Nikeya Hall
Fresno,CA
Summary
Smart Utilization Review Nurse considered critical thinker and problem-solver due to dynamic patient care planning and understanding of Medicare guidelines. Known for having great rapport with providers and insurance carriers. Dependable Utilization Review Nurse promoting over 20 years of expertise in healthcare industry. Knowledgeable in admissions and stay reviews. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Accomplished Registered Nurse Case Manager with 20+ years of experience dedicated to quality care of diverse patients. Smoothly blend hands-on skills with advanced clinical background. Successful at working with all levels of healthcare providers, physicians and administrators to address patient needs.
Overview
20
20
years of professional experience
Work History
RN Float
Kaiser Permanente (Richmond)
Richmond, CA
03.2024 - Current
- Assessed patient health and developed individualized care plans accordingly.
- Provided direct nursing care to patients, including administering medications, wound care, and IV therapy.
- Educated patients on health maintenance, disease prevention, and treatment options.
- Performed physical examinations and assessments of patients' medical histories.
- Collaborated with physicians in developing patient-specific treatment plans.
- Responded quickly to life-threatening situations by providing appropriate interventions.
- Maintained accurate documentation of patient records in accordance with HIPAA regulations.
- Managed complex cases involving multiple diagnoses or treatments.
- Provided emotional support to families facing difficult decisions about a loved one's care.
- Worked closely with other healthcare professionals to coordinate patient care.
LVN
Kaiser Permanente
Fresno, CA
10.2015 - 03.2024
- Assisted in administering medications, treatments, and therapies to patients as prescribed by physician.
- Maintained accurate medical records for each patient visit.
- Performed routine clinical duties such as taking vital signs, collecting specimens, and providing wound care.
- Ensured a clean and safe environment for all clinic visitors and staff members.
- Prepared exam rooms prior to patient visits including stocking supplies and ensuring equipment was functioning properly.
RN/LVN Case Manager and UR Nurse Trainer
HealthComp
Fresno, CA
06.2018 - 09.2022
- 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.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
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.
- 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 collaborate team
- Administered oral and intra-muscular medications and monitored patient reactions.
Public Health Nurse
Turning Point Inc
Fresno, California
11.2011 - 12.2012
- Prevented 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 to 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 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 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
- Provide care to chronic care patient to include Diabetes, Hypertension, COPD, Heart failure, Cancer, A-Fib, seizures, ERSD, preeclampsia, Step-down, CABG, West Nile Virus and other neurological disorders.
Education
Bachelor of Science - Nursing Science
Chamberlain College of Nursing
04-2023
Associate of Science - Nursing
Med World
West Palm Beach, FL08-2022
No Degree - LVN
Fresno Adult School
Fresno, CA10.2002
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
- Student Precepting
- Delegation and Motivation
- Healthcare Personnel Supervision
Timeline
RN Float
Kaiser Permanente (Richmond)
03.2024 - Current
RN/LVN Case Manager and UR Nurse Trainer
HealthComp
06.2018 - 09.2022
LVN
Kaiser Permanente
10.2015 - 03.2024
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
Bachelor of Science - Nursing Science
Chamberlain College of Nursing
No Degree - LVN
Fresno Adult School
High School Diploma -
Roosevelt High School
Associate of Science - Nursing
Med World
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