Summary
Overview
Work History
Education
Skills
Timeline
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Margot Young

Phoenix,AZ

Summary

Compassionate and skilled RN with seven years’ experience, dedicated to providing exceptional patient care in various healthcare settings. Seeking to leverage expertise in nursing to contribute to a dynamic healthcare team while expanding knowledge and skills. Experienced in outpatient care, rehabilitation, case management, and appeals.

Overview

5
5
years of professional experience

Work History

APPEALS NURSE

OPTUM PHARMACY
10.2023 - 05.2024
  • Utilized extensive medical knowledge to evaluate appeals effectively, achieving an 85% appeal acceptance rate.
  • Assessed medical necessity and appropriateness of denied treatments, adhering to healthcare regulations.
  • Reviewed medical records to identify discrepancies, supporting appeal arguments with evidence-based literature.
  • Adapted to changing policies and patient needs, demonstrating sound clinical judgment and decision-making capabilities.

NURSE NAVIGATOR

OPTUM SPECIALTY PHARMACY
12.2020 - 10.2023
  • Conducted thorough assessments, identifying gaps and barriers to treatment while collaborating with physicians and specialists to optimize patient outcomes.
  • Provided comprehensive patient education, empowering autonomy in treatment options and medication management.
  • Maintained accurate documentation in compliance with regulatory standards, actively participating in quality improvement initiatives.
  • Offered compassionate support during challenging situations, managing workload efficiently in a fast-paced environment.

REGISTERED NURSE

HONOR HEALTH SCOTTSDALE OSBORN HOME HEALTH
01.2019 - 11.2020
  • Delivered exemplary nursing care through daily home visits, emphasizing critical changes in patient conditions.
  • Administered medications, managed chronic diseases, and promoted patient independence through personalized care plans.
  • Integrated therapeutic objectives into treatment plans, ensuring comprehensive and effective care for diverse patient populations.
  • Implemented strict infection control protocols, communicated changes in patient health promptly, and collaborated with multidisciplinary teams for successful treatment outcomes.

Education

Associate of applied Science In nursing -

Glendale Community College
Glendale, AZ
01.2016

Skills

  • Chronic disease and medication management
  • Care planning
  • Education and safety
  • Works independently and collaboratively
  • Patient Assessment

Timeline

APPEALS NURSE

OPTUM PHARMACY
10.2023 - 05.2024

NURSE NAVIGATOR

OPTUM SPECIALTY PHARMACY
12.2020 - 10.2023

REGISTERED NURSE

HONOR HEALTH SCOTTSDALE OSBORN HOME HEALTH
01.2019 - 11.2020

Associate of applied Science In nursing -

Glendale Community College

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