Microsoft Office
Layriashaun McGowan
RN- Staff/Case Manager
Summary
Hardworking nursing professional bringing 19 + years of experience delivering exceptional care to adult and pediatric patients. Well-organized and forward-thinking in managing patient needs. Compassionate and empathetic advocate for patients and families. Skillfully assesses health status, develops diagnoses and manages care for patients with acute and chronic concerns. Skilled at multitasking, prioritizing, and successful at managing multiple priorities with a positive attitude.
Overview
9
9
years of post-secondary education
14
14
years of professional experience
Work History
RN Staff Nurse
University Of MS Medical Center
Jackson, MS
11.2017 - Current
- UMMC- RN I Ambulatory, Performed clinic duties for pediatric patients in endocrinology, complex care, and general peds.
- Triaged phone calls from patients and other medical facilities/pharmacies.
- Completed prior authorizations and other paperwork as needed.
- Documented nursing services provided and uploaded to comprehensive tracking systems for health records and billing.
- Educated patients and families regarding disease processes, interventions and lifestyle changes.
RN Case Manager/Appeals
St. Dominic Hospital
Jackson, MS
08.2016 - 07.2017
- Coordinated care for patients an observation unit Perform appeals and denial to a variety of insurance companies Obtain pre-cerfications for hospital admissions Magnolia Health Plan—Utilization Review Nurse.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Created patient assessments and plans for individual home care needs.
RN
Centene
Jackson, MS
09.2015 - 07.2016
- Reviewed admission inpatient hospital stays using InterQual criteria for AMBETTER Reviewed concurrent inpatient hospital stays using InterQual criteria for AMBETTER.
- Answered phone calls during call center hours for pre-certifications and concurrent reviews RN Medicaid Program Nurse II- MS Division of Medicaid- Long Term Care.
RN Fee Clinical Coordinator
Veterans Affairs
Jackson, MS
01.2014 - 04.2015
- Case findings, health teaching, and health promotion, Veterans Health Administration-CBOPC.
- Perform clinical reviews for Non VA Health Care Use EMR to perform job duties on a daily basis Utilize Interqual criteria in order to coordinate care for veterans.
RN Case Manager, RN- Ambulatory Services
Pediatrics- University of MS Medical Center
Jackson, MS
08.2011 - 03.2013
- Utilized InterQual criteria to perform UR for inpatient admissions
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
Nurse
MS State Department Of Health
Jackson, MS
07.2009 - 04.2011
- Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
- Assessed physical, psychological, physiologic and cognitive status of patients.
- Educated patients and families regarding disease processes, interventions and lifestyle changes.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Registered Nurse
Central MS Medical Center
Jackson, MS
09.2004 - 12.2007
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
- Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.
- Built rapport with patients and family members to deliver exceptional care.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
Registered Nurse
Baptist Health Systems
Jackson, MS
05.2002 - 03.2003
- Managed elements of patient care from admission to discharge or transfer to other units.
- Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
- Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
- Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.
Education
High School Diploma -
Raymond High School
Raymond, MS 08.1995 - 05.1999
Associate of Applied Science - Nursing
Hinds Community College
Raymond, MS 05.1999 - 05.2002
Bachelor of Science - Health Sciences
University of MS Medical Center
05.2010 - 05.2012
Bachelor of Science - Nursing
University of Mississippi Medical Center
Jackson, MS 07.2021 - Current
Skills
Patient education
Medication and IV administration
Case management
Chronic disease management
Direct Patient Care
Patient and family advocacy
EMR / EHR
Patient Assessments
Appointment Scheduling
Call triaging
Additional Information
- Licensures RN, State of Mississippi Compact License
Software
Timeline
Bachelor of Science - Nursing
University of Mississippi Medical Center
07.2021 - Current
RN Staff Nurse
University Of MS Medical Center
11.2017 - Current
RN Case Manager/Appeals
St. Dominic Hospital
08.2016 - 07.2017
RN
Centene
09.2015 - 07.2016
RN Fee Clinical Coordinator
Veterans Affairs
01.2014 - 04.2015
RN Case Manager, RN- Ambulatory Services
Pediatrics- University of MS Medical Center
08.2011 - 03.2013
Bachelor of Science - Health Sciences
University of MS Medical Center
05.2010 - 05.2012
Nurse
MS State Department Of Health
07.2009 - 04.2011
Registered Nurse
Central MS Medical Center
09.2004 - 12.2007
Registered Nurse
Baptist Health Systems
05.2002 - 03.2003
Associate of Applied Science - Nursing
Hinds Community College
05.1999 - 05.2002
High School Diploma -
Raymond High School
08.1995 - 05.1999