LaNeetra Davis
Knoxville,TN
Summary
Registered nurse with 9 years of Pre authorization utilization review experience for SNF, IRF, LTAC
Registered Nurse with more than 10 years experience working with critically ill patients. Additional expertise includes management and staff supervision.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse
NaviHealth
Brentwood, TN
09.2021 - Current
- Collaborated with healthcare providers to gather relevant patient information and facilitate care coordination.
- Developed and implemented strategies to enhance patient outcomes through effective resource management.
- 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.
- Performed prior authorization review of services requiring notification.
Registered Nurse
Beverly Park Place Health and Rehab
Knoxville, Tennessee
07.2016 - 2021
- All aspects of nursing care focusing primarily on the adult gerontology population
- Acts as medication nurse for high-acuity long-term care residents as well as Skilled Nursing Facility residents
- Acts as staff resource nurse to provide education and assistance to less experienced staff members
Utilization Review Nurse
Humana
Knoxville, Tennessee
01.2013 - 03.2019
- Manage network participation, care with specialty networks and transfers to alternative levels of care using knowledge of benefit plan design
- Review Medicare cases for appropriate admission to inpatient rehabilitation or long term acute care facilities in accordance with the Medicare and Milliman guidelines
- Perform duties using Microsoft and Excel spreadsheets
ICU/CCU Nurse
Tennova Physicians Regional
Knoxville, Tennessee
01.2008 - 01.2014
- Assess patient’s condition, plan and implement patient care plans
- Treat wounds and provide advanced life support
- Administer intravenous fluids and medications
ICU Travel Nurse
Axis Healthcare Staffing
Dayton, Ohio
01.2006 - 01.2007
- Evaluated patient care needs, prioritized treatment and maintained patient flow
- Utilized strong assessment skills to determine necessary patient care
- Managed setup and monitoring of equipment and devices such as cardiac monitors, mechanical ventilators and alarms, oxygen delivery devices, transducers, and pressure lines
RN Supervisor
Knox County Sheriff's Detention Facility
Knoxville, Tennessee
01.2005 - 01.2006
- Supervised Licensed Practical Nurses
- Created and maintained all absentee calendars, agency nurse schedules and staff meeting minutes
- Coordinated and conducted triage assessments
NICU Nurse
Fort Sanders Regional
Knoxville, Tennessee
01.2000 - 01.2004
- Took vital signs
- Acted as patient advocate and implemented total patient care through a team nursing process
- Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments
Education
Bachelor of Science - Nursing
University of Tennessee
Knoxville, TN01.2000
Skills
- Skilled critical care nurse
- Strong medical ethic
- Culturally sensitive
- Committed to compliance reporting
- Enthusiastic caregiver
- Utilization review
- Clinical assessment
- Prior authorization
- HIPAA compliance
Certification
Registered Nurse in the state of Tennessee, License number 129044 obtained in 2000
Timeline
Utilization Review Nurse
NaviHealth
09.2021 - Current
Registered Nurse
Beverly Park Place Health and Rehab
07.2016 - 2021
Utilization Review Nurse
Humana
01.2013 - 03.2019
ICU/CCU Nurse
Tennova Physicians Regional
01.2008 - 01.2014
ICU Travel Nurse
Axis Healthcare Staffing
01.2006 - 01.2007
RN Supervisor
Knox County Sheriff's Detention Facility
01.2005 - 01.2006
NICU Nurse
Fort Sanders Regional
01.2000 - 01.2004
Bachelor of Science - Nursing
University of Tennessee