I have a proven record of reliability and responsibility. I have a great ability to remain calm and professional during critical incidents and times of crisis. I possess strong clinical and assessment skills, and am able to problem solve, multi-task, and come up with solutions to complex problems. I am able to develop a rapport with patients, families, staff and physicians. I have experience in working in various parts of the country and am able to relate with people from many different cultures. I am seeking a challenging position, where my extensive medical, professional and practical experience will be utilized and appreciated, while continuing to develop and excel my skills for my employer.
Overview
27
27
years of professional experience
Work History
Utilization Management Nurse Consultant
AETNA
10.2018 - Current
Performed prior authorization review of services requiring notification.
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Performed admission reviews based on medical necessity based upon Milliman Guidelines specification.
Supervised and maintained all utilization review documentation through Medcompass.
Evaluated patient histories, complaints, and current symptoms.
Health Services Administrator
Correct Care Solutions
10.2015 - 10.2018
Oversee medical management and care of 200 inmates, Coordinate care between doctors offices, hospitals, and the correctional center medical team, follows policies and procedures maintains accreditation for the facility
Monitor subcontracted services i.e
Lab, xray
Oversee RN,LPN, SW clerical staff, provide scheduling for all disciplines, balance a budget, perform quality improvement studies, hedis, respond to emergencies, lab draws, pass medication when needed
Maintain effective communication with the Warden of the facility, and Sheriff of the County
Provide statistical reports, have quarterly meetings with the Warden and Regional Managers and Directors
Assess patients, hold nursing sick call, perform intakes on new patients committed to the correctional facility.
Assisted with regulatory issues such as compliance.
Analyzed current programs to determine effectiveness.
Oversaw accounting, budgeting, and financial reporting.
Tracked and evaluated statistical data on healthcare activities to make effective program decisions.
Monitored status of individuals with chronic health concerns.
Staff Nurse Emergency Department
Inspira Medical Center Vineland
01.2012 - 03.2016
Perform clinical tasks according to hospital policy, educate patients and family members of health care needs, assess patient condition, and report any change in status to the doctor
Provide quality patient care while maintaining confidentiality protocols, chart on patients proficiently using electronic charts
Triage patients as per the emergency department protocols.
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.
Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
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.
Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Health Services Administrator
Corizon Health
06.2008 - 01.2012
Responsible for all aspects of managing the nursing staff, staff scheduling, payroll, balancing a budget, inventory, supply ordering, maintaining a working relationship with custody administration
Responsible for overseeing and managing the health care of 270 inmates, assuring they are receiving the medications and medical, psychiatric, and dental care they need
Responsible for overseeing the nursing, social work, and medical office staff, and ensuring the credentials of all staff including physicians
In addition to management duties, also performed clinical duties such as drawing blood, performing intakes, assessing inmates, responding to emergency situations, and administering medications.
Staff Nurse Emergency Department
Intelistaf Travel Division
12.2000 - 06.2008
Worked in an ER setting in various hospitals
Placed in charge of staff at times, assisted in orientation of new staff members, performed clinical tasks according to hospital policy, educated patients and family members of health care needs, assessed patient condition and reported any changes in status to the doctor
Provided quality patient care while maintaining confidentiality protocols
Charted on patients proficiently using both paper and electronic charts.
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.
Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
Assessed physical, psychological, physiologic, and cognitive status of patients.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Emergency Departments worked in: Santa Monica UCLA Medical Center, Level II Trauma Center, Sharp Grossmont Hospital San Diego, CA, Level III Trauma Center, Shore Memorial Hospital, Somers Point, NJ, New York Hospital Columbia Presbyterian Campus, NY, NY, Level 1 Trauma Center, Lawrence Hospital, Bronxville, NY, New York Hospital Cornell Campus, NY, NY, Level I Trauma Center, and Burn Center, Lutheran Hospital Brooklyn, NY Level 1 Trauma Center
Staff Nurse
Beebe Medical Center
05.1997 - 12.2000
Worked in both a Med-Surg and Emergency Department setting
Placed in charge of staff at times, and assisted in the orientation of new staff members
Performed clinical tasks according to hospital policy, educated patients and families of health care needs
Assessed patient condition and reported any changes in status to the doctor
Provided quality patient care while maintaining confidentiality protocols.