Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Timeline
Hi, I’m

Michael Nutter

Far and away the best prize that life offers is the chance to work hard at work worth doing.
Theodore Roosevelt

Summary

Patient-oriented Nurse with 15 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Offering expertise with Utilization Review/Appeals/CM specialty.

Overview

14
years of professional experience
1
Certification

Work History

Centene/WellCare Corporation

UM Utilization Concurrent Review Nurse
2019.07 - Current (5 years & 2 months)

Job overview


  • Made determinations on INP vs OBS level of care based on research backed guidelines using MCG and InterQual.
  • Conduct comprehensive utilization reviews to optimize healthcare resources and control costs without compromising the quality of patient care.
  • Employ keen attention to detail in scrutinizing medical documentation to identify discrepancies and ensure compliance with regulatory requirements.
  • Demonstrate proficiency in assessing patient medical records and applying clinical knowledge to determine the appropriateness of healthcare services.
  • Utilize strong medical background to evaluate treatment plans, ensuring they align with established standards and guidelines.
  • Facilitate effective communication between healthcare providers, insurance companies, and other stakeholders to streamline the authorization process and resolve any utilization issues promptly.
  • Communicate findings and recommendations clearly and professionally, both in writing and verbally, to support effective decision-making.

BayCare Northbay Hospital

Observation Unit
2018.10 - 2019.06 (8 months)

Job overview

  • Create individualized care plans to address patients' needs and actively participate in the admission, implementation and evaluation of interventions
  • Collaborate with multi-disciplinary team members to ensure delivery of optimal care
  • Provide discharge information for patients' and family members regarding follow up care, home medication schedule, explanation of new medication and resources related to each individual's specific condition
  • Supported patients and family members, actively listening to concerns and offering compassionate care.
  • Completed necessary reports and documentation on time and to specifications.
  • Coordinated with other healthcare professionals to provide patients with comprehensive care.

BayCare Northbay Hospital

Emergency Department
2018.03 - 2019.06 (1 year & 3 months)

Job overview

  • Responsible for triaging all Emergency Room patients in a safe, effective way, in a fast-paced environment
  • Communicates treatment and condition information with patient and families
  • React effectively in emergency scenarios, demonstrating sound decision making that helps save patients' lives
  • Decisively and confidently make judgments on patient conditions based on vital signs, patient presentation, and initial assessment

Oakhill Hospital

Emergency Department
2010.03 - 2018.03 (8 years)

Job overview

  • Independently maintain safe and effective care to patients with different acuity levels in a time-restricted and demanding environment
  • Ensure both physical and emotional needs of patients and families are met with empathy and strong interpersonal skills
  • Provide emergency medical care to critically ill patients within a 40-bed emergency department
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
  • Answered codes quickly and orchestrated efficient, skilled medical care.
  • Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.

VA- Robert J. Dole Department of Veterans Affairs Medical Center

Emergency Department
2011.12 - 2012.06 (6 months)

Job overview

  • Provided emergency medical care to the Veteran population in the ED setting
  • Performed nursing assessments along with mental health assessments related to the psychological issues many Veterans were diagnosed with
  • Created a different psychological approach when caring for the Veterans and their families due to their unique background and history by implementing my resources and my educational knowledge from my Bachelor's in Psychology
  • Critical thinking to provide therapeutic nursing interventions for patients who are experiencing psychiatric health problems related to alterations in functional health patterns
  • All documentation completed using the CPRS charting system.

Wesley Medical Center

Emergency Department-Level 1 Trauma Center
2009.12 - 2010.03 (3 months)

Job overview

  • Provided emergency medical care to critically ill patients within a 42-bed Level 1 Trauma Emergency Services Department including a 10 bed pediatric ER, 6 bed fast-track ER, and triage
  • Worked collaboratively with over 28 ER physicians as well as PA's, ARNP's, and many med students to provide and implement quality service and emergency medical care to patients requiring emergency treatment following hospital policy and standard nursing practice
  • Performed complete assessment of patients and monitored for changes in patients' conditions, accurate charting and proper medication administration
  • Coordinated patient referrals and discharge planning activities as well as keeping the patient's family informed at all times.

Saint Joseph's Hospital

Cardiac Surgical
2009.06 - 2009.12 (6 months)

Job overview

  • Comprehensive and coordinated care for acute patients prior, during and post open heart, cardiac cath, thoracotomy, and pacemaker procedures
  • Provided patient and family teaching, including emotional support
  • Participated in quality assurance activities, including patient surveys and documentation
  • Monitored and charted patients' progress as well as developing ongoing comprehensive care plans
  • Worked collaboratively with surgeons, cardiologists, and interns to achieve optimum patient care
  • Monitored chest tubes & various drainage devices along with pacer wires.

Education

University of South Florida , Tampa, FL

Bachelor of Science from Nursing
05.2009

University of South Florida , Tampa, FL

Bachelor of Arts from Psychology
05.2006

Withlacoochee Technical Institute , Inverness, FL

No Degree from Corrections
12.1998

University Overview

Correctional Officer Certificate

Skills

  • Triage Nurse
  • Trauma Recovery
  • Patient Condition Monitoring
  • Vitals Monitoring
  • Patient Examination
  • Case Management
  • ER Charge Nurse Role
  • Chronic Disease Management
  • Nursing Consultation
  • Care Coordination
  • Student Precepting
  • Surgical Assistance
  • Critical Thinking
  • Determine Medical Necessity
  • Obtaining Authorizations
  • Patient Care Plans
  • InterQual Criteria
  • Utilization Review
  • Plan of Care Support
  • Microsoft Office
  • Discharge Planning Coordination

Certification

  • Multi-State Compact Registered Nursing License, RN 9294266
  • Board Certified Emergency Nurse (CEN), Certification No. 981116074
  • Trauma Nursing Core Course (TNCC)
  • Emergency Nursing Pediatric Course (ENPC)
  • Basic Life Support (BLS)
  • Advanced Cardiovascular Life Support (ACLS)
  • Pediatric Advance Life Support (PALS)
Availability
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thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

UM Utilization Concurrent Review Nurse

Centene/WellCare Corporation
2019.07 - Current (5 years & 2 months)

Observation Unit

BayCare Northbay Hospital
2018.10 - 2019.06 (8 months)

Emergency Department

BayCare Northbay Hospital
2018.03 - 2019.06 (1 year & 3 months)

Emergency Department

VA- Robert J. Dole Department of Veterans Affairs Medical Center
2011.12 - 2012.06 (6 months)

Emergency Department

Oakhill Hospital
2010.03 - 2018.03 (8 years)

Emergency Department-Level 1 Trauma Center

Wesley Medical Center
2009.12 - 2010.03 (3 months)

Cardiac Surgical

Saint Joseph's Hospital
2009.06 - 2009.12 (6 months)

University of South Florida

Bachelor of Science from Nursing

University of South Florida

Bachelor of Arts from Psychology

Withlacoochee Technical Institute

No Degree from Corrections
  • Multi-State Compact Registered Nursing License, RN 9294266
  • Board Certified Emergency Nurse (CEN), Certification No. 981116074
  • Trauma Nursing Core Course (TNCC)
  • Emergency Nursing Pediatric Course (ENPC)
  • Basic Life Support (BLS)
  • Advanced Cardiovascular Life Support (ACLS)
  • Pediatric Advance Life Support (PALS)
Michael Nutter