With over 20 years of experience as a dedicated LPN and medical supervisor, seeking a career transition into the role of a remote utilization management and prior authorization nurse. Possessing a solid foundation in assessment skills, transfusions, standing order/protocols, and staying up-to-date with current healthcare advancements. Additionally, demonstrating strong project management abilities, commitment to continuous quality improvement, and effective leadership of cohorts.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Occupational Health Nurse
Lee Health
08.2024 - Current
Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
Coordinated with external healthcare providers to ensure seamless continuity of care for employees receiving treatment outside the workplace.
Surgical Technologist II
Lee Health
02.2023 - 03.2024
The surgical technologist II functions in a perioperative surgical technologist role under the direction of the circulating Registered Nurse
Able to prioritize, organize and implement care of the surgical patient in a variety of specialties
Performs call obligations as assigned
Clinical Coordinator 2
Lee Covenant Care, Lee Memorial Hospital
02.2011 - Current
Clinical Coordinator manages one or more defined areas of organized patient care services
80% of the coordinators time is spent in direct patient care activities, with the remaining 20% focused on administrative duties
Clinical Coordinators provide direction to patient care staff to promote quality patient care and nursing services on a continuous basis
The Clinical Coordinator is responsible for ensuring consistent nursing standards guide the provision of nursing care
Responsible for directing and coordinating patient care, within their defined area of responsibility, through established standards subscribed by the American Nurses Association and in accordance with the Florida Nurse Practice Act
Performs responsibilities in five areas of nursing practice: clinician, teacher, researcher, leadership and professional development
Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes
Supports the organization vision and mission
Uses knowledge of patient’s age and cultural diversity into the provision of patient care
Contributes to the provision of quality nursing care through excellence in customer service and performance improvement techniques that demonstrate positive outcomes in patient care
Collaborates with other Clinical Coordinators, Patient Flow Coordinators, Administrative Supervisors and/or Director(s) to assure appropriate access to all patients requiring Dementia services from Lee Memorial Health System
Lead Therapeutic Apheresis Nurse-LPN
Lee Health
01.2021 - 01.2022
The Lead Therapeutic Apheresis Nurse serves as a resource for all therapeutic procedures for Lee Health
Assists medical director and pathologists with coordinating and planning apheresis treatment procedures
Investigates and resolves problems concerning therapeutic apheresis procedures
Provides training and conducts competency assessment for therapeutic apheresis nurses
Communicates and disseminates information and policy and procedure changes to staff
Monitors equipment performance, quality control, and quality assurance and implements corrective action as required
Continuously interacts and consults with the leadership of the Donor Center and Clinical Laboratory
Effectively communicates and demonstrates good customer service skills
Provided care for pediatric patients for sickle cell Red blood transfusions
Provided care and transfusions of albumin or plasma for neurological issues
Collaborate with doctors and pathologist in the assessment, planning and implementation of patient treatment
Performed proper sterile technique of ports and venous IV’s
Document diagnosis and progress on medical records, maintain high levels of readability and accuracy
Observe signs, symptoms and behaviors of patients during apheresis
Administer medications and physical treatments
Adhere to proper safety and sterilization protocols and techniques to ensure proper infection control
Provided oversite, scheduling, and training for employees
Occupational Health Nurse
Lee Health
08.2020 - 01.2021
Responsible for providing an excellent customer experience while ensuring patient care is delivered safely, effectively and efficiently
This position is responsible for the collection of patient health data and the safe delivery and documentation of selected acts such as administration of treatments and medications
Responsible for collecting data either directly or telephonically in a systematic and ongoing manner, which is based on patient response to treatments, medications and changes in condition
Responsible for the implementation of patient care and patient education, which follows providers orders or falls under the guidance and discretion of a registered nurse, while incorporating knowledge of patient's age and cultural diversity
This position ensures that the care delivered is safe and meets the requirements of the Florida Nurse Practice Act, licensure, regulatory agencies and Lee Health policies and procedures
Responsible for professional communication, patient education and collaboration with other health care team members to ensure the achievement of desired patient outcomes
Emergency Department Nurse- LPN
UPMC Memorial Hospital
01.2018 - 08.2020
Under direction of a registered nurse, provide routine patient care within the scope of the Practical Nurse Act of Pennsylvania
Responsible for the safe delivery and documentation of patient care through the nursing process of assessment, planning, implementation and evaluation
Performs responsibilities in five areas of nursing practice utilizing critical thinking, management, problem solving and differentiation of urgency in the role of: clinician, teacher, and professional development
Responsible for directing and coordinating nursing care for patients based on established clinical nursing practice standards subscribed to by American Nursing Association and in accordance with the Pennsylvania Nurse Practice Act and other regulatory standards
Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes
Supports the organization vision and mission
Uses knowledge of patient's age and cultural diversity into the provision of patient care
Contributes to the provision of quality nursing care through excellence in customer service and performance improvement techniques that demonstrate positive outcomes in patient care
The nurse practice is guided by the code of ethics for nurses with interpretative statements
Provide care for patients with ESI level 5-2 with direction from ER charge nurse
Provide compassion to family members ensuring optimal levels of comfort and privacy
Collaborate with doctors and emergency staff in the assessment, planning and implementation of patient treatment
Performed proper IV placement and IV placement via ultrasound
Monitor current patients, identify issues, explore alternatives and deploy solutions
Document diagnosis and progress on medical records, maintain high levels of readability and accuracy
Perform specialized, life saving treatments such as CPR, advanced cardiac life support and neonatal resuscitations
Observe signs, symptoms and behaviors of patients and communicate issues to emergency room team
Perform specific patient tasks as assigned by Physician’s written orders
Administer medications and physical treatments
Adhere to proper safety and sterilization protocols and techniques to ensure proper infection control
Quality Improvement Coordinator- LPN
WellSpan
02.2017 - 01.2018
Under the general supervision of the Director – Aligning Forces for Quality, works in a collaborative manner with WellSpan Medical Group’s Quality and Innovation Team to implement Patient Centered Medical Home/Neighborhood operational work flows into WellSpan Provider Network Practices using process improvement methodologies and identifying 'best practice.'
Assesses, plans, implements, coordinates, monitors and evaluates quality improvement collaborative work – the Learning Innovating for Transformation (LIFT) Collaborative
Develops necessary training in process and quality improvement to ensure adequate support of coaches, providers and staff
Supports adoption of evidence-based medicine and research
Acts as a change agent and a champion for change
As a member of the LIFT Leadership Team, uses knowledge of project management and performance improvement tools to assess, plan and implement strategies to operationalize LIFT learning sessions
Ensures alignment between all WellSpan Provider Network and WellSpan Medical Group quality measures, the objectives of the LIFT Collaborative and the work of the AF4Q, practices support specialists, and practice quality improvement teams
Works in a collaborative manner with WellSpan Process Improvement Team, WellSpan Quality & Innovation Team, fellow AF4Q Staff and practice quality improvement teams to integrate Patient Centered Medical Home/Neighborhood and apply lean principles in transforming care into WellSpan Provider Network practices
Stays current with NCQA requirements for Patient Centered Medical Home & Patient Centered Specialty Care Recognition
Supports Director in interpreting MACRA and other global payment requirements for WellSpan Provider Network practices in order to maximize value-based payment
Develops linkages with WellSpan strategic partners as necessary to share resources and ideas
Plans, organizes, and facilitates monthly learning sessions of the LIFT collaborative, as well as any communication needed to WellSpan Provider Network Quality Improvement Teams
Provides regular updates to LIFT Leadership Teams and community groups as required
Manager, Care Coordinator
FirstLight Home Care of York
08.2015 - 02.2017
Office Manager is responsible for all areas of Operations; human resources, intakes, clients, caregivers, and scheduling
This individual directly interfaces with clients performing service evaluations, originating service plans, scheduling and supervising care
Answers the telephone and performs Intakes
Initiates the hiring process for caregivers including processing applications, background screening, testing, interviewing, and reference validation
Orients caregivers and maintains current caregiver files in accordance with policies and procedures
Records employee information such as personnel data, compensation, benefits, tax data, attendance, performance reviews, evaluations, and termination date and reason
Enters, maintains, and corrects client, employee, payroll, billing and related accounting data into the computer
Orders and maintains office supplies, forms and equipment
Visits prospective clients/clients after referrals are made to introduce FirstLight HomeCare
Schedules shifts by matching caregiver qualifications and availability to client’s needs
Supervises caregivers and completes performance appraisals for caregivers at specified intervals
Responsible for employment decisions including hiring and termination
Understands and adheres to established FirstLight Home Care policies and procedures
Performs initial and ongoing in-home evaluation, caregiver introductions and supervision of services
Working with Alzheimer & Dementia care patients to educated staff, family and coordinate care Services
The Clinical Supervisor responsibilities include providing excellent customer service, directing clinical support staff and coordinating the delivery of safe patient care for pediatric patients through adolescents
This position assures the delivery of care meets the requirements of regulatory agencies and LMHS/LPS policies and procedures
The Clinical Supervisor position is able to perform all aspects of clinical care and provides orientation and training for the clinical support staff
This position assists with or is responsible for interviewing, hiring, and counseling of clinical staff
Other responsibilities include scheduling of staff; coordinate patient care in a safe environment, documenting patient information and assisting with procedures performed by providers
Consistently supports organizational values with each customer interaction
Provides orientation, training and serves as a resource for clinical support staff
Assists with or is responsible for interviewing, hiring and counseling of clinical support staff
Assists with development, implementation and monitoring of financial parameters related to the delivery of patient care services
Coordinates and implements patient care, individualizing care as needed
Ensures care is given in a flexible setting according to needs and resources
Provides Training, care, and coordination with Dementia due to disease process or brain injuries
Works in a collaborative manner with physicians to ensure efficient and effective clinical support is available
Coordinates the delivery of patient care to promote an efficient patient flow
Coordinates and provides assistance with procedures performed by providers
Ensures that care is delivered in a safe environment and documented in accordance with standards of regulatory agencies and LMHS/LPS Policy and Procedure
Provides schedules, assignments and assists with payroll for clinical support staff
Able to manage routine and emergency care
Education
LPN -
South Central Kentucky Community Collage
KY
01.2003
Surgical Tech -
Bowling Green KY Tech Collage
01.1998
Skills
Workplace safety
Hazard identification
Clinical judgment
Immunization administration
Electronic health records
Intravenous therapy
Claims management
Medical terminology expertise
Insurance verification
Data entry proficiency
Prior authorization processing
Certification
Job Instruction Training
Dementia/Alzheimer’s care
Leadership Core Competencies
Lean for Leaders
Communicating Intentionally
Lean- Strategy Deployment & Lean Management System