Registered nurse who thrives in a fast-paced environment. Able to multitask, understands compliance of health care and has a diverse background that includes emergency department, case management and utilization review.
Overview
20
20
years of professional experience
Work History
Front End Review Registered Nurse
Humana
Louisville, KY
04.2018 - Current
Review Medicare admissions for inpatient necessity.
Offer observation status when applicable.
Work closely with Medical Directors when inpatient status is not achievable.
Establish and maintain relationships with facilities to ensure members receive appropriate level of care.
Adhere to compliance requirements.
Maintain 100% rating of call and review audits.
Provide team training and support as senior FER nurse on the team.
Willing to work a flexible schedule periodically to cover pto and holidays.
Emergency Department RN
King’s Daughters Hospital
Madison, IN
06.2006 - 10.2019
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
Administered medications via oral, IV and intramuscular injections and monitored responses.
Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
Care Manager Humana at Home
Humana
Louisville, KY
02.2016 - 04.2018
Provide one on one telephonic medical education and focus on social determinants of health.
Assisted members with daily living needs to maintain self-esteem and general wellness.
Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
Arranged transportation and documented details of discharge transition plans.