Hands-on professional proudly offering more than 4 years of expertise in nursing field. Well-rounded and personable Utilization Review Nurse talented in reporting, records oversight and performance improvement.
Overview
5
5
years of professional experience
Work History
Registered Nurse- Utilization Review
WVU Medicine
01.2022 - Current
Performed prior authorization review of services requiring notification.
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Submitted cases for criteria failures and helped facilitate resolutions and approvals.
Obtained authorizations from multiple insurance carriers for various levels of care.
Performed admission reviews based for medical necessity.
Evaluated patient histories, complaints, and current symptoms.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Registered Nurse- Dialysis
WVU Medicine
08.2019 - 10.2021
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Advocated for and strived to protect health, safety, and rights of patient.
Evaluated patient histories, complaints, and current symptoms.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Educated family members and caregivers on patient care instructions.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Monitored patient reactions after administering medications and IV therapies.
Registered Nurse- Cardiac Step Down Unit
WVU Medicine
06.2018 - 08.2019
Evaluated patient histories, complaints, and current symptoms.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Educated family members and caregivers on patient care instructions.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Clinical Registered Nurse at WVU Medicine Wheeling Hospital Family Medicine CenClinical Registered Nurse at WVU Medicine Wheeling Hospital Family Medicine Cen