Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nicole Wurster

Mesa,AZ

Summary

Hardworking and detail-oriented team player with strong organizational skills eager to secure a part time entry-level Administrative Assistant position. Ready to help the team achieve company goals.

Overview

14
14
years of professional experience

Work History

Quality Management Nurse Consultant

CVS/ Aetna
04.2011 - 10.2021
  • Managed incident reporting systems, tracking patterns and working collaboratively to address identified concerns promptly.
  • Evaluated patient histories, complaints, and current symptoms.
  • Mentored junior nurses on quality management techniques, fostering professional growth and development within the team.
  • Investigated and resolved issues affecting hospital operations and patient care.
  • Analyzed data on patient safety incidents, identifying trends and implementing targeted interventions to reduce risks.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.

Medical Management Nurse

SCAN Healthplan
12.2007 - 03.2011
  • Reviewed requests for prior authorization for the ALTCS line of business


  • Managed the utilization review of inpatient, PHP and IOP psychiatric and chemical dependency health benefits for all Arizona SCAN members


  • Writer and coordinator of Notice of Action letters generated for denials of Medicare and Medicaid services.

Education

Bachelor of Science - Nursing

University of Iowa
Iowa City, IA
12.1995

Skills

  • Attention to Detail
  • Microsoft Office
  • Documentation
  • Decision-Making
  • Cross-Functional Teamwork

Timeline

Quality Management Nurse Consultant

CVS/ Aetna
04.2011 - 10.2021

Medical Management Nurse

SCAN Healthplan
12.2007 - 03.2011

Bachelor of Science - Nursing

University of Iowa
Nicole Wurster