Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Awards
Affiliations
Timeline
RegisteredNurse
Michelle Fabien

Michelle Fabien

Lauderhill,FL

Summary

Highly motivated healthcare professional with nineteen years of experience in diverse healthcare settings such as prior authorization review and direct patient care. Well-versed in providing patient-centered care, developing care plans, and delivering quality patient care in accordance with physician orders. Proven track record of success in collaborating with multidisciplinary teams to ensure optimal patient outcomes. Committed to providing compassionate and evidence-based care to diverse patient populations.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Registered Nurse

OPTUM
03.2015 - 06.2023
  • Perform prior authorization review by applying evidenced-based criteria (i.e., MCG/InterQual criteria, LCD, NCD)
  • Discuss cases with facility healthcare professionals to obtain plans-of-care
  • Setup Peer to Peer between providers and medical directors
  • Call decisions to providers and offer information for appeal process when needed
  • Work closely with case assistants and other team members to maintain compliance with Medicare turnaround time for routine and expedite cases
  • Consult with the Medical Director, as needed, for complex cases, case acceleration and make appropriate referrals to downstream partners
  • Inform providers and members on decisions for expediting requests to comply with Medicare expedited deadline

Nurse

HOLY CROSS HOSPITAL
02.2006 - 03.2015
  • Responsible for direct patient care in an orthopedic and medical surgical unit
  • Used computers to complete necessary patient charts and documentation on patients' progress
  • Provided rehabilitation education on safe and effective use of medical equipment
  • Monitored patients through pain assessment, appropriate medication, and concise documentation
  • Established and maintained cooperative relationships with patients, family, and healthcare personnel

Education

BSN -

Chamberlain University
08.2024

AAS - Nursing

Broward College
01.2004

Skills

  • Energetic and Hardworking
  • Excellent communication skills
  • Great collaborator
  • Medication and IV administration
  • Medication administration
  • Direct patient care
  • Patient assessments
  • Documentation and charting
  • Strong clinical judgment
  • Patient education and counseling

Accomplishments

Daisy award nominee

Certification

  • Florida Registered Nurse Certification
  • Telemetry Course Certification
  • Advanced Cardiac Life Support Certification (ACLS)
  • Basic Life Support Certification (BLS)

Awards

Nominee of Daisy Award for Excellent Patient Care - Holy Cross Hospital

Affiliations

  • Sigma Theta Tau. Phi Pi chapter. International nursing honors society.

Timeline

Registered Nurse

OPTUM
03.2015 - 06.2023

Nurse

HOLY CROSS HOSPITAL
02.2006 - 03.2015

BSN -

Chamberlain University

AAS - Nursing

Broward College

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Michelle Fabien