Lisa Traister
Denials And Appeals Nurse
Greensburg,PA
Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Remote Denials and Appeals Nurse position. Ready to help team achieve company goals.
Overview
16
16
years of professional experience
4
4
years of post-secondary education
4
4
Certifications
Work History
Lead Nurse Navigator
Excela Health
02.2023 - Current
- Managed complex cases with multiple medical issues, effectively prioritizing tasks for efficient resolution of problems encountered during treatment process.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Participated in development of departmental goals and objectives, contributing insights gleaned from frontline experience to inform strategic planning initiatives.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Clinical Instructor
Carlow University
08.2021 - 05.2022
- Developed comprehensive lesson plans to cover essential clinical skills, techniques, and procedures.
- Analyzed clinical settings' success in helping students achieve course and program outcomes.
- Facilitated communication between students and clinical preceptors to address any concerns or issues that arose during rotations.
- Delivered individualized instruction on observation, assessment, decision-making and patient health teaching.
- Promoted critical thinking among nursing students by introducing complex case studies during lectures.
- Enhanced student understanding of nursing profession by sharing personal experiences, insights, and challenges faced within various healthcare settings.
- Strengthened relationships between educational institutions and healthcare providers through ongoing collaboration on clinical placements for students.
- Evaluated student progress through written exams, skill demonstrations, and clinical rotations, ensuring program requirements were met,
- Assigned students to patients based on students' learning objectives and patient needs.
- Supervised students when administering medications to maintain patient safety.
- Provide clinical instruction to ten sophomore level nursing students in clinical settings on telemetry unit/ step-down unit
Registered Nurse, Float Pool
Indiana Regional Medial Center
06.2013 - 10.2019
- Educated family members and caregivers on patient care instructions.
- Strengthened relationships between nursing teams across various units through regular collaboration on shared float pool initiatives and projects.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
- Investigated and resolved issues affecting hospital operations and patient care.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Reduced hospital readmissions by providing comprehensive discharge education and follow-up support.
Critical Care Registered Nurse
Indiana Regional Medical Center
04.2012 - 07.2013
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Administered life-saving medications and therapies under strict protocols, guiding patients towards recovery from acute illnesses or injuries.
- Collaborated with interdisciplinary teams during daily rounds to develop individualized treatment plans based on specific patient needs and goals.
- Provided compassionate end-of-life care for terminally ill patients and their families, ensuring dignity and comfort during difficult times.
- Provided targeted care and treatment to mechanically ventilated patients.
- Served as preceptor for new nurses entering critical care field, sharing knowledge and expertise to facilitate successful integration into team.
- Monitored hemodynamic parameters and analyzed complex data sets, making appropriate adjustments to treatment plans based on patient response.
- Reduced hospital readmission rates through thorough discharge planning and patient education on self-care management strategies.
- Improved patient outcomes by developing and implementing comprehensive care plans for critically ill patients.
- Guided patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.
- Managed multiple priorities simultaneously while maintaining focus on providing exceptional patient-centered care within fast-paced critical care environment.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Maintained high standards of infection control within critical care unit, contributing to safer environment for both patients and staff.
- Evaluated patient histories, complaints, and current symptoms.
- Demonstrated high level of adaptability in adjusting to ever-changing patient acuity levels within critical care unit, ensuring consistent delivery of safe and effective nursing care.
- Actively participated in continuing education opportunities to remain current with best practices in rapidly evolving field of critical care nursing.
- Developed and maintained courteous and effective working relationships.
- Enhanced interdisciplinary collaboration by effectively communicating with physicians, therapists, and support staff to ensure optimal patient care.
- Applied effective time management techniques to meet tight deadlines.
- Paid attention to detail while completing assignments.
- Developed strong communication and organizational skills through working on group projects.
- Learned and adapted quickly to new technology and software applications.
Registered Nurse, Medical-Surgical Unit
Indiana Regional Medical Center
07.2008 - 04.2012
- Participated in ongoing professional development opportunities to stay current on best practices within field of medical-surgical nursing.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Evaluated patient histories, complaints, and current symptoms.
- Contributed to successful Joint Commission accreditation through strict adherence to policies and procedures.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Effectively managed acute pain symptoms by administering medications as prescribed while monitoring for potential side effects.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
- Skillfully performed venipuncture, IV insertion, and catheterizations, ensuring proper technique and adherence to infection control standards.
- Consistently maintained accurate documentation of patient assessments, interventions, and outcomes in accordance with regulatory requirements.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Provided health education to patients and families regarding discharge instructions and plans of care.
- Demonstrated flexibility in managing multiple priorities concurrently during high-stress periods while maintaining calm demeanor.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Managed caseload of up to six patients simultaneously by providing bedside care, treatments, IV therapy, and wound care
Education
Master of Science - Nursing Education And Leadership
Carlow University
Pittsburgh, PA 08.2020 - 12.2022
Bachelor of Science - Nursing
Slippery Rock University of Pennsylvania
Slippery Rock 05.2001 -
Diploma Program Hospital Based - Nursing
Conemaugh School of Nursing
Johnstown, PA 01.2007 - 06.2008
Skills
Diagnostic Test Evaluations
Staff Development
Time management abilities
Ethical Practice
ICD-10
Preventive Healthcare
Quality Improvement
Test Interpretations
Self Motivation
Patient Education
Multitasking Abilities
Written Communication
Organizational Skills
Patient Care Assessment
Health Promotion
Patient Condition Monitoring
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Collaborated with team of 3 in the development and facilitation of SHARE, a monthly breast cancer support group.
Certification
Licensed Registered Nurse
Timeline
Lead Nurse Navigator
Excela Health
02.2023 - Current
Clinical Instructor
Carlow University
08.2021 - 05.2022
Master of Science - Nursing Education And Leadership
Carlow University
08.2020 - 12.2022
Registered Nurse, Float Pool
Indiana Regional Medial Center
06.2013 - 10.2019
Critical Care Registered Nurse
Indiana Regional Medical Center
04.2012 - 07.2013
Registered Nurse, Medical-Surgical Unit
Indiana Regional Medical Center
07.2008 - 04.2012
Diploma Program Hospital Based - Nursing
Conemaugh School of Nursing
01.2007 - 06.2008
Bachelor of Science - Nursing
Slippery Rock University of Pennsylvania
05.2001 -