Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
11
11
years of professional experience
2
2
Certifications
Work History
Utilization Management Nurse
Cognizant Technologies Solutions
11.2022 - Current
Streamlined utilization review processes by collaborating with interdisciplinary teams to develop individualized care plans.
Maintained up-to-date knowledge of payer-specific guidelines to ensure accurate authorizations for medically necessary services.
Expedited claim resolution by effectively communicating clinical rationale for treatment recommendations to insurance reviewers.
Strengthened relationships with community resources by networking, attending meetings, and establishing collaborative partnerships.
Enhanced patient care by conducting comprehensive assessments and implementing appropriate interventions.
Applied critical thinking skills to assess complex medical cases and determine appropriate levels of care in accordance with industry benchmarks.
Served as a trusted liaison between patients, healthcare providers, and insurance carriers to facilitate efficient care delivery processes.
Contributed to team success by consistently meeting productivity goals while maintaining high-quality standards in job performance.
Improved patient satisfaction scores by providing timely and accurate information on coverage, benefits, and authorization requirements.
Participated in quality improvement initiatives to enhance overall standard of care within the organization.
Conducted ongoing evaluations of patients'' progress toward established goals, adjusting care plans as needed for optimal results.
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Performed prior authorization review of services requiring notification.
Evaluated patient histories, complaints, and current symptoms.
Team Leader, Medical Information
Cognizant Technologies Solutions
10.2021 - 11.2022
Evaluated team member performance against established objectives during regular reviews, offering praise for achievements or identifying areas requiring further development.
Developed team members'' skills through targeted coaching sessions, resulting in improved individual performance.
Coordinated resources effectively to meet project deadlines and achieve desired results.
Provided ongoing support to direct reports, addressing concerns or questions promptly so they could remain focused on their tasks.
Managed conflict resolution among team members, fostering a positive and collaborative work environment.
Promoted a culture of continuous improvement by encouraging feedback from all levels of the organization and implementing actionable changes accordingly.
Established clear communication channels that ensured the timely exchange of information between team members and Clients.
Enhanced team productivity by implementing efficient work processes and regularly reviewing performance metrics.
Maintained an inclusive and diverse team culture, promoting respect and understanding among all members.
Implemented employee recognition programs that boosted morale and increased retention rates within the team.
Increased customer satisfaction ratings by closely monitoring service quality standards and addressing any issues promptly.
Monitored time and attendance, enforcing compliance with company procedures relating to absenteeism.
Managed leave requests and absences and arranged covers to facilitate smooth flow of operations.
Collected, arranged, and input information into database system.
Gathered, organized and input information into digital database.
Senior Pharmacovigilance Specialist
Cognizant Technologies Solutions
06.2018 - 10.2021
Played a key role in the implementation of risk management plans, mitigating potential medication-related risks.
Actively participated in post-marketing surveillance studies, gathering valuable insights on drug usage patterns and associated risks.
Coordinated with medical writing teams for accurate representation of safety data in regulatory documents.
Mentored junior staff members, enhancing their skills and knowledge within the field of pharmacovigilance.
Established effective communication channels across departments for efficient information flow related to product safety concerns.
Developed strong working relationships with health authorities, ensuring prompt communication of safety updates.
Collaborated with cross-functional teams for seamless integration of pharmacovigilance systems in clinical trials.
Supported audits and inspections by providing necessary documentation and showcasing adherence to established pharmacovigilance procedures.
Conducted detailed signal detection activities to proactively identify emerging safety trends in marketed products.
Proactively addressed potential discrepancies in adverse event reporting through thorough investigation and resolution efforts.
Managed timelines effectively, ensuring timely completion of critical deliverables within the realm of pharmacovigilance responsibilities.
Streamlined pharmacovigilance processes for increased efficiency in regulatory submissions.
Reported problems and concerns to management.
Assessed products or services to evaluate conformance with quality standards.
Registered Nurse, Neurological
AdventHealth, Wesley Chapel
09.2017 - 04.2019
Participated in continuing education programs to stay current on best practices in neurological nursing and provide optimal care to patients.
Contributed to interdisciplinary team meetings to discuss patient cases, collaborate on treatment plans, and improve overall quality of care.
Assisted physicians during examinations, assessments, treatments, surgeries, or other medical procedures related to neurology cases efficiently.
Improved recovery outcomes with the development and execution of individualized care plans for neurological patients.
Developed strong therapeutic relationships with patients built on trust, empathy, respect, understanding their unique needs while providing emotional support throughout the healing process.
Increased staff efficiency by providing ongoing mentorship and training to new nurses, acting as a resource for questions or concerns about neurological nursing practices.
Demonstrated expertise in administering medications, monitoring vital signs, and providing necessary interventions for neurological patients.
Effectively prioritized tasks based on urgency levels during stressful situations or emergencies without compromising quality standards in patient care delivery outcomes achieved within designated timeframes consistently met across all cases handled at different stages along the continuum under supervision from seniors when required involved actively participating team discussions where needed contributing valuable inputs towards better decision-making processes overall growth organization as well personal career development goals set.
Registered Nurse, Cardiac Unit
AdventHealth, Wesley Chapel
03.2016 - 09.2017
Maintained accurate documentation of patient care, adhering to regulatory requirements and facilitating effective communication among healthcare providers.
Monitored telemetry data closely, promptly alerting medical staff when intervention was necessary.
Reduced recovery time for post-surgery patients through close monitoring and timely interventions.
Contributed to process improvement initiatives within the Cardiac Unit, leading to increased efficiency and improved patient satisfaction scores.
Educated families on heart disease prevention methods, resulting in better long-term patient care.
Collaborated with physicians to adjust medication regimens, improving overall cardiac health in patients.
Conducted thorough assessments of vital signs and EKG results to identify potential complications early.
Provided high-quality, compassionate care to cardiac patients during critical moments and emergencies.
Enhanced patient care by developing and implementing individualized nursing plans for cardiac patients.
Deescalated high-stress situations within the Cardiac Unit, ensuring the safety and well-being of both patients and staff.
Safely administered medications according to physician orders, minimizing risk of adverse drug interactions or reactions.
Evaluated patient histories, complaints, and current symptoms.
Monitored patient reactions after administering medications and IV therapies.
Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
Cardiac Monitor Technician
AdventHealth, Wesley Chapel
05.2013 - 03.2016
Improved patient care by accurately interpreting and reporting cardiac monitor readings.
Participated in case reviews, sharing expertise on cardiac monitoring techniques with fellow technicians and medical professionals.
Served as a dependable resource for nurses and other healthcare staff, providing guidance on proper lead placement and interpretation of cardiac monitor findings.
Reduced response time for critical events with vigilant monitoring of cardiac rhythms and alerts.
Enhanced communication between medical staff by providing timely updates on patient cardiac status.
Monitored patients' heart rhythms and functions through cardiac monitoring strips.
Initiated CPR for patients in cardiac failure, responding to hospital crisis codes.
Education
Bachelor of Science - Biological, Social And Behavior
University of South Florida
Tampa, FL
05.2001 -
Bachelor of Science - Nursing
Chamberlain College of Nursing
05.2001 -
Associate of Science - Nursing
Rasmussen College of Nursing
05.2001 -
Skills
Software
InterQual; TruCare; Cerner; AgXchange (ECR); Adverse Reaction Information System Global; (ARISg); Soltraqs; GMIS; MS Office Suites; Visio; Microsoft Project; Trilogy; Avaya Communications Manager; Sharepoint; Microsoft Teams; Cisco Agent Desktop; Saleforce; Veeva; Outlook; ImpactPro; FileNet; Peoplesoft HCM/ESA; Isotrains