Compassionate and patient-centered ICU Staff Nurse with clinical experience treating critically ill patients. Strong history of delivering empathetic care and providing emotional support to patients throughout treatment and hospital stays.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Clinical Experience
CHRISTUS Good Shepherd Medical Center - Longview
08.2023 - Current
Utilized critical thinking skills to make informed decisions about patient care based on clinical experience and evidence-based practice guidelines.
Contributed positively to post conference meetings by sharing insights from clinical experience, leading to enhanced collaboration among other cohort members.
Gained valuable clinical experience through rotations in various hospital departments, such as labor & delivery, neonatal ICU, post- partum/pediatrics, intensive care unit , and emergency department.
Promoted a positive clinical experience for patients with excellent communication skills throughout consultations, assessments, treatments, and followups.
Senior Behavioral Analyst
Cigna Behavioral Health
09.2020 - Current
Handling claim resubmission, authorization inaccurate and comments appropriately for care managers, and examiners.
Collaborate internally and externally with matrix partners regarding inpatient, outpatient, residential, detox, and autism services.
Participate in implementing task or process for more efficient ways to handle claims and training staff
Serving as SME for facilities, or providers on a needed basis to assist with problem solving or clarifying aspects of processing, benefits, and medical necessity.
Case Coordinator
Cigna behavioral health
04.2019 - 09.2020
Supported members with concerns related to claim processes not limited to benefits, provider searches, or explanation of benefits
Modified, created, and added retro authorizations on file to ensure claims are paid appropriately
Provided direct service and support by handling referrals for advocacy issues or resolving complaints
Stayed up to date on relevant processes and compliance standards for optimal oversight
Implemented training and support for new-hires and others departments cross training on behavioral claims
Education
Master of Arts - Health Administration
Louisiana State University At Shreveport
Shreveport, LA
12.2020
Some College (No Degree) - Nursing
The University of Texas At Arlington
Arlington, TX
Bachelor of Science - Psychology
Southern University And A & M College
Baton Rouge, LA
12.2011
Skills
Exceptional verbal and written communication
Critical and Complex Thinking
Time Management
Attention to Detail
Bedside Manner
Infection control
Adaptability and Flexibility
Team Collaboration
NICU
Labor & Delivery
EPIC EHR
Microsoft Suite
Certification
CPR/AED Training, 2022
Timeline
Clinical Experience
CHRISTUS Good Shepherd Medical Center - Longview
08.2023 - Current
Senior Behavioral Analyst
Cigna Behavioral Health
09.2020 - Current
Case Coordinator
Cigna behavioral health
04.2019 - 09.2020
Some College (No Degree) - Nursing
The University of Texas At Arlington
Bachelor of Science - Psychology
Southern University And A & M College
CPR/AED Training, 2022
Master of Arts - Health Administration
Louisiana State University At Shreveport
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