Melissa J. Register, RN, BSN, BS
Columbia,MO
Summary
Highly skilled, board certified registered nurse specialized in ambulatory and home setting IV infusion therapy for chronic diseases and enzyme replacement therapy. Proficient in neonatal intensive care and pediatric nursing skills with a passionate nursing emphasis in metabolic genetic clinical care management and patient education. Knowledgeable in comprehensive case management of chronic diseases, imparting high quality nursing skills to improve patient-family-centered-care though compassion, education, counseling and interdisciplinary case management for best outcomes - by empowering patients and families to make quality health care decisions through establishment of individualized care plans, focused on helping patients and families adapt to and manage complex health conditions.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Infusion Nurse
OptumRx
06.2021 - Current
- Initiated patient care meetings with multidisciplinary team to revise plan of care as patient condition warrants.
- Educated family members and caregivers on patient care instructions.
- Remained current on advances in nursing care by participating in educational programs and oriented and educated new staff in nursing techniques and departmental procedures.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Metabolic Genetic Nurse Clinician
University Of Missouri – School Of Medicine
01.2017 - Current
- Collaborate with multi-disciplinary healthcare providers to coordinate biochemical and genetic testing to diagnose patients at high risk for rare diseases or inborn errors of metabolism.
- Provides education and counseling to patients and families affected with metabolic genetic disorders, treatment options, risk recurrence and disease management.
- Communicates with a team of metabolic genetic healthcare providers to plan, implement and enhance treatment strategies.
- Provides consultation to primary health care providers on behalf of Missouri State's Newborn Screening Program for infants at high risk for genetic diseases.
- Provides ongoing case management to optimize patient outcomes including: medication management, coordinating laboratory tests or imaging, referrals to specialists, monitoring disease progression, and maintaining updated electronic medical records and plans of care.
- Responsible for securing prior authorizations for orphan drugs and medical treatments.
Critical Care Float Pool Registered Nurse
University Of Missouri - Women's & Children's Hosp
08.2012 - 03.2017
- Identified patient care problems and implemented corrective actions in alignment with hospital policies, procedures and regulations.
- Reported abnormal findings and changes in patient status to doctors, applying appropriate nursing measures.
- Administered medications to treat patients' symptoms and address underlying disease progression.
- Delivered exceptional, culturally-appropriate care to patients and families on pediatric, adolescent, NICU and out-patient oral surgery units.
- Worked with physicians, nurses, technicians and therapists to formulate, implement and modify individual care plans.
- Mentored nursing students and oriented new nursing staff.
Neonatal Intensive Care Unit Staff Nurse
University Of Missouri -Women’s And Children’s Hospital
08.2010 - 08.2012
- Provided specialized, high level of quality care for all assigned patients in a 48-bed neonatal ICU unit.
- Guided and educated parents and caregivers on courses of treatment, individualized care plans, preventative measures, medication use and appropriate discharge planning.
- Provided one-on-one orientation to new NICU staff nurses on protocols and best practices to promote ideal patient outcomes and consistent care.
- Modeled exceptional care as nurse preceptor for nursing students completing clinical practicums.
- Highly skilled in acute assessment, IV access and medication administration and long-term management of critically ill neonates and micro-preemies requiring specialized equipment and mechanical ventilation.
- Assisted Neonatologist in bed-side procedures and recovery of patients returning from O.R.
- Communicated with medical providers across multiple disciplines to maximize resources to improve patient outcomes.
Medical Office Manager
Delia A. Matias, M.D. & Alexander A. Lising, M.D
11.2000 - 05.2009
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable increasing overall AR and increasing P.O.S. payment to more than 95%.
- Optimized organizational systems for payment collections, AP/AR, deposits and record keeping.
- Prepared daily, monthly, and quarterly reports for accounting.
- Managed multiple medical providers and hired and trained clerical and support staff.
Claims, Billing and Accounts Receivable Manager
Delia A. Matias, M.D. And Alexander A. Lising, M.D
03.1999 - 11.2000
- Reconciled daily AR ledger and verified proper posting.
- Verified discrepancies and resolved clients' billing issues.
- Prepared bills receivable, invoices and bank deposits.
- Processed incoming payments in accordance with established financial policies.
- Updated aging reports based on monthly audits.
- Transitioned medical billing from paper to 100% fully-functional electronic claims submission and electronic accounts receivable.
Education
Bachelor of Science - Nursing
Sinclair School Of Nursing – University Of Missouri
Columbia, MO2010
Genetics Education Program For Nurses
Genetics Institute
Cincinnati Children's Medical Center2017
Columbia College
Columbia, MOBachelor of Arts - Business Management
University Of Missouri - Columbia
Columbia, MOInternational Exchange Program -
International School Of Retail Management
Leeuwarden, NetherlandsSkills
- Genetic consulting, support and education
- Strong clinical judgment
- Chronic disease case management and care coordination
- Acute nursing care expertise
- Intravenous therapy, tracheostomy, g-tube, ostomy, post-sugical and wound care
- Clinical Practice Management
- Knowledgeable of managed care, HMO, workman's comp and medicaid insurance plan billing and prior authorizations
- Mentor, clinical preceptor, field trainer
- Accurate Documentation
- Skilled in acute nursing assessments
- IV Infusion Treatments: IVIG, disease modifying, enzyme replacement therapy, acute IV antibiotics
- Infusion Medication Administration via PIV, sub cutaneous IV, pediatric and adult ports, PICC care and maintenance
Affiliations
Missouri Genetics Advisory Committee Member
Missouri Newborn Screening Committee Member
Certification
Neonatal Resuscitation Program
Pediatric Advanced Life Support
Basic Life Support for Health Care Professionals
Timeline
Infusion Nurse
OptumRx
06.2021 - Current
Metabolic Genetic Nurse Clinician
University Of Missouri – School Of Medicine
01.2017 - Current
Critical Care Float Pool Registered Nurse
University Of Missouri - Women's & Children's Hosp
08.2012 - 03.2017
Neonatal Intensive Care Unit Staff Nurse
University Of Missouri -Women’s And Children’s Hospital
08.2010 - 08.2012
Medical Office Manager
Delia A. Matias, M.D. & Alexander A. Lising, M.D
11.2000 - 05.2009
Claims, Billing and Accounts Receivable Manager
Delia A. Matias, M.D. And Alexander A. Lising, M.D
03.1999 - 11.2000
Bachelor of Science - Nursing
Sinclair School Of Nursing – University Of Missouri
Genetics Education Program For Nurses
Genetics Institute
Columbia College
Bachelor of Arts - Business Management
University Of Missouri - Columbia
International Exchange Program -
International School Of Retail Management