Norah Cossett Bsn, Rn
Zachary,LA
Summary
Seasoned Registered Nurse with a proven track record at Baton Rouge General Hospital, showcasing expertise in healthcare billing and exceptional teamwork. Skilled in navigating complex cases and enhancing care standards through evidence-based practice and interdisciplinary collaboration. Achieved significant improvements in patient care quality, demonstrating leadership and clinical decision-making prowess.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Registered Nurse, Skilled Unit PRN
Baton Rouge General Hospital
Baton Rouge , LA
06.2021 - Current
- Managed multiple complex cases simultaneously while maintaining high quality standards of care.
- Monitored patient progress toward goals identified in the plan of care; adjusted plan as needed based on assessment data.
- Collaborated with physicians on orders pertaining to medications, treatments and diagnostic tests.
- Performed wound care such as dressing changes, irrigation of wounds, debridement of necrotic tissue.
- Educated patients about their diagnoses, medications and self-care management strategies.
- Administered intravenous therapy, medication injections and infusions according to established protocols.
- Demonstrated leadership skills by providing guidance and support to new staff members.
- Provided direct patient care to post-operative surgical patients in the skilled unit.
- Prioritized tasks efficiently while managing multiple assignments simultaneously.
Hospice Registered Nurse Case Manager
Pinnacle Hospice Care
Baton Rouge, LA
09.2023 - 01.2025
- Coordinated with interdisciplinary team members to ensure quality care for all patients.
- Provided emotional support to families during difficult times through active listening skills.
- Performed initial assessments of new patients to determine hospice eligibility.
- Monitored medication regimens to ensure safe administration of medications in accordance with physician orders and nursing standards of practice.
- Attended weekly case conferences to review current cases and develop treatment plans for new admissions.
- Developed effective communication strategies with families to provide support throughout the course of illness.
- Educated family caregivers on providing basic nursing care such as wound dressing changes or catheter maintenance.
- Evaluated effectiveness of interventions used by nurses while making recommendations for improvement where necessary.
- Identified medical equipment and supplies needed by patient; arranged for delivery and set up as appropriate.
- Ensured timely completion of all required documentation including admission paperwork, discharge summaries.
- Provided patient and family education regarding disease process, symptom management, end-of-life issues, and available resources.
UM Concurrent Reviewer
Centene
Baton Rouge, LA
06.2022 - 09.2023
- Advised physicians on appropriate documentation required for appropriate reimbursement under various payer sources.
- Interpreted clinical data from medical records and applied evidence-based criteria in order to make decisions regarding the appropriateness of care provided.
- Performed concurrent review activities to ensure that treatments are medically necessary and meet quality standards.
- Evaluated patient charts for accuracy, completeness, and compliance with established standards.
- Provided support during appeals process when necessary by researching relevant documents and providing expert opinion where applicable.
- Provided feedback on utilization management cases to providers as needed.
- Conducted initial reviews of medical records to determine appropriateness of requested services.
- Analyzed claims data related to utilization patterns in order to identify potential overuse and underuse of services or discrepancies in billing practices.
- Assessed patients' eligibility for coverage according to insurance guidelines.
- Reviewed requests for prior authorization by gathering pertinent information from medical records, insurance policies, and provider notes, in order to make an informed decision about treatment plans.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Medical Review Nurse LPN
Blue Cross and Blue Shield
Baton Rouge, LA
01.2018 - 06.2021
- Collaborated with physicians, pharmacists and other members of the healthcare team to ensure appropriate utilization of services.
- Investigated potential fraud cases involving suspected fraudulent activity by healthcare providers or patients.
- Performed retrospective reviews on claims submitted for payment to determine accurate reimbursement levels based on applicable policies and procedures.
- Analyzed clinical data from a variety of sources including electronic health records, laboratory results and physician notes.
- Reviewed medical records, claims and other documentation to verify accuracy and completeness of information.
- Prepared detailed summaries outlining findings from investigations into suspicious activity for senior leadership review.
- Assisted in developing new protocols for processing appeals or grievances related to denials or delays in payments.
- Identified discrepancies in medical records, patient profiles and other documents for further investigation.
- Precepted new nurses and staff and provided continuous hands-on development opportunities.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
LPN Nursing Supervisor
Tender Love Person Care Services
Baker, LA
01.2005 - 08.2018
- Ensured that all staff members were properly trained in the use of medical equipment and protocols.
- Developed strategies to maximize productivity while minimizing costs.
- Resolved conflicts between nursing personnel or between patients and families and nursing personnel when necessary.
- Collaborated with physicians to evaluate patient progress and determine necessary changes in care or medication regimens.
- Assisted in recruitment efforts by interviewing potential candidates for open positions.
- Implemented infection control protocols throughout the facility in accordance with state regulations.
- Participated in quality assurance activities such as audits or reviews of patient charts or reports from other departments within the facility.
- Managed scheduling of nursing staff to ensure adequate staffing levels at all times.
- Provided guidance to nurses, LPNs, and other healthcare personnel regarding patient care policies and procedures.
- Maintained accurate records of patient visits, treatments, medications, test results.
- Reviewed clinical documentation for accuracy prior to submitting it for billing purposes.
- Assisted in developing policies that promote a safe environment for both patients and staff members.
- Facilitated communication between patients, family members, and healthcare professionals.
Education
Bachelor of Science -
University of Louisiana
Lafayette, LA05-2021
Associate of Applied Science - Registered Nurse
Excelsior College
Albany, NY01-2020
Diploma - Licensed Practical Nurse
Louisiana Technical College Westside
Plaquemine, LA01-2010
High School Diploma -
Baker High School
Baker, LA05-1992
Skills
- Discharge coordination
- Chart updating
- Healthcare billing
- Health screening
- Vaccine administration
- Infectious disease control
- Managed care
- HIPAA compliance
- Interdisciplinary collaboration
- Nursing documentation
- Healthcare regulations
- Utilization review
- Evidence-based practice
- Continuing education
- Chronic disease management
- Pediatric education for prehospital professionals
- Teamwork and collaboration
- Quality improvement
- Clinical decision making
- Medical record review
- HIPAA
- Healthcare software
Certification
- Certification Managed Care Nursing RN
- ALS certified
- BLS certified
- CTI certified
Computer Experience (EMR)
- facets, retro claim processing, concurrent review processing, prior authorization, appeals experience
- DRG's, Jiva, InterQual, Aims
Timeline
Hospice Registered Nurse Case Manager
Pinnacle Hospice Care
09.2023 - 01.2025
UM Concurrent Reviewer
Centene
06.2022 - 09.2023
Registered Nurse, Skilled Unit PRN
Baton Rouge General Hospital
06.2021 - Current
Medical Review Nurse LPN
Blue Cross and Blue Shield
01.2018 - 06.2021
LPN Nursing Supervisor
Tender Love Person Care Services
01.2005 - 08.2018
- Certification Managed Care Nursing RN
- ALS certified
- BLS certified
- CTI certified
Bachelor of Science -
University of Louisiana
Associate of Applied Science - Registered Nurse
Excelsior College
Diploma - Licensed Practical Nurse
Louisiana Technical College Westside
High School Diploma -
Baker High School
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