Lisa A. Mertz, MSN, BS, RN

• Lead multidisciplinary care rounds to collaborate with care team to identify issues and address patient plans of care to provide best possible individualized care.
• Maintain detailed documentation on all utilization reviews by using Xsolis software.
• Contact insurance carriers to obtain authorizations for services delivered to patients.
• Review patient admissions to determine medical necessity and appropriate level of care as directed by Interqual and Milliman criteria.
• Manage physician peer review and post-service appeal processes pertaining to denials and potential denials as outlined by insurance carriers.
• Assess patient conditions, monitor behaviors and update supervising physicians with observations and concerns.
• Maintain strict patient data procedures to comply with HIPAA laws and prevent information breaches.
• Obtain adaptable medical equipment while avoiding burden of paying additional money to third-party.

• Nursing Administrator responsible for leading high-performing teams during off-shift operations.
• Provided strong leadership, oversight and guidance of care delivery by nursing team throughout acute hospital campus focused on ensuring patient safety, promoting positive patient outcomes, driving employee engagement and enhancing a family-centered approach to care delivery models.
• Participated in leadership planning meetings on a continuum aimed at improving bed management and decreasing door to admission time.
• Improved overall patient experience through frequent unit rounding and rounding on all new admissions to ensure patient needs were met in a timely manner.
• Supported staff members in computer system (EPIC) during changeover from paper to computer charting
• Mentored and coached nursing staff, listening to concerns and providing counsel based on HRO concepts.

Evidenced-based practices specialist. Provided consulting services along with resource support to assist client with development and implementation of care delivery models based on application and integration of evidence-based best practices aimed at promoting positive patient outcomes.Advised, coached and mentored experienced and student nurses on medical issues, crisis management and appropriate nursing interventions.

Guided traditional undergraduate nursing students enrolled in BSN program in the development of clinical nursing skills. Provided clinical instruction in area of foundations of nursing as well as maternal-child health nursing.

As Clinical Instructor, guided nursing students within traditional and accelerated RN nursing programs in the development of clinical nursing skills in areas of foundations of nursing, medical surgical nursing and maternal child health nursing. Provided lectures within classroom and lab setting as well.Liaised with medical and nursing personnel to evaluate and improve teaching and nursing practices.

Clinical Instructor within RN and LPN nursing programs. Mentored students in the development of clinical nursing skills in areas of foundations of nursing, medical surgical nursing and maternal child health nursing.

Designed, implemented and delivered clinical educational programs for staff across multiple service lines of multifaceted healthcare network employing1400 highly skilled personnel across 18 locations including several Care On Demand walk-in centers, two inpatient hospitals, a Rapid Recovery Suite skilled care unit, multiple specialty practices and rehab services and several ambulatory surgery centers.

Served as Evidence-based Best Practice Specialist for hospital campus with focus on providing quality care based on empirical evidence and patient preferences. Planned, implemented and delivered professional development programs for clinical nursing staff of the Preadmission Testing, Ambulatory Surgery and Endoscopy Units within acute care facility. Created preoperative education program for joint replacement population.

Managed pre-term and term newborns at time of delivery and through transition to life outside the womb. Stabilized infant to maximize positive outcomes through airway management, cardiopulmonary support. Supported initial bonding with parents and provided family education. Managed care of laboring patient, post-partum patient and newborn as well as high-risk antepartum patients. Scrub RN in obstetrical operating room. Managed care of patient in PACU after surgical obstetric procedures.

R.N. within private OB-GYN practice setting responsible for managing clinical care team in delivery of patient care. Triaged patients, provided patient education, performed phlebotomy, oversight of stress and non-stress testing of antepartum patients, performed incontinence testing and assisted with in-office surgical procedures. Also managed care of infertility patients and gender reassignment patients.

Assessed, planned and implemented care delivery models for maternity and newborn patient population within Mother-Baby Unit as well as pediatric patient in PEDS and Special Care PEDS Unit. Provided patient education to assigned patient population. Participated in quality and process improvement initiates on both nursing units.

Provided administrative oversight of public authority for wastewater management. Drove strategic improvements to enhance operation and organization efficiencies. Guided development projects to extend physical infrastructure and services.

As liaison for attorney-client relationship, guided client's land development applications through approval process with local and county government agencies. Cultivated interpersonal skills by building positive relationships with clients and governing agencies. Proved successful working within tight deadlines and a fast-paced environment.