Dedicated and compassionate Registered Nurse (RN) with a progressive career history in unit management, utilization management, care coordination, and direct patient care in fast-paced environments. Proven to remain calm under pressure and skillfully handle difficult and high-stress situations. Effective leader focused on enhancing patient outcomes and improving company progress toward goals.
Overview
8
8
years of professional experience
Work History
Registered Nurse, Float Pool
UAB Hospital
02.2022 - Current
Provided care to patients in the following units: Abdominal Transplant, Trauma, Cardiovascular, Head Neck Plastics Urology, Gastrointestinal Surgical Oncology, and Hospitalist Units.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
Registered Nurse, Travel
American Mobile Healthcare
07.2021 - 02.2022
Provided care to acute surgical and postpartum patients.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Utilization Review Unit Manager
Blue Cross Blue Shield Of Alabama
05.2019 - 05.2021
Managed utilization review area responsible for inpatient hospital precertification, transplant, retrospective reviews, and pending denial reviews.
Supported team as need and evaluated their progress toward goals.
Completed internal audits to ensure compliance with NCQA standards and quality assurance.
Monitored progress toward departmental and corporate goals.
Developed and implemented policies, procedures, and regulations for unit operations.
Lead meetings with external stockholders to discuss programs, partnership, and progress toward performance guarantees,
Evaluated associate progress toward yearly goals and provided feedback.
Created proposals for upper management to approve the hire of additional full time employee and changes to the structure of the unit.
Care Coordinator
Blue Cross Blue Shield Of Alabama
05.2016 - 05.2019
Used company software and databases to maintain records of services performed and patient conditions.
Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Built strong relationships with clients to deliver emotional support and companionship.
Supported patient care excellence via planning and interpretation of programs.
Collaborated with management and Medical Director to address concerns regarding client's needs to improve outcomes.
Collaborated with external stakeholders to discuss high dollar cost claimants and opportunities for savings.