Lindsey Mullins
2670 Aventura Blvd Apt 307,FL
Overview
19
19
years of professional experience
Work History
Utilization Review Nurse Medicare
Aetna/CVS
2019.10 - Current
- Evaluate patient records and conduct through reviews to determine medical necessity and appropriateness of care following CMS guidelines
- Reduce healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensure compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities
- Submitted cases for criteria failures and helped facilitate denials of care
- Enhanced team knowledge and skills by participating in departmental meetings, training programs, and continuing education opportunities related to utilization review.
Case Manager
Aetna/CVS
2018.07 - 2019.10
- Coordinated patient care plans to enhance service delivery and improve health outcomes.
- Conducted comprehensive assessments to determine individual needs and appropriate resources.
RN, ED Charge/Staff RN
Fairfield Medical Center
2013.08 - 2018.07
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Managed patient flow to optimize department efficiency and reduce wait times.
- Facilitated communication between patients, families, and healthcare providers during critical care scenarios.
- Reduced waiting times for patients by effectively prioritizing urgent cases and managing resources within the ED team.
- Assisted in staff development by mentoring new ED Registered Nurses, sharing knowledge, skills, and expertise to support professional growth.
- Worked closely with physicians and nurse practitioners to coordinate care, ensuring seamless transitions from the ED to other inpatient units or outpatient services.
RN, ED
Mount Carmel East Hospital
2009.03 - 2013.08
- Assessed and prioritized patient care needs in fast-paced emergency department environment.
- Administered medications and treatments according to established protocols and physician orders.
- Collaborated with interdisciplinary teams to develop patient-centered care
Registered Nurse, Step Down Unit
Mount Carmel East Hospital
2007.08 - 2009.03
- Monitored patient vital signs and managed post-operative care in Step Down Unit.
- Collaborated with multidisciplinary teams to develop individualized patient care
- Educated patients and families on recovery processes and discharge planning.
Education
Bachelor of Science - Nursing Administration
Mount Carmel College Nursing
Columbus, OH07.2007
Skills
- Florida RN licensed
- Medicare and Medicare Advantage
- Med Compass, Quickbase, ATV and AI systems
- Teamwork
- Multitasking
- Excellent communication
- Organizational skills
Timeline
Utilization Review Nurse Medicare
Aetna/CVS
2019.10 - Current
Case Manager
Aetna/CVS
2018.07 - 2019.10
RN, ED Charge/Staff RN
Fairfield Medical Center
2013.08 - 2018.07
RN, ED
Mount Carmel East Hospital
2009.03 - 2013.08
Registered Nurse, Step Down Unit
Mount Carmel East Hospital
2007.08 - 2009.03
Bachelor of Science - Nursing Administration
Mount Carmel College Nursing