Osceola Hilton
Nashville,TN
Summary
Outpatient Registered Nurse Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Home Therapies RN
Fresenius Medical Center
2023.01 - Current
- Provided patient care and education to patients with chronic illnesses
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient
- Acted as patient advocate and implemented total patient care through team nursing process
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results
- Administered medications and treatments according to physician orders
- Counseled patients regarding medication side effects or lifestyle changes necessary for improved health outcomes
- Monitored patient outcomes and adjusted treatments as needed
- Reviewed reports from outside labs and facilities related to renal function tests performed on patients
- Conduct an initial visit to the homes of patients to assess home therapy readiness with regular training and follow-up visits within the clinic environment
- Participate in decision-making, teaching, leadership, and quality improvement activities that enhance patient care outcomes and home therapies program operations
- Admits new patients to the Home Therapies Program using the appropriate processes
- Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols
- Analyzes dialysis data for Home Therapy patients and documents and adjusts or modifies the treatment plan as needed
- Provides initial and ongoing education to patient and family on home dialysis treatment and the operation and maintenance of all home therapies equipment.
Outpatient Registered Nurse
Fresenius Medical Care
Nashville , TN
2021.09 - Current
- Makes adjustments or modifications to treatment plan as indicated and notifies Team, Manager or Physician as needed
- Assesses patient/family's basic learning needs to provide initial and ongoing education to patients and family
- Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to patients
- Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness
- Initiates or assists with emergency response measures
- Serves as a resource for the interdisciplinary team
- Enter and verify correct medical orders per MD
- Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections
- Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team
- Oversees Patient Care Technicians/LPNs/ LVNs/RNs as the Team Leader
- Interviewed patients to obtain medical information and measure vital signs
- Administered medications to patients and monitored for reactions or side effects
- Monitored, recorded, and reported symptoms or changes in patients' conditions
- Managed and coordinated multiple projects while ensuring timely completion.
Nurse Extern-Patient Care Coordinator
TriStar Centennial Medical Center
Nashville , Davidson
- Delivered high-quality, patient-centered care by performing a variety of delegated basic patient care services related to common nursing functions and activities of daily living
- Assisted the nursing staff with providing patient care in accordance with skills/training and the needs of the department
- Consistently assisted the patient care team with maintaining a clean, well-organized, and safe patient care environment
- Participated in the implementation of nursing care plans by performing direct and indirect patient care
- Translated complex medical terminology to ensure patients/families/and caregivers understand the patient medical condition, patient status, treatment plan, medications, possible side effects, and follow-up measures
- Collected and sent specimens to appropriate labs for testing
- Interviewed patients or representatives to identify problems relating to care.
Client Account Support Analyst
CIGNA
Nashville , Davidson
- Audited and reviewed the files of contracted agents and agencies to ensure that all regulatory and compliance requirements have been met and evidence is on file
- Reviewed a high volume of files and records within each file and researched internal databases for all required documentation and report missing documents to the contracting leadership team
- Prepared certified mailings forms
- Reviewed and validated Medicare universal training certificates.
Insurance System Administrator And Auditor
U.S. Renal Care
Nashville , TN
- Delivered high-quality, patient-centered care by performing a variety of delegated basic patient care services related to common nursing functions and activities of daily living
- Assisted the nursing staff with providing patient care in accordance with skills/training and the needs of the department
- Consistently assisted the patient care team with maintaining a clean, well-organized, and safe patient care environment
- Participated in the implementation of nursing care plans by performing direct and indirect patient care
- Translated complex medical terminology to ensure patients/families/and caregivers understand the patient medical condition, patient status, treatment plan, medications, possible side effects, and follow-up measures
- Collected and sent specimens to appropriate labs for testing
- Interviewed patients or representatives to identify problems relating to care.
Supervisor-Patient Service Coordinator
Fresenius Medical Care Pharmacy
Nashville , TN
- Serve as the key point of contact daily between the patient's insurance plans and the company [Medicaid, Medicare and Commercial]
- Verified patient benefits, timely filing and additional claim information
- Updated patient insurance accounts according to Medicare coordination and COB guidelines
- Verify insurance accuracy and ensure that all data is entered into the billing system
- Update patient accounts with newly acquired information when needed
- Secures insurance authorizations and pre-certs needed for patient services (Contact PCP if necessary)
- Corrected billing claims that require rebilling, voiding or regenerating- process and correct billing via the reversal of insurance claims
- Maintained financial records by recording all debits and credits posted to billing.
Patient Service Coordinator
Fresenius Medical Care Pharmacy
Nashville , TN
- Trained new hires on Document intake procedures and how to obtain medical authorizations for treatment
- Create training manuals and materials for new hires in the department
- Managed the process of researching, analyzing and resolution of claim rejections/edits
- Research the causes for all team billing errors then document them to be discussed at each team members one on one meetings/reviews (monthly)
- Ensured that billing and all claims processes are completed daily and accurately
- Managed various, served as contact person between our Nashville corporate office and all our dialysis clinic regarding insurance files and updates/reports
- Help implementing resolutions on the team
- Worked closely with other Revenue Cycle managers and senior leadership to ensure all billing claims and procedures are completed
- Trained employees across multiple departments.
Certified Clinical Hemodialysis Technician
Fresenius Medical Care Pharmacy
Nashville , TN
- Received visitors in person or on the telephone; handled multi-line phone system, remote camera access, inbound/outbound customer and vendor calls, handled repair and supply orders, developed reporting spreadsheets and other reports for inventory, call log, and other metrics
- Field daily customer support calls assisting patients, physicians, and clinical staff in understanding pharmacy processes- benefit form.
Patient Care Technician
Vanderbilt Medical Center
- Maintained and updated patient/customer records in the company software database, entering changes and appropriate and necessary documentation
- Maintain customer and patient confidentiality and maintain compliance with federal/state laws, and company compliance policy
- Obtained prior authorizations for patient mediations through their insurance plans
- Maintained strict confidentiality of protected health Information to comply with HIPAA regulations.
Direct patient care assisting in room preparation
- Operated hemodialysis machine to provide dialysis treatment for patients with kidney failure
- Recorded patient's pre- and post-dialysis weight, temperature, blood pressure, pulse rate, and respiration rate
- Assisted with research assignments by preparing medications and lab work
- Worked closely with the Research Coordinator to prepare dialysis patients for studies involving Phosphate binders and placebos and effects on EKG
- Monitored and calculated fluid removal and/or replacement achieved during the dialysis procedure
- Oriented new technicians on proper operation and function of the dialysis machine.
Education
Bachelor Of Science In Biology/Psychology -
Tennessee State University
Associate Of Science In Medical Assistant -
Draughons Junior College
Associate In Science (A.S.) In Nursing -
Nashville State Community College
Skills
- Senior Leadership
- Microsoft Excel
- Customer service
- Medical Office Experience
- Excellent organizational, administrative, problem-solving skills and ability to prioritize and manage
- Effective written and verbal communication skills
- Nursing Assignments
- Improvement Processes
- Delegation and Motivation
- Compassionate and Caring
- Professionalism
- Chronic Disease Management
- Nursing Staff Leadership
- Care Planning
- Physical Assessments
- Direct Patient Care
Certification
- BLS Certification
- CPR Certification
Timeline
Home Therapies RN
Fresenius Medical Center
2023.01 - Current
Outpatient Registered Nurse
Fresenius Medical Care
2021.09 - Current
Nurse Extern-Patient Care Coordinator
TriStar Centennial Medical Center
Client Account Support Analyst
CIGNA
Insurance System Administrator And Auditor
U.S. Renal Care
Supervisor-Patient Service Coordinator
Fresenius Medical Care Pharmacy
Patient Service Coordinator
Fresenius Medical Care Pharmacy
Certified Clinical Hemodialysis Technician
Fresenius Medical Care Pharmacy
Patient Care Technician
Vanderbilt Medical Center
Direct patient care assisting in room preparation
Bachelor Of Science In Biology/Psychology -
Tennessee State University
Associate Of Science In Medical Assistant -
Draughons Junior College
Associate In Science (A.S.) In Nursing -
Nashville State Community College
- BLS Certification
- CPR Certification
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