Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kyli Silavent

Slocomb,AL

Summary

Accomplished Utilization Review Nurse with a proven track record at Community Health Systems, enhancing patient care quality through meticulous utilization reviews and adherence to regulatory standards. Skilled in documentation, InterQual criteria, and prioritization, coupled with a customer service-oriented approach. Demonstrated ability to improve patient outcomes in ICU settings by implementing evidence-based practices. Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.

Overview

7
7
years of professional experience

Work History

Utilization Review Nurse

Community Health Systems, CHS
11.2021 - Current
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.

RN, ICU

Flowers Hospital
01.2018 - 11.2021
  • 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.
  • Guided patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.
  • Improved patient outcomes by implementing evidence-based nursing practices and providing high-quality care in the ICU setting.

Education

High School Diploma -

Ashford High School
Ashford, AL

Associate of Applied Science - Nursing

Wallace Community College
Dothan, AL

Skills

    Documentation And Reporting

    InterQual Criteria

    Utilization review

    Records analysis

    Physician consultations

    Fast Typing Speed

    Customer Service-Oriented

    Independent worker

    Work Prioritization

    Spreadsheet Management

    Proofreading

    Advanced Excel spreadsheet functions

Timeline

Utilization Review Nurse

Community Health Systems, CHS
11.2021 - Current

RN, ICU

Flowers Hospital
01.2018 - 11.2021

High School Diploma -

Ashford High School

Associate of Applied Science - Nursing

Wallace Community College

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Kyli Silavent