Dedicated registered nurse of 9 years experience in providing high quality care, medical necessity reviews, and case management services to a variety of patient population. Specializing in collaboration with interdisciplinary teams for telehealth care,infusions, admissions, discharges, home health orders, care planning. staying up to date with healthcare policies, regulations, and insurance guidelines. Assist patients to the correct resources to improve care, safety, and maximizing resource utilization.
Overview
10
10
years of professional experience
1
1
Certification
Work History
RN- Telehealth Access Center
BJC Medical Group
Saint Louis, MO
02.2023 - Current
Educate patient on home care, make office appointments, route them to alternative levels of care whether it be virtual care, local urgent care, emergent, or active 911 services if appropriate.
Reviewed protocols regularly for accuracy and updates per changes in clinical practice guidelines.
Collected data to represent symptom onset, presenting problem and medical diagnoses.
Performed detailed reviews of patient records to determine appropriate action plans.
Charge Nurse among 50 telehealth nurses.
Quality Improvement Committee RN- audit triage RN calls monthly. Assess efficiency how well each RN can effectively handle calls, resolve patient’s complaints, adhere to the established guidelines/protocols, analyze, and report the audit result on appropriate audit form.
Utilized computerized Resource and Electronic Health Record (EHR) system.
Clinical Nurse Team Lead
SSM Health Medical Group
Saint Louis, MO
01.2021 - 01.2023
Conducted regular reviews of patient charts and records to ensure accuracy and completeness.
Reviewed patient medical records to determine if requested services are medically necessary and appropriate for the diagnosis.
Prepared detailed reports related to utilization management activities such as pre-authorization reviews, appeals, denials.
Collaborated with physicians' offices regarding pending authorizations and communicated any changes in requirements due to new regulations or policies.
Resolved conflicts between members of the clinical team in a professional manner.
Identified areas for improvement in existing processes or procedures related to patient care.
Analyzed and interpreted patients' histories, symptoms and diagnostic information to develop appropriate diagnoses.
Administered medications under physician direction, including injections, oral medications, IVs.
Contacted pharmacies regarding medication refills or changes in prescriptions when necessary.
Provided education to patients about their health conditions and prescribed medications.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Coordinates onboarding, hiring, training, and performance evaluations.
Staff Nurse - Costas Center - Hematology Oncology
Cardinal Glennon Children Hospital
Saint Louis, MO
08.2018 - 01.2021
Phone Triage RN, Visit RN, and Infusion RN
Float to inpatient Hematology/Oncology
Reviewed and assessed medical records to determine medical necessity for proposed treatments and hospitalizations
Collaborated with physicians and interdisciplinary staff to identify and resolve issues
Consistently evaluate and revise care plans in accordance with patient’s advancements, treatment progress, and feedback from multidisciplinary teams
Assist with physicians during procedures- Bone marrow biopsy and aspiration, lumbar puncture, and central line placements
Central line dressing changes
Attention to details and commitment to accuracy for proper dosing and treatment
Expert using infusion equipment, Insert and manage intravenous catheters and access ports precisely and safely
Collect routine lab specimens, maintain equipment, respond appropriately to side effects, adverse reactions, or anaphylaxis during infusion
Educate patient, families, and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options
Ensuring correct orders for home health team and making sure families receiving correct education and medications when discharge
Administrative duties and delegation with pharmacy requests and authorization requests
Staff Nurse, Pediatric Intensive Care Unit
Cardinal Glennon Children Hospital
Saint Louis, MO
08.2016 - 08.2018
Provided direct care of high-acuity children and adolescents, up to the age of 18 years.
Administered medications, treatments and therapies as prescribed by physicians.
Ensured compliance with infection control protocols.
Identified abnormal and critical respiratory patterns through direct pulmonary assessments.
Instructed patients and their families on post-discharge homecare needs.
Analyzed laboratory results and other diagnostic data to identify potential issues or concerns.
Collaborated with multidisciplinary team members to coordinate quality patient care.
Float to Emergency Room, Transitional Care Unit, Neonatal Intensive Care Unit, and General Medical-Surgical floors.
Registered Staff Nurse, Medical-Surgical Oncology
Missouri Baptist Medical Center
Saint Louis, MO
03.2015 - 08.2016
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Counseled patients on lifestyle changes necessary for improved health outcomes.
Monitored patient vitals post-surgery, managed medical equipment, and administered medications and IVs.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Actively participated in departmental meetings, training sessions and educational seminars.
Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.