Melanie Sturlaugson
Highlands Ranch,CO
Summary
I am searching for a job within the VA system to help our great Veterans with their healthcare. I am a knowledgeable Registered Nurse with several years of experience spanning multiple areas of nursing. I am a highly motivated employee with the desire to take on new challenges. I have a strong work ethic, adaptability, and exceptional interpersonal skills.
Overview
17
17
years of professional experience
Work History
Pre-Certification Clinician
Conifer Health Solutions
Highlands Ranch, CO
10.2021 - Current
- I obtain prior authorizations for hospitals in Nebraska.
- I am the nurse responsible for covering several co-workers when they are absent.
- I document within the EPIC system.
- VA is one of the many payers I obtain authorizations and referrals thru to ensure Veterans get the care they need.
RNCM
Elevation Hospice
Arvada, CO
06.2020 - 07.2021
- Listened to patients and loved ones, offering emotional support and kindness to help with end-of-life transition.
- Guided the patients loved ones and caregivers in such tasks as pain management, wound care, and medication dosing.
- Planned hospice care for elderly and disabled patients.
- Created and applied tailored care plans that would meet each patient's individualized needs.
Precertification Nurse
Conifer Health Solutions
Highlands Ranch, CO
04.2014 - 06.2021
- Earned reputation for good attendance and hard work.
- Recognized by management for providing exceptional customer service.
- Handled all delegated tasks, including being assigned to multiple different facilities, and systems.
- Trained new hires, and assisted current employees with their work when available.
- Assigned extra projects to complete, per management directive.
- Excelled monthly on production.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Contacted insurance carriers to obtain authorizations for services delivered to patients.
- Guided patients' loved ones and caregivers in such tasks as pain management, wound care and medication dosing.
- Utilized effective interpersonal, writing and active listening skills to build and cultivate positive relationships with patients, caregivers and physicians.
- Created and applied tailored care plans that would meet each patient's individualized needs.
Utilization Review Nurse
Active Health Management
Denver, CO
07.2012 - 04.2014
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Reviewed patient admissions to determine medical necessity as directed by the Milliman criteria.
- Referred cases to secondary review for failure to meet Milliman criteria.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Kept detailed documentation on all utilization reviews by using Windows, and Outlook.
Medical Surgical Assitant Nurse Manager
Littleton Adventist Hospital
Littleton, CO
04.2010 - 06.2012
- Created agendas and communication materials for team meetings.
- Attended departmental meetings, providing feedback to enhance future performance.
- Directly coached, supervised, and evaluated 10 direct reports.
- Help maintain the floor budget by creating the daily assignment and assessing staff needs.
- Worked patient care when available.
- Trained in numerous areas of medical related care.
- Was the co-chair of the urinary tract infection team at LAH.
Registered Nurse
University of Utah
Salt Lake City, UT
08.2007 - 03.2010
- Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
- Developed and adapted individualized treatment plans according to patient recovery goals.
- Administered oral, intramuscular and IV medications to patients and monitored responses.
- This was the step down ICU/cardiac floor at the hospital, first job out of school and was promoted to charge nurse 10/2008.
- Worked closely with LVADs, pacemakers, AICDs, holter monitors, post CABG, chest tubes, organ transplants, post ablation procedures.
RNCM
Gateway Hospice
Denver, CO
07.2021 - 10/11/23
- Listened to patients and loved ones, offering emotional support and kindness to help with end-of-life transition.
- Guided patients' loved ones and caregivers in such tasks as pain management, wound care and medication dosing.
- Created and applied tailored care plans that would meet each patient's individualized needs.
- Utilized effective interpersonal, writing and active listening skills to build and cultivate positive relationships with patients, caregivers and physicians.
Education
Bachelor of Science - Nursing
Creighton University
Omaha, NE08.2007
Bachelor of Arts - Biology
Concordia College
Moorhead, MN04.2006
Skills
- Registered Nurse
- Insurance precertification processes
- Geriatric treatment knowledge
- Medication and IV administration
- Computerized charting specialist
- Hospice RNCM
- Critical thinking
- Communication
- Time management
- Friendly, positive attitude
Accomplishments
Earned a staff excellence award for being an organized and prepared charge nurse in 12/2009
Also was voted nursing student of the year at Creighton in 2007, graduating Cum Laude
Timeline
Pre-Certification Clinician
Conifer Health Solutions
10.2021 - Current
RNCM
Gateway Hospice
07.2021 - 10/11/23
RNCM
Elevation Hospice
06.2020 - 07.2021
Precertification Nurse
Conifer Health Solutions
04.2014 - 06.2021
Utilization Review Nurse
Active Health Management
07.2012 - 04.2014
Medical Surgical Assitant Nurse Manager
Littleton Adventist Hospital
04.2010 - 06.2012
Registered Nurse
University of Utah
08.2007 - 03.2010
Bachelor of Science - Nursing
Creighton University
Bachelor of Arts - Biology
Concordia College
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