KRISTEL LAT
Flushing
Summary
As healthcare professional, brings extensive experience in clinical review and patient care management. Known for strong focus on team collaboration and delivering high-quality outcomes. Reliable, adaptable, and skilled in clinical assessments and regulatory compliance.
Overview
12
12
years of professional experience
Work History
Clinical Review Nurse
Medix Staffing Solution
09.2024 - Current
- Company Overview: assigned in CenterLight Healthcare PACE
- Collects, reviews and evaluates information necessary to reach prospective, concurrent and retrospective decision using objective evidence based clinical criteria.
- Processes requests for authorization from in-network providers and communicates in a timely manner when the decision has been made by the Interdisciplinary Team.
- Suggests alternate care plans, make recommendations and coordinates with the Provider/IDT or appropriate utilization services.
- Assigned in CenterLight Healthcare PACE
- Demonstrated strong attention to detail by identifying discrepancies in medical records and collaborating with healthcare providers to rectify errors, ultimately enhancing the accuracy of patient information.
- Facilitated timely discharge planning through comprehensive review of patients'' medical records and coordinating with multidisciplinary teams.
PD-Care Manager (Utilization Review)
NYU Langone
10.2023 - Current
- Identifies cases that require peer review in accordance with the clinical indicators and criteria developed by the clinical department.
- Identifies trends in care, processes or services that may provide opportunities for improvement in a patient population or clinical service.
- Refers appropriately cases that require peer review in accordance with the clinical indicators and criteria developed by the clinical department.
- Takes initiative to participate in a quality/process improvement initiative.
- Applies customary protocols, pathways, evidence-based processes and other means of managing patient care.
- Collaborates with the interdisciplinary team to create solutions and take corrective actions to address issues resulting in variances in the plan of care.
Charge Nurse
Ozanam Hall
09.2023 - Current
- Oversees all of nursing staff on the assigned shift to ensure compliance with current rules, regulations and guidelines that govern the long-term care home.
- Ensures all residents rights are protected, investigates and reports all allegations of abuse, neglect, mistreatment and misappropriation, and makes any required reports within required time frames.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
United Staffing Registry, Inc.
02.2022 - 09.2023
- Company Overview: assigned in Long Island Care Center - Charge Nurse
- 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.
- Conducted daily shift briefs to inform staff of changes in patient care assignments.
- Supervised and managed daily scheduling, tasking, and administration.
- Collaborated with other healthcare professionals to provide quality patient care.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
- Assigned in Long Island Care Center - Charge Nurse
OPTUM Global Solutions, INC
07.2016 - 01.2022
- Company Overview: Formerly United Health Group, INC - Utilization Management Nurse
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Recorded details regarding therapies to keep patient charts updated.
- Devise or identify solutions for irregular requests and issues.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Formerly United Health Group, INC - Utilization Management Nurse
Staff Nurse
Healthserv Los Baños Medical Center, HLBMC
02.2014 - 06.2016
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Directed patient care by initiating and following through with plan of care, continuing care, and discharge instructions.
Wellness Assistant
02.2013 - 03.2013
- Business Team, Member of the Project: Choose Wellness, Choose Nestle.
- Assisted Dietitian in giving counseling regarding the healthy diet.
Education
Bachelor of Science - Nursing
Canossa College - College of Nursing
San Pablo, Laguna03.2012
Skills
- Can work under minimum amount of supervision
- Willing to be train and to learn if necessary
- Charting and Documenting
- Shared Governance
- Patient Admitting
- Care and Discharge Planning
- Verbal and Written Communication
- Immunizations and Vaccinations
Timeline
Clinical Review Nurse
Medix Staffing Solution
09.2024 - Current
PD-Care Manager (Utilization Review)
NYU Langone
10.2023 - Current
Charge Nurse
Ozanam Hall
09.2023 - Current
United Staffing Registry, Inc.
02.2022 - 09.2023
OPTUM Global Solutions, INC
07.2016 - 01.2022
Staff Nurse
Healthserv Los Baños Medical Center, HLBMC
02.2014 - 06.2016
Wellness Assistant
02.2013 - 03.2013
Bachelor of Science - Nursing
Canossa College - College of Nursing
Similar Profiles
Julia HanesJulia Hanes
Talent Resource Coordinator at Medix Staffing SolutionTalent Resource Coordinator at Medix Staffing Solution
Nataly NavarretoNataly Navarreto
Insurance Verification Representative at Medix Staffing Solution~ University Hospital OhioInsurance Verification Representative at Medix Staffing Solution~ University Hospital Ohio
Rosario Mendoza-MarrufoRosario Mendoza-Marrufo
Billing Specialist at Medix StaffingBilling Specialist at Medix Staffing