MARGARET MERZ
New Braunfels,TX
Summary
Compassionate Aesthetic Registered Nurse known for high productivity and efficient task completion. Specialize in non-surgical cosmetic procedures, patient education, and skin care regimens. Excel in communication, empathy, and adaptability, ensuring exceptional patient experiences and outcomes. Prioritize safety and confidentiality in all interactions and treatments.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Aesthetic Registered Nurse
Eternal GLow LLC- Self-employeed
New Braunfels , TX
02.2024 - Current
- Assessed aesthetic patient needs and developed individualized treatment plans accordingly.
- Provided pre-treatment and post-treatment care to ensure patient comfort, safety, and satisfaction.
- Performed a variety of aesthetic services including laser hair removal, injectables, chemical peels, microdermabrasion and other facial treatments.
- Maintained accurate records of all treatments performed in accordance with applicable laws and regulations.
- Administered injections of botulinum toxin or dermal fillers to enhance facial features such as lips or wrinkles.
- Counseled patients regarding the risks and benefits associated with aesthetic procedures.
- Conducted follow-up visits to assess the results of treatments provided for aesthetic purposes.
- Maintained inventory levels of supplies needed for successful completion of aesthetic services.
APPEALS NURSE CONSULTANT
AETNA
04.2023 - Current
- Reviewed and analyzed appeals from covered facilities under Medicare Advantage.
- Formulate medical necessity plans guided by MCG, CMS, and Aetna standards.
- Partnered successfully with Aetna's team of medical directors.
- Functioned as SME on Behavioral Health appeals for participating providers and members.
- Participated in committee dedicated to enhancing job aides and workflow efficiency.
UTILIZATION MANAGEMENT NURSE CONSULTANT
AETNA
09.2017 - 04.2023
- Using the collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services for member
- Gathering clinic information and applying appropriate clinical criteria/guidelines, policies and clinical judgment to render coverage determination and recommendations for skilled nursing, acute rehab, and long-term acute care settings, utilizing MCG when necessary
- Assisting with discharge planning for members from the post-acute setting
CASE MANAGEMENT
POST-ACUTE MEDICAL
05.2012 - 02.2019
- Coordinating care of the patient through all the disciplines with a caseload of 10-15 patients in a fast-paced acute care setting
- Performing concurrent ongoing utilization review to ensure continued stay criteria is met
- Coordinating complex discharge planning for patients with multiple comorbidities
- Responsible for enhancing and maintaining payor relationship
- Ensuring cost-effective utilization of resources
- Utilizing vendor partners to enhance patients’ wellness when appropriate
CASE MANAGEMENT
HUMANA
05.2016 - 09.2017
- Making daily contact with members with multiple chronic conditions as well as financial and functional barriers in order to assist them in achieving and maintaining optimum health
- Providing telephonic outreach to assess and support their health, offering education, identifying resources, and helping remove barriers to achieving health and independence
- Guiding members and families toward and facilitating interaction with resources appropriate for the care and well-being of the members
- Assessing member’s physical, environmental, and psychosocial health issues and working in collaboration with a multidisciplinary team, employing various strategies to manage appropriately and provide timely intervention
NURSE MANAGER/INFECTION CONTROL
POST-ACUTE MEDICAL
02.2015 - 10.2015
- Responsible direct supervision of a staff of 80+ employees in a fast-paced acute care setting, employee performance improvement plans, counseling, education
- Responsible for ensuring compliance with nursing policy and procedures
- Responsible for infection control program for the entire facility, which included daily infection control rounds, infections control audits, writing and implementing infection control policies, monthly and quarterly facility reporting to NHSN and medical board
CLINICAL SUPERVISOR
CHRISTUS SANTA ROSA
02.2010 - 06.2012
- Scheduling and payroll for a staff of 50 on a fast-paced surgical unit
- Implementing performance improvement plans and staff education
- Planning and leading monthly staff meetings and in-services
- Teaching pre-op classes to patients undergoing elective orthopedic surgeries
- Chair of the patient satisfaction committee for the unit and member of the facility-wide patient satisfaction committee
CHARGE NURSE
GULF STATES LONG-TERM ACUTE CARE
11.2007 - 02.2010
- Responsible for the coordination of care of 35+ patients in a fast-paced acute care unit
- Making daily nursing assignments and ensuring appropriate delegation of tasks
- Caring for medically complex and ventilated patients
- Educating patients, family, and staff
- Code Team Leader
- PICC line insertion certified
LVN- STAFF NURSE
BAPTIST HEALTH SYSTEM
09.2003 - 06.2007
- Providing direct patient care to patients on several different units- postpartum, newborn nursery, med surg, and telemetry
- Performing IV therapy- insertion, monitoring, and removal
- Performing newborn assessments and screening
- Providing lactation education and support for mothers
Education
BACHELOR OF SCIENCE - NURSING
UNIVERSITY OF TEXAS AT ARLINGTON
12.2011
ASSOCIATES OF APPLIED SCIENCE - NURSING
EXCELSIOR COLLEGE
06.2007
Skills
- IV management
- Health Promotion
- Problem-solving aptitude
- Quality Improvement
- Advanced cardiac life support
- Physical Assessment
- Interdisciplinary Collaboration
- Basic Life Support
- Skin condition treatment
- Botox Administration
- Dermal Filler Administration
- Microneedling Techniques
- Dermaplaning
Certification
- Certified Master Injector from Monarch Injectors
- BLS
- Certified Case Management (CCM)
Timeline
Aesthetic Registered Nurse
Eternal GLow LLC- Self-employeed
02.2024 - Current
APPEALS NURSE CONSULTANT
AETNA
04.2023 - Current
UTILIZATION MANAGEMENT NURSE CONSULTANT
AETNA
09.2017 - 04.2023
CASE MANAGEMENT
HUMANA
05.2016 - 09.2017
NURSE MANAGER/INFECTION CONTROL
POST-ACUTE MEDICAL
02.2015 - 10.2015
CASE MANAGEMENT
POST-ACUTE MEDICAL
05.2012 - 02.2019
CLINICAL SUPERVISOR
CHRISTUS SANTA ROSA
02.2010 - 06.2012
CHARGE NURSE
GULF STATES LONG-TERM ACUTE CARE
11.2007 - 02.2010
LVN- STAFF NURSE
BAPTIST HEALTH SYSTEM
09.2003 - 06.2007
- Certified Master Injector from Monarch Injectors
- BLS
- Certified Case Management (CCM)
BACHELOR OF SCIENCE - NURSING
UNIVERSITY OF TEXAS AT ARLINGTON
ASSOCIATES OF APPLIED SCIENCE - NURSING
EXCELSIOR COLLEGE
Similar Profiles
Katrina RodriguezKatrina Rodriguez
Aesthetic Registered Nurse at Eternal Glow Med SpaAesthetic Registered Nurse at Eternal Glow Med Spa
Leslie ColonLeslie Colon
Medical / Surgical Assistant at Eternal Hair LLCMedical / Surgical Assistant at Eternal Hair LLC
Daniel BrownDaniel Brown
Business Owner at Eternal Capital LLCBusiness Owner at Eternal Capital LLC