and wound care advice to patients, loved ones and caregivers.
- Took samples to complete diagnostic and routine assessment tests.
- Helped long-term care residents with bathing, dressing, feeding, and other daily living activities.
- Evaluated patient histories, complaints, and current symptoms.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Circulated assigned floor to measure and record patients' fluid and food levels, implementing measures to promote healthy intake and output as necessary.
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
Licensed Practical Nurse Unit Manager
Tuskawilla Nursing & Rehab
10.2017 - 01.2018
- Maintained medication room in full compliance with government and facility requirements.
- Evaluated and improved team member performance through coaching and training.
- Oversaw medication passes and all direct patient care.
- Scheduled staff and delegated work assignments.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Delivered emotional support to patients and families during challenging times.
- Reviewed patient history to verify conditions and current medications.
- Clearly and thoroughly explained diagnoses, treatment options and procedures to patients and loved ones, checking in to verify understanding.
- Responded to patient requests with appropriate clinical and personal assistance.
- Administered medications and injections to patients.
- Provided patient education on health care issues and prescribed medications.
- Monitored patient health conditions to report changes to assigned physician.
- Provided diagnosis information, treatment possibilities, disease management tips and wound care advice to patients, loved ones and caregivers.
- Took samples to complete diagnostic and routine assessment tests.
- Evaluated patient histories, complaints, and current symptoms.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Circulated assigned floor to measure and record patients' fluid and food levels, implementing measures to promote healthy intake and output as necessary.
Chronic Illness Case Manager
Central Florida Medical Associates
10.2016 - 06.2017
- Delivered comprehensive planning, implementation and evaluation of plans of care.
- Maintained detailed records of patient progress, documentation of services and case notes.
- Collaborated with healthcare providers to drive continuity of care.
- Managed caseload to satisfy multiple patients with diverse needs.
- Assessed risk factors of patients and made referrals for further services.
- Updated treatment plans on monthly basis with latest intervention strategies and progress notes.
Licensed Practical Nurse Unit Manager
Orange City Nursing & Rehab
11.2014 - 08.2016
- Maintained medication room in full compliance with government and facility requirements.
- Evaluated and improved team member performance through coaching and training.
- Oversaw medication passes and all direct patient care.
- Scheduled staff and delegated work assignments.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Delivered emotional support to patients and families during challenging times.
- Reviewed patient history to verify conditions and current medications.
- Clearly and thoroughly explained diagnoses, treatment options and procedures to patients and loved ones, checking in to verify understanding.
- Responded to patient requests with appropriate clinical and personal assistance.
- Administered medications and injections to patients.
- Coordinated patient transfers to other facilities.
- Provided patient education on health care issues and prescribed medications.
- Monitored patient health conditions to report changes to assigned physician.
- Supported diagnoses by taking blood samples from patients for laboratory testing.
- Provided diagnosis information, treatment possibilities, disease management tips and wound care advice to patients, loved ones and caregivers.
- Took samples to complete diagnostic and routine assessment tests.
- Helped long-term care residents with bathing, dressing, feeding, and other daily living activities.
- Evaluated patient histories, complaints, and current symptoms.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Circulated assigned floor to measure and record patients' fluid and food levels, implementing measures to promote healthy intake and output as necessary.
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
Pediatric Critical Care Nurse
Maxim Healthcare
02.2009 - 07.2014
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
- Evaluated patient histories, complaints, and current symptoms.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Administered medications and treatments as ordered by physician.
- Guided patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.
- Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care.
- Delivered outstanding patient care in pediatric critical care setting.
- Provided targeted care and treatment to special needs pediatric patients.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Excellent communication skills, both verbal and written.
- Organized and detail-oriented with a strong work ethic.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Worked flexible hours across night, weekend and holiday shifts.
- Cultivated interpersonal skills by building positive relationships with others.
Pediatric Critical Care Nurse
Pediatric Services Of America
09.1999 - 11.2008
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
- Evaluated patient histories, complaints, and current symptoms.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Administered medications and treatments as ordered by physician.
- Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care.
- Delivered outstanding patient care in pediatric critical care setting.
- Provided targeted care and treatment to special needs pediatric patients.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Managed time efficiently in order to complete all tasks within deadlines.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Excellent communication skills, both verbal and written.
- Organized and detail-oriented with a strong work ethic.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Worked flexible hours across night, weekend and holiday shifts.
- Developed and maintained courteous and effective working relationships.
- Cultivated interpersonal skills by building positive relationships with others.
Education
Vocational Nursing -
Seminole State College of Florida
Sanford, FL08.1999
High School Diploma -
Bullard High School
Fresno, CA06.1990
Skills
- Communications
- Diet and Nutrition
- Alternative Treatments
- Record Analysis
- Medication Side Effect Knowledge
- Acute Respiratory Distress Syndrome
- Medical Supply Management
- Pressure Wound Treatment
- Skilled in Type of Point Click Care, CRM, InterQual, eClinical
- Monitoring Vital Signs
- Microsoft Office
- Patient Care Assessment
- Intramuscular, Subcutaneous & Intradermal Injections
- Immunizations and Vaccinations
- Healthcare Personnel Supervision
- Continuous Assessments
- Update Electronic Charts
- Documentation
- Treatment Plan Modification
- Nursing Performance Assessment
- Patient Care Oversight
- Leadership
- InterQual Criteria
- Unit Oversight
- Accurate Documentation
- Administer Medication
- Utilization Review
- Patient Transfers and Transitions
- Interpersonal and Written Communication
- Delegation and Motivation
- G-Tube feedings & Care
- Ventilator & Tracheostomy Care
- Glucose Checks, Vital Signs
Timeline
Utilization Review Nurse, Team Lead
TurningPoint Healthcare Solutions
09.2019 - 07.2022
Licensed Practical Nurse Unit Manager
Orange City Nursing & Rehab
03.2018 - 09.2019
Licensed Practical Nurse Unit Manager
Tuskawilla Nursing & Rehab
10.2017 - 01.2018
Chronic Illness Case Manager
Central Florida Medical Associates
10.2016 - 06.2017
Licensed Practical Nurse Unit Manager
Orange City Nursing & Rehab
11.2014 - 08.2016
Pediatric Critical Care Nurse
Maxim Healthcare
02.2009 - 07.2014
Pediatric Critical Care Nurse
Pediatric Services Of America
09.1999 - 11.2008
Vocational Nursing -
Seminole State College of Florida
High School Diploma -
Bullard High School
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