Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Natalie Papanicolas

Summary

Conscientious, integrity driven, nursing professional with clinical background in the emergency care setting, providing attentive care to patients with a variety of systematic health challenges. Highly proficient in contributing to and reaching team solutions, generating, and maintaining positive relations with staff members and clients, and maintaining all compliance standards. Works well under pressure and produces high quality work in rapidly changing environments.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Utilization Review Nurse

CVS Pharmacy
03.2025 - Current
  • Ensures that healthcare services are appropriate, necessary, and cost-effective
  • Review contracts to optimize patient outcomes while also managing healthcare costs
  • Ensure patients receive the right care at the correct level
  • Achieve productivity goals weekly by maintaining workload while ensuring quality
  • Conduct admission and concurrent review of patient's clinical information and make a determination based on review
  • Ongoing review of precertification requests for medical necessity in the following post acute areas: inpatient rehabilitation, long term acute care hospitals, swing beds and skilled nursing facility
  • Review members insurance to determine their eligibility
  • Obtain patient's discharge planning and coordinate with the healthcare team
  • Employ effective use of knowledge, critical thinking, and skills
  • Advocate for quality care and take action if needed
  • Maintain accurate records of all patient information
  • Work in an intensive, fast-paced environment with minimal supervision and constant workflow changes
  • Ability to stay organized and interact well with facilities, fellow nurses, CMAs, and members in any situation

FLOAT POOL, RN

Medstar St. Mary's Hospital
05.2023 - 02.2025
  • Cross trained to several areas of the hospital including Emergency room, Behavioral Health, Intensive Care Unit, Intermediate Care, Medical Surgical and Telemetry units
  • Closely monitors patient identifying areas of concern, exploring alternatives, and deploying solutions
  • Collaborates with pharmacist, registered nurses, technicians, ancillary staff, hospitalists and emergency room doctors to effectively care for patients
  • Initiates IV access, obtains blood work and EKG results, conducts continuous cardiac monitoring, and administers medication
  • Monitor changes in patient condition and escalate care for rapid deterioration of patients

HOLOGIC ACESSA CLINICAL SPECIALIST

Northeast Region
12.2022 - 04.2023
  • Educated physicians, nursing staff, and sales members on laparoscopic procedure called Acessa which allows women suffering from fibroid's to have access to a minimally invasive treatment option.
  • Identified barriers and educational gaps to drive an increase in utilization and sales of the product.
  • Assisted GYN surgeons during surgery at numerous institutions across the Northeast to ensure safe and correct techniques are being performed.
  • Assisted with educational dinner programs, lunches, in services, and trainings on Acessa and its benefits.
  • Performed residency training and equipment demo programs to assist with clinical confidence in the OR.
  • Worked with hospital administrative staff to design and provide marketing materials used to increase patient volume related to Acessa procedures.

EMERGENCY ROOM, AGENCY RN

Riverside Shore Memorial Hospital
08.2022 - 11.2022
  • Discharged patients in the ED providing education of follow up care, patient condition, pain management and assisted with setting up transportation
  • Perform lab tests and communicated critical lab values to providers
  • Obtain PMH, social history and medication lists for patients admitted to the facility
  • Supervised and provided education to new graduate nurses and EMT students
  • Worked with team members in other areas of the ED to provide safe and effective care to all patients
  • Prioritization of patient care based on acuity level and status of patient
  • Arrived patients to the hospital while obtaining pertinent information for triage prior to being seen by provider

EMERGENCY ROOM, AGENCY RN

Advent Health Fish Memorial Hospital
10.2021 - 06.2022
  • Triaged ambulances and patients in the waiting room and placed triage orders based on how patients presented while following hospital policy
  • Collaborates with doctors and emergency staff in the assessment, planning and implementation of patient treatment.
  • Performs life-saving treatments such as CPR on individuals of all age groups, Monitored and titrated critical drips to keep patients stable
  • Assisted critical patients in ambulances to maintain safe transport to neighboring facilities
  • Obtained critical care experience due to high level acuity of patients
  • Precepted and supervised nurses new to practice and to the hospital

EMERGENCY ROOM, RN

Medstar St. Mary's Hospital
08.2019 - 10.2021
  • Quickly assess patients conditions and performs life saving treatment to patients of all ages
  • Triages, assesses, evaluates, monitors, and documents patients' conditions identifying areas of concern, exploring alternatives, and deploying solutions
  • Received EMS dispatches and obtained critical information to relay to providers prior to patient's arrivals
  • Initiates peripheral IV access, obtains blood work and EKG results, conducts continuous cardiac monitoring, and administers medication

MEDICAL ASSISTANT

Advanced Dermatology
05.2018 - 08.2019
  • Obtained pertinent information regarding medications, past medical history, and current concerns
  • Assisted in skin cancer removal surgeries by preparing the patient, administered lidocaine injections, set up surgical trays and passed instruments to the provider while maintaining sterile technique
  • Sent medications to pharmacies and followed up with patients post procedure
  • Acted as a scribe for providers during clinical visits
  • Provided patient education about various medications and skin conditions
  • Learned, documented, and navigated through EMR

Education

Bachelor of Science - Nursing

University of North Carolina at Charlotte
01.2018

Skills

  • Documentation and reporting
  • Utilization review
  • Prior authorization
  • Insurance verification
  • Inpatient care
  • Communication
  • Problem-solving
  • Teamwork and collaboration
  • HIPAA compliance
  • Discharge planning coordination

Certification

  • REGISTERED NURSE State of Maryland License #R237541
  • AMERICAN HEART ASSOCIATION BLS, ACLS, & PALS

Timeline

Utilization Review Nurse

CVS Pharmacy
03.2025 - Current

FLOAT POOL, RN

Medstar St. Mary's Hospital
05.2023 - 02.2025

HOLOGIC ACESSA CLINICAL SPECIALIST

Northeast Region
12.2022 - 04.2023

EMERGENCY ROOM, AGENCY RN

Riverside Shore Memorial Hospital
08.2022 - 11.2022

EMERGENCY ROOM, AGENCY RN

Advent Health Fish Memorial Hospital
10.2021 - 06.2022

EMERGENCY ROOM, RN

Medstar St. Mary's Hospital
08.2019 - 10.2021

MEDICAL ASSISTANT

Advanced Dermatology
05.2018 - 08.2019

Bachelor of Science - Nursing

University of North Carolina at Charlotte