Dedicated and compassionate Registered Nurse (RN) with extensive experience with patient care, medical procedures, and clinical documentation. Highly focused on team collaboration and achieving positive patient outcomes. Expertise in patient assessment, care planning, and medical documentation.
Overview
9
9
years of professional experience
Work History
RN (Mohs Surgery)
Coastal Skin Surgery & Dermatology
09.2022 - Current
Schedule patients for Mohs surgery, preop assessment - review of patient charts for accuracy.
3+ years of experience initiating and appealing prior authorizations for multiple insurance agencies; identifying if additional information is required.
Thorough knowledge of clinical documentation practices and principles of ICD-10-CM and CPT codes.
Advocate for patients and families through effectively communicating with providers and interdisciplinary team members.
Employ critical thinking to determine medical appropriateness while meeting production goals and QA standard
Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
LPN
96th Med Group - OB/GYN
06.2022 - 09.2022
Review and interpret patient records, comparing them against criteria to determine medical necessity and appropriateness of care.
Maintain competency and demonstrate responsibility for professional growth through continuing education.
Manage and triage patient phone calls and electronic communications.
Facilitated efficient communication between patients, families, and healthcare providers to promote continuity of care across settings.
LPN
Womack Army Medical Center
10.2018 - 05.2022
Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
Review medical records against criteria, contract requirements, and regulatory standards
Abstract review-related data/information accurately and promptly using the appropriate means
Participated in peer reported reviews and chart audits.
Perform ongoing reassessment of the review process to identify improvement and/or change opportunities
Demonstrated professional communication with multi-specialty providers (Rheumatology, ID, Nephrology, Internal Med, Endo, Cardio, Pulmonology).
Delivered updates in patient status to charge nurse, recording changes in medical records.
LPN
Blanchfield Army Hospital
11.2017 - 05.2018
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules
Performs medical Quality Assurance (QA) on all charts in various process stages
Contributed to organizational success by participating in accreditation surveys, quality assurance programs, and ongoing staff education activities.
Assisted physicians with diagnostic testing and procedural support for optimal treatment decisions.
LPN
Premier Pediatrics/Urgent care
10.2016 - 11.2017
Employ critical thinking to determine medical appropriateness while meeting production goals and QA standards.
Performed routine evaluations of each patient's status, needs, and preferences.
Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
Utilize proper telephone etiquette and judicious use of other verbal and written communications.