Nikeya Hall
Fresno,CA
Summary
Dependable Utilization Review Nurse promoting over 559-519-9576 years of expertise in healthcare industry. Knowledgeable in admissions and stay reviews.
- Reliable individual bringing [21] years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
- Reliable individual bringing 2 years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
- Hands-on professional proudly offering more than 21 years of expertise in nursing field. Well-rounded and personable Utilization Review Nurse talented in reporting, records oversight and performance improvement.
- Driven, hardworking and veteran 21 Registered Nurse bringing demonstrated patient care, medication monitoring and treatment management expertise. Adaptable and resilient with strong attention to detail, clinical expertise and emergency response experience. Bringing 21-year record of success in nursing and desiring RN position with Emergency or OB facility.21
- Driven, hardworking Registered Nurse bringing demonstrated patient care, medication monitoring and treatment management expertise. Adaptable and resilient with strong attention to detail, clinical expertise and emergency response experience. Bringing 21-year record of success in nursing and desiring an competitive position with good benefits at your facility.
- Patient-oriented Nurse with 21 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 mental health, case management and geriatric care.
- Patient-oriented Nurse with 21 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 mental health, case management and geriatric care.
- Enthusiastic RN eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of management, delegation and training in evidenced based care. Motivated to learn, grow and excel in [Industry].RN
Overview
22
22
years of professional experience
Work History
Utilization Review Nurse
HealthComp
Fresno, CA
06.2018 - Current
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed prior authorization review of services requiring notification.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Supported or performed clinical appeals through 2021 and 2021.
- Devise or identify solutions for irregular requests and issues.
- Served as subject matter resource, providing information related to 3.7 yrs situations.
Correctional Nurse
Corizon Health
Fresno, CA
09.2013 - 01.2018
- 51Complied with all security regulations within prison system and administered care in safest possible environment.
- Stabilized prisoners suffering from falls, stab wounds or other injuries prior to hospital transfer.
- Treated variety of illnesses affecting offenders in close quarters, including flu, gastrointestinal bugs, strep throat and lice.
- Delivered oral medications, intramuscular injections and IV fluids to mitigate or resolve patient symptoms.
- Created and implemented care plans for prisoners suffering from chronic conditions.
- Treated variety of illnesses affecting offenders in close quarters.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Advocated for and strived to protect health, safety and rights of patient.
- Managed patients recovering from medical or surgical procedures.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Administered medications to 500 patients and monitored response to medications
Public Health Nurse
Turning Point Inc
Fresno, California
11.2011 - 12.2012
- 03Prevented illness by education public on healthy practices to stop disease.
- Assessed and responded to individual and community health education needs.
- Visited homes, assessing patient and family needs.
- Safely administered flu and pneumonia vaccinations, providing education to customers on vaccines, dosage, indications, precautions, contraindications and potential side effects.
- Met with members of public and local leaders at various community events and discussed ways to reduce illness, food contamination and obesity
- Conducted needs assessments to determine which materials and services were warranted for each individual case.
- Assumed responsibility for agency in absence of director.
- Developed and streamlined systems for monitoring and tracking program effectiveness.
- Supervised performance of 30 clinical staff, identifying areas requiring immediate improvement
LVN Charge Nurse
Oakwood Gardens
Fresno, CA
04.2008 - 12.2011
- Delivered oral medications, intramuscular injections and IV fluids to mitigate or resolve patient symptoms.
- Responded to patient requests with appropriate clinical and personal assistance.
- Took samples to complete diagnostic and routine assessment tests.
- Assessed patients' temperature, pulse and blood pressure and recorded in electronic medical records.
- Implemented quality patient care techniques to align with safety, health and organizational regulations.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Monitored nursing care, patient assessment processes and treatment implementations.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
- Managed various medications and treatments such as peritoneal dialysis, IV push, oral, subcutaneous, IV infusion and and intramuscular injections.
- Led and mentored 20 newly licensed nurses and nursing students to develop professional expertise
Registry Nurse
Maxim Healthcare
Fresno, CA
04.2005 - 09.2010
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
- Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
- Conducted rounds with medical staff to promote improved understanding between patients, nursing staff and medical staff to support continued quality of communication and care.
- Submitted accurate documentation, reporting and in-depth nursing observation to support continuity of total patient care.
- Administered and maintained comfort, treatment, medication, intravenous infusion and health care to support patient needs.
- Collaborated with other departments and medical staff to support provision of highest standard for total patient care.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
- Cared for patients in 4-bed unit, supporting fellow nurses in delivering outstanding treatment to patients
LVN Charge Nurse
Manning Gardens
Fresno, CA
12.2003 - 11.2005
- Delivered oral medications, intramuscular injections and IV fluids to mitigate or resolve patient symptoms.
- Responded to patient requests with appropriate clinical and personal assistance.
- Took samples to complete diagnostic and routine assessment tests.
- Assessed patients' temperature, pulse and blood pressure and recorded in electronic medical records.
- Implemented quality patient care techniques to align with safety, health and organizational regulations.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Monitored nursing care, patient assessment processes and treatment implementations.
- Led and mentored 30 newly licensed nurses and nursing students to develop professional expertise
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
- Oversaw patient conditions, administered medicine, performed interventions and took detailed records
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies
- Took samples to complete diagnostic and routine assessment tests
- Managed daily staff assignments and patient scheduling to guarantee clinic coverage and flow
- Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments
- Assembled and used equipment such as catheters, tracheotomy tubes or oxygen suppliers to effectively manage patient care
- Developed individual care plans to meet patient needs and achieve treatment goals
- Promoted patient independence by teaching self-care skills and explaining conditions and medications
- Helped patients complete bathing, dressing and eating.
- Evaluated patient histories, complaints and current symptoms.
- Contributed to committees in effort to promote standardize practices and procedures across hospital-wide nursing stations.
- Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
- Responded to patient requests with appropriate clinical and personal assistance
- Documented patient vitals, behaviors and conditions to communicate concerns to supervising RN
- Analyzed patient assessments and laboratory data to bring any issues to attention of physicians
- Reviewed patient history to verify conditions and current medications
- Collaborated with provider Medical Director on evaluation of care plan outcomes, implementing or adjusting interventions accordingly
- Helped long-term care residents with bathing, dressing, feeding and other daily living activities
- Evaluated patient histories, complaints and current symptoms
- Helped patients complete bathing, dressing and eating
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients
LVN Floor Nurse
Valley Childrens
Madera, CA
08.1999 - 11.2000
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Responded to patient requests with appropriate clinical and personal assistance.
- Cared for wounds, provided treatments and assisted with procedures.
- Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Documented patient vitals, behaviors and conditions to communicate concerns to supervising LVN.
- Cared for over 5 Pediatric and post surgical patients each day with quality-driven support
- Delivered treatments and direct nursing care according to physicians' orders in [Type] environment
- Helped patients feel comfortable by adjusting positions and engaging in casual conversation
- Collaborated with healthcare team members to assess, implement and evaluate nursing care plans
- Supported patients in completing activities of daily living such as dressing, grooming and shower assistance
- Communicated effectively with patients and family members to convey important instructions and discuss treatments
- Maintained accurate records of residents' healthcare treatments and responses
- Worked under registered nurses to care for patients and manage basic care
- Established compassionate environment by providing psychological, emotional and spiritual support to patients and families
- Measured and recorded patients' vital signs every hour
- Cared for wounds, provided treatments and assisted with procedures
- Collected and documented vital signs to maintain current records of patients' conditions
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care
- Obtained patient vital signs and input/output measurements from inpatients
Education
Associate of Arts - Prenursing Studies
Fresno City College
Fresno, CA12.2031
Associate of Arts - Nursing
Gurnick Academy of Medical Arts
San Mateo, CANo Degree - LVN
Fresno Adult School
Fresno, CA10.2002
Associate of Arts - RN
ICHS
Florida06.2022
High School Diploma -
Roosevelt High School
Fresno, CA06.1996
Skills
- Decision Making
- Patient Examination
- Patient Condition Monitoring
- Medical Supply Management
- Clear Patient Communication
- Critical Thinking
- Accurate Documentation
- Creative Problem Solving
- Preventive Healthcare
- Treatment Plan Modification
Timeline
Utilization Review Nurse
HealthComp
06.2018 - Current
Correctional Nurse
Corizon Health
09.2013 - 01.2018
Public Health Nurse
Turning Point Inc
11.2011 - 12.2012
LVN Charge Nurse
Oakwood Gardens
04.2008 - 12.2011
Registry Nurse
Maxim Healthcare
04.2005 - 09.2010
LVN Charge Nurse
Manning Gardens
12.2003 - 11.2005
LVN Floor Nurse
Valley Childrens
08.1999 - 11.2000
Associate of Arts - Prenursing Studies
Fresno City College
Associate of Arts - Nursing
Gurnick Academy of Medical Arts
No Degree - LVN
Fresno Adult School
Associate of Arts - RN
ICHS
High School Diploma -
Roosevelt High School
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