Work Preference
Summary
Overview
Work History
Education
Skills
Certification
Timeline
RegisteredNurse
Open To Work

Mercedes Hatch, BSN, RN

Corpus Christi,TX

Work Preference

Job Search Status

Open to work
Desired start date: Immediately

Desired Job Title

Registered Nurse Case ManagerRemote Concurrent Review Registered NurseRN Case Manager and Utilization Management NurseDenials CoordinatorPrior Authorization Nurse

Work Type

Full TimePart TimeContract WorkConsulting

Location Preference

Remote

Salary Range

97000/yr - 200000/yr

Important To Me

Career advancementWork-life balanceWork from home optionPaid time offPersonal development programs

Summary

Experienced and skilled registered nurse professional looking for a challenging and responsible role where my skills, knowledge and experience can be enhanced and utilized effectively. With over 10 years of diverse registered nursing experience, I am proven to be highly motivated, versatile, and compassionate. I have an extreme passion for being an advocate for others, upholding policies and procedures, and maintaining safe effective practices.

Overview

15
15
years of professional experience
1
1
Certification

Work History

RN Care Manager, Contract With Monogram Health

IDR Healthcare Recruiting Copmany
Remote
02.2025 - 05.2025
  • Managed complex caseloads, ensuring timely assessment, intervention, and documentation for optimal care outcomes.
  • Performed comprehensive medical evaluations for diverse patient groups to facilitate tailored care plans and resource distribution.
  • Analyzed data trends in patient's health history to identify areas for improvement and collaborated with health providers to strengthen continuity of care.
  • Established trusting relationships with patients and families through empathetic listening and consistent follow-through on commitments made during the care planning process.
  • Facilitated patient education on disease management, medication adherence, and lifestyle modifications to promote optimal health.

Registered Nurse Case Manager

Baptist Medical Center
San Antonio, TX
07.2024 - 02.2025
  • Conducted thorough assessments to evaluate patient conditions and identify necessary interventions.
  • Collaborated with physicians and other healthcare providers daily to ensure appropriate resource utilization for complex cases to reduce hospital readmissions, emergency room visits, and decrease long length of stay.
  • Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs and next level of care for discharge if needed.
  • Developed professional relationships with community partners to enhance available support services for patients transitioning from acute care settings.
  • Advocated for patients' rights, facilitating access to necessary discharge services and resources within the community.

Remote Concurrent Review Registered Nurse

Superior Health Plan & Ambetter
San Antonio
08.2019 - 04.2020
  • Responsible for prospective and concurrent reviews using InterQual criteria for members within 24 hour deadline.
  • Ensured optimal reimbursement levels for services rendered by conducting comprehensive EMR reviews to assess medical necessity using DRG and InterQual guidelines.
  • Enhanced interdisciplinary collaboration by participating in daily rounds, discussing patient cases, and providing clinical input to reduce hospital readmissions.

RN Case Manager and Utilization Management Nurse

South Texas Surgical Hospital
Corpus Christi, TX
12.2018 - 06.2019
  • Completed DME, home health, LTACH, Rehab, and physical therapy arrangements 24 hours prior to discharge for the hospital's 28 bed inpatient unit.
  • Educated total-hip and total knee replacement patients of the hospital's personalized program goals to ensure quality of care and healing was successful.
  • Developed professional relationships with community partners to enhance available support services for patients transitioning from acute care settings.
  • Maintained detailed documentation of patient encounters, supporting accurate billing practices and data-driven decision making with all Medicare, Medicaid, HMO, and private insurance covered patients.
  • Served as a vital liaison between patients, healthcare providers, and insurance companies, fostering effective communication and coordination among all parties involved in the care process.
  • Contributed to organizational success by providing expert advice on medical necessity criteria and evidence-based practices in utilization review nursing.

Pre-Assessment Testing RN

South Texas Surgical Hospital
Corpus Christi, TX
12.2017 - 12.2018
  • Conducted 8-12 thorough assessments and EKG's (if needed) per day of patients scheduled for surgical procedures.
  • Reviewed patients' medical histories to identify potential risks or complications and alerted physicians and surgical teams on abnormal health findings immediately.
  • Educated patients of the planned treatment, including pre and post operative care and instructions.

Clinical Navigator

Post Acute Medical Hospital
Corpus Christi, TX
03.2017 - 11.2017
  • Cultivated referral relationships, managed assigned territories, and completed patient assessments.
  • Established and maintained strong relationships with providers through ongoing assessment and servicing of their client's needs.
  • Optimized census by communicating with admissions department and facility CEO.
  • Coordinated patient care transitions between departments to enhance service efficiency and continuity.
  • Implemented quality improvement measures that improved overall patient satisfaction scores related to navigation services.

Pre-Op RN/Pre-Assessment Testing RN

South Texas Surgical Hospital
Corpus Christi, TX
02.2015 - 03.2017
  • Prepared multiple patients at a time with at least 20 minute turnaround times for cataract surgeries, colonoscopies, steroid shots, tonsillectomies, total knee and hip replacements, cholecystectomies, gynecological surgeries, gastrointestinal surgeries, and other general surgeries.
  • Ensured safe surgical outcomes by assessing patients' medical history, allergies, and obtaining signatures for consent, and reconciling current medications.
  • Maintained patient satisfaction through effective communication, empathy, and timely response to their needs as evidence by achieving Employee of the Month.

Electrophysiology Procedural RN

Scott and White
Temple, TX
10.2012 - 06.2013
  • Personally provided moderate sedation and monitored hemodynamics during pacemaker and defibrillator procedures.
  • Updated patient families during 4 hour cardiac ablation procedures regarding progress updates, while providing emotional support to ease concerns and answer questions.
  • Demonstrated adaptability when faced with unforeseen challenges or emergencies; adjusting rapidly to maintain optimal patient outcomes.
  • Participated in weekly cardiac arrhythmia classes, contributing to personal growth as well as enhanced team performance within the Electrophysiology Lab setting.

General Medical Surgical Unit- Staff RN

Memorial Hermann
Houston, Texas
10.2011 - 10.2012
  • Educated patients, families, and caregivers on diagnosis, prognosis, treatment options, disease process, as well as, management and lifestyle options.
  • Collaborated with multidisciplinary teams to develop and implement individualized patient care strategies.
  • Educated patients and families on health management, self-care techniques, and disease prevention methods.
  • Monitored patient progress, identifying changes in condition and initiating appropriate interventions swiftly.
  • Led nursing staff in quality improvement initiatives to enhance patient safety and satisfaction outcomes.

Med SurgUnit- Staff RN/ Graduate RN/Student Tech/

Christus Spohn Shoreline
Corpus Christi, TX
09.2010 - 07.2011
  • Collaborate with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases to reduce hospital readmissions, emergency room visits, and decrease long length of stay.
  • Provide education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs and next level of care for discharge if needed.
  • Develop professional relationships with community partners to enhance available support services for patients transitioning from acute care settings.
  • Advocate for patients' rights, facilitating access to necessary services and resources within the community.

Education

Bachelor of Science in Nursing - Nursing

Texas A&M Corpus Christi Nursing
Corpus Christi, TX
12-2010

Skills

Chronic Disease Management

Care coordination

HIPAA compliance

Compassionate care

Documentation accuracy

Time management

Attention to detail

Multitasking

Critical thinking

Excellent communication

Team collaboration

Patient and family advocacy

Patient education

Microsoft office

ICD, CMS, DRG and InterQual

Utilization review

Discharge planning

Strong clinical judgment

Interdisciplinary collaboration

Evidence-based practice

EPIC, NextGen, Meditech, Cerner, Allscripts

Certification

Compact Registered Nurse License, 2011, Texas Board of Nursing, 799782

BLS, American Heart Association, 06/2024-06/2026

Timeline

RN Care Manager, Contract With Monogram Health

IDR Healthcare Recruiting Copmany
02.2025 - 05.2025

Registered Nurse Case Manager

Baptist Medical Center
07.2024 - 02.2025

Remote Concurrent Review Registered Nurse

Superior Health Plan & Ambetter
08.2019 - 04.2020

RN Case Manager and Utilization Management Nurse

South Texas Surgical Hospital
12.2018 - 06.2019

Pre-Assessment Testing RN

South Texas Surgical Hospital
12.2017 - 12.2018

Clinical Navigator

Post Acute Medical Hospital
03.2017 - 11.2017

Pre-Op RN/Pre-Assessment Testing RN

South Texas Surgical Hospital
02.2015 - 03.2017

Electrophysiology Procedural RN

Scott and White
10.2012 - 06.2013

General Medical Surgical Unit- Staff RN

Memorial Hermann
10.2011 - 10.2012

Med SurgUnit- Staff RN/ Graduate RN/Student Tech/

Christus Spohn Shoreline
09.2010 - 07.2011

Bachelor of Science in Nursing - Nursing

Texas A&M Corpus Christi Nursing