MARIGOLD JOYCE GRINO
Las Vegas,NV
Summary
Board-Certified Family Nurse Practitioner with over 15 years of healthcare experience, including more than one year of independent practice in interventional pain management. Experienced in evaluating patients following motor vehicle accidents, work-related injuries, and other musculoskeletal trauma. Skilled in comprehensive history and physical examinations, interpretation of diagnostic imaging, formulation of evidence-based treatment plans, and management of acute and chronic spine and joint pain. Proficient in performing disability and impairment assessments, coordinating multidisciplinary care, and collaborating with physicians to deliver interventional pain management treatments. Strong critical care nursing background enhances diagnostic reasoning and clinical decision-making.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Nurse Practitioner
Align Med Pain Management
Las Vegas, NV
07.2025 - Current
- Independently evaluate new and established patients with musculoskeletal injuries resulting from motor vehicle accidents, workplace injuries, and other trauma.
- Obtain comprehensive histories and perform detailed orthopedic, neurologic, and musculoskeletal examinations.
- Develop evidence-based treatment plans utilizing conservative management, physical therapy, chiropractic care, medications, and interventional pain procedures.
- Interpret and review MRI, CT, X-ray, EMG/NCS, and other diagnostic studies to guide clinical decision-making.
- Determine medical necessity for interventional pain procedures including: Cervical, thoracic, and lumbar Transforaminal epidural steroid injections (TFESI), Medial branch blocks (MBB), Radiofrequency ablation (RFA), Sacroiliac joint injections, Facet joint injections, Peripheral joint injections, Platelet-Rich Plasma (PRP), Stem cell injections, Shockwave Therapy (SWT)
- Coordinate care with chiropractors, physical therapists, orthopedic surgeons, neurologists, neurosurgeons, and attorneys involved in personal injury cases.
- Monitor treatment outcomes and modify care plans based on patient response and functional improvement.
- Provide patient education regarding diagnoses, treatment options, procedural risks and benefits, rehabilitation, and injury prevention.
- Maintain timely and comprehensive documentation while ensuring compliance with Nevada practice regulations
- Participate in multidisciplinary case management to optimize patient outcomes and facilitate recovery.
Registered Nurse, Intermediate Critical Care Unit
Henderson Hospital / West Henderson Hospital
Las Vegas, Nevada
04.2024 - 07.2025
- Demonstrated resilience and adaptability in diverse clinical environments (ER holds, IMC, and Medical-Surgical units), delivering critical care to enhance patient outcomes, and implementing evidence-based practices and hospital protocols within the registered nurse scope of practice
- Provided exceptional patient care to intermediate and critically ill individuals, collaborating with the Rapid Response Team for stabilization and management of acutely deteriorating conditions through training, interventions, and adherence to protocols resulting in increased patient recovery rates and enhanced patient stabilization
- Proactively performed comprehensive physical assessments and maintained continuous patient health monitoring, providing daily alerts to physicians on condition changes or abnormal lab results for timely interventions using EMR system, vital monitors, and smart devices
Travel Registered Nurse, Progressive Critical Care Unit
Banner Hospital
Gilbert, Arizona
08.2022 - 01.2024
- Enabled continuous cardiac monitoring for patients transitioning from ICU care, utilizing ECG monitoring systems to identify arrhythmias and implement timely interventions in a high-acuity setting
- Closely monitored respiratory status, managed ventilator settings, and made real-time adjustments to promote patient stabilization and optimize respiratory function
- Executed safe and efficient medication procedures including oral, IV, drip, and intramuscular injections, ensuring patient well-being by vigilantly monitoring and adjusting dosages in response to clinical indicators
- Collaborated within a multidisciplinary healthcare team to manage electrocardiogram monitoring, defibrillation, and cardiopulmonary rehabilitation, supporting patient recovery and promoting long-term cardiac health
Travel Registered Nurse, Medical-Surgical Unit
Tsehootsooi Medical Center
Fort Defiance, Arizona
01.2022 - 07.2022
- Provide age-appropriate care for adult and pediatric patients in medical-surgical settings, ensuring safety and optimal recovery
- Demonstrate adaptability across unit assignments, collaborating with healthcare teams to develop and implement care plans, conduct assessments, and deliver treatments. Assist healthcare providers during exams and procedures, administer medications, evaluate lab results, and promptly notify providers of significant changes in patient condition
- Assess patient outcomes to evaluate treatment efficacy, manage medical emergencies, and ensure compliance with legal, regulatory, and institutional standards through careful documentation and professional judgment
Registered Nurse, Intermediate Critical Care Unit
MountainView Hospital
Las Vegas, Nevada
04.2020 - 01.2022
- Utilized ECG monitoring systems for continuous cardiac monitoring of patients transitioning from ICU care, identifying arrhythmias and implementing timely interventions to enhance patient outcomes in a high-acuity setting
- Managed respiratory status, optimized ventilator settings, and implemented real-time adjustments to enhance patient stabilization and elevate respiratory function leading to significantly improved patient outcomes
- Safeguarded patient well-being by meticulously monitoring and adjusting medication dosages, leading to enhanced recovery rates, reduced hospital readmissions, and improved patient satisfaction across oral, IV, drip, and intramuscular injections
Registered Nurse, Medical-Surgical Unit
CoxHealth Medical Center South
Springfield, Missouri
11.2018 - 02.2020
- Enhanced patient outcomes and operational efficiency by conducting thorough physical examinations and continuous patient assessments, promptly relaying changes in condition or critical lab values to physicians for timely clinical intervention via Cerner EMR systems
- Prepare and assist patients with examinations, procedures, and treatments, ensuring high standards of care, comfort, and patient safety
- Adapt seamlessly to new clinical environments as a Traveler, demonstrating independence, assertiveness, and advanced clinical judgment in delivering care aligned with patients' specific needs and the assigned level of care
Clinical Training Team Lead, Utilization Review of US Claims
Cognizant Technology Solution
Manila, Philippines
03.2010 - 09.2018
- Developed and facilitated training sessions to enhance staff development, customize client solutions, and improve retention by addressing training gaps. Revamped training strategies to address employee turnover, improving retention and engagement
- Tailored training plans to meet client needs, ensuring alignment with organizational goals, timelines, and budgets
- Mentored new hires, fostering skill growth and increasing team productivity
- Analyzed medical guidelines and benefit coverage to assess service appropriateness and conducted prior authorization reviews, ensuring compliance
- Secured authorizations from multiple insurance carriers, streamlining care approval processes
- Served as a subject matter expert in workers' compensation and utilization review, providing guidance and resolving complex issues
Education
Masters of Science in Nursing - Family Nurse Practitioner
Chamberlain University
Chicago, Illinois03-2025
Bachelor of Science in Nursing - undefined
Far Eastern University
Manila, Philippines03-2008
Skills
- Interventional Pain Management
- Orthopedic Assessment
- Spine Disorders
- Musculoskeletal Medicine
- Personal Injury Evaluation
- Motor Vehicle Accident Evaluation
- Workers' Compensation
- Diagnostic Imaging Interpretation
- MRI/CT/X-ray Review
- Trigger Point Injections
- Shockwave Therapy
- Evidence-Based Practice
- EMR Documentation
Certification
- Nevada Advanced Practice Registered Nurse, Family Nurse Practitioner-Certified | Lic expires July 2027
- Nevada Registered Nurse | Expires July 2027
- With current Pharmacy and DEA License
- American Heart Association Advanced Cardiac Life Support | Expires Dec 2026
- American Heart Association Basic Life Support | Expires Dec 2026
Timeline
Nurse Practitioner
Align Med Pain Management
07.2025 - Current
Registered Nurse, Intermediate Critical Care Unit
Henderson Hospital / West Henderson Hospital
04.2024 - 07.2025
Travel Registered Nurse, Progressive Critical Care Unit
Banner Hospital
08.2022 - 01.2024
Travel Registered Nurse, Medical-Surgical Unit
Tsehootsooi Medical Center
01.2022 - 07.2022
Registered Nurse, Intermediate Critical Care Unit
MountainView Hospital
04.2020 - 01.2022
Registered Nurse, Medical-Surgical Unit
CoxHealth Medical Center South
11.2018 - 02.2020
Clinical Training Team Lead, Utilization Review of US Claims
Cognizant Technology Solution
03.2010 - 09.2018
Bachelor of Science in Nursing - undefined
Far Eastern University
Masters of Science in Nursing - Family Nurse Practitioner
Chamberlain University