Nancy Gough RN, BSN
Summary
Accomplished nursing professional with proven clinical expertise and leadership capabilities. Instrumental in decreasing readmission rates through strategic case management and sound clinical judgment. Adept at building effective partnerships within interdisciplinary teams to elevate patient care standards. Competent in charting, medication management, and enhancing patient outcomes through collaborative efforts.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Registered Nurse Med Surg/Tele
Common Spirit
06.2024 - Current
- Managed six to one patient load, decreasing hospital readmission rates through effective discharge planning and patient education.
- Demonstrated critical thinking skills during emergencies, collaborating with teams for timely interventions.
- Advanced clinical knowledge of medical diagnoses, procedures, and regulations, ensuring compliance with state and federal guidelines.
- Educated patients and families on surgical procedures, therapeutic regimens, and pain management techniques.
Nurse Case Manager
First Step House
01.2023 - 01.2024
- Supervised four medication technicians, achieving a 90% reduction in medication errors.
- Identified problem accounts and processes, escalating issues as necessary.
- Implemented new electronic medical record system to meet Joint Commission guidelines.
- Collaborated with interdisciplinary teams to enhance client treatment plans and outcomes.
Nurse Case Manager
Aetna
05.2013 - 05.2022
- Interpreted medical payer policy requirements to ensure compliance and accuracy.
- Documented and communicated effectively with care management resources for streamlined processes.
- Presented concise medical summaries in appeals, leveraging support from medical records.
- Managed time and planning for 70 to 80 active members to enhance workflow efficiency.
- Coordinated, implemented, and evaluated programs to educate and optimize member care.
- Achieved audit scores of 90% or higher by applying NCQA guidelines and requirements.
- Maintained comprehensive knowledge of Medicare and Medicaid programs to support operations.
Licensed Practical Nurse
Intermountain Health
01.1999 - 05.2013
- Coordinated patient triage flow for 150-200 daily patients in urgent care setting as lead LPN.
- Facilitated ongoing education initiatives to enhance team skills and knowledge.
- Demonstrated proficiency in EKG interpretation, IV placement, and triage processes.
Education
Bachelors of Science Nursing -
Western Governors University
Registered Nurse / ASN -
Salt Lake Community College
Skills
Case management and care planning
- Clinical judgment
- Patient advocacy and satisfaction
- Disease management
- Telemetry monitoring
- Medical consultation
- Healthcare informatics
- Physical assessment and vital signs monitoring
- Intake and discharge coordination
- Motivational interviewing
Certification
- BLS, American Heart Association
- Utah compact
- California
- Alaska
Timeline
Registered Nurse Med Surg/Tele
Common Spirit
06.2024 - Current
Nurse Case Manager
First Step House
01.2023 - 01.2024
Nurse Case Manager
Aetna
05.2013 - 05.2022
Licensed Practical Nurse
Intermountain Health
01.1999 - 05.2013
Bachelors of Science Nursing -
Western Governors University
Registered Nurse / ASN -
Salt Lake Community College
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