Hands-on professional proudly offering more than 7 years of expertise in nursing field. Well-rounded and personable Utilization Review Nurse talented in reporting, records oversight and performance improvement.
Hi, I’m
OLUWASEUN JINADU
HAGERSTOWN,MD
Summary
Overview
10
years of professional experience
1
Certification
1
year of post-secondary education
Work History
D&V Comfort CareHalethorpe, MD
Utilization Review Nurse
01.2022 - Current
Job overview
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Comprehension of medical/surgical modalities and imaging techniques
- Analysis of clinical documentation in relation to medico-legal review
- Collect data and analyze information to make decisions regarding certification or denial of treatment. Work must be completely documented.
- Audit and analyze patient records to ensure quality patient care and appropriateness of services
- Utilize pre-approved criteria and guidelines to validate medical necessity/appropriateness of treatment (e.g. ODG, MTUS, Milliman Care Guidelines, Interqual)
Interpret and apply appropriate guidelines to medico-legal reviews - Use logic and reasoning to determine and utilize appropriate evidence-based guidelines
- Perform a low to moderate amount of research on a case by case basis
- Create a high-quality, professional report free of grammar or spelling errors
- Dictate all report information
- Communicate with physicians to correct errors or omissions and to investigate questionable claims
- Analyze information gathered by investigation and report findings and recommendations
- Responsible for amending reports when necessary with any additional clinical information provided
- Participates in an interdisciplinary health care team to achieve positive outcomes
- Reach and maintain a 25-30 average daily case load once released from training
- Maintain a monthly Quality Assurance score of 99% or higher
- Requires regular and consistent attendance
Other duties as assigned
Sterling Care South MountainBoonsboro, MD
Licensed Practical Nurse/RN
04.2018 - 01.2022
Job overview
- Provided care for patients care daion a floor with 31 active beds
- Assessed and helped in creating care plans for patients as required by shift
- Assessed and completed wound dressing as required by shift
- Assist with patients’ nutrition and elimination needs, implementation of low salt, low fat, and other diets for patients with kidney and diabetic diseases
- Maintained and updated patients’ records with both chart and Meditech PCC system
- Recorded patient’s medical including blood pressure, temperature, heart rate, etc
- Observed patients under treatment to identify progress, side-effects of medications, etc.
- Experience with Medicaid/Medicare guidelines and MCG (Milliman Care Guidelines.
- Monitor patients’ condition including fluid intake and output and compose patient charts
- Assist ailing patients in daily necessary activities such as eating, bathing, etc
- Administer injections, prescribed medications, enemas, etc., clean and dress wounds, and assist with other basic medical care tasks
- Collect samples for lab testing as assigned
- Provide emotional and psychological support when needed
- Communicate with patients’ families or friends to provide advice, comfort, and release instructions.
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Actively participated in professional development opportunities to stay current on best practices within the field of nursing case management.
Frederick Health and Rehabilitation CenterFrederick, MD
Licensed Practical Nurse Case Manager
09.2017 - 12.2018
Job overview
- Performed patients care and education duties on a busy floor ward with 31 active beds
- Assessed and help in creating care plans for patients as required by shift
- Assessed and completed wound dressing as required by shift
- Assisted patients’ with nutrition and elimination needs, implementation of low salt, low fat, and other diets for patients with kidney and diabetic diseases
- Maintained and updated patients’ records with both chart and Meditech PCC system
- Recorded a patient’s medical history accurately
- Take and record Vital measurements ex, blood pressure, temperature, heart rate, etc
- Observed patients under treatment to identify progress, side-effects of medications, etc
- Monitored patients’ condition including fluid intake and output and compose patient charts
- Assisted ailing patients in daily necessary activities such as eating, bathing, mobility, etc
- Administered injections, prescribed medications, enemas, etc., clean and dress wounds, and assist with other basic medical care tasks
- Collected samples for lab testing as assigned
- Provide emotional and psychological support when needed
- Communicate with patients’ family or friends to provide advice, comfort, and release instructions.
- Actively participated in professional development opportunities to stay current on best practices within the field of nursing case management.
Right at Home senior careFrederick, MD
Private Home Caregiver
06.2014 - 11.2016
Job overview
- Routine personal care and companionship
- Healthcare appointments and follow-ups
- Provide and assist with activities of daily living as directed
- Change bed linen and maintain appropriate grooming supplies in resident homes on a regular basis
- Routinely help residents with moving around as necessary and directed
- Keep an accurate record of food intake and output, as directed
- Protect the personal property of the residents in the home
- Make and serve meals as well as reminders to take medications
- Assist residents with errands in and outside the home.
Education
Grand Canyon UniversityPhoenix, AZ
Bachelor of Science from Nursing
11.2022 - 05.2024
University Overview
Essential School of Nursing
Associate in nursing
10.2021
University Overview
Standard College of Nursing
Diploma in Nursing
06.2017
University Overview
University Of Lagos
Bachelor of Arts in Early Childhood Education
11.2013
University Overview
University Of Lagos
Associate of Arts
11.2010
University Overview
Skills
- Time management skills
- Monitoring, active learning, and problem-solving skills
- Excellent communication and interpersonal relationships skills
- Ability to work under conditions of heavy healthcare volume and frequent distraction
- Documentation And Reporting
- Utilization review
- Records analysis
- InterQual Criteria
- Knowledge of Basic Anatomy
- Comprehension of medical/surgical modalities and imaging techniques
- Ability to analyze clinical documentation in relation to utilization reviews
- Ability to Interpret and apply appropriate guidelines to utilization reviews
- Ability to use logic and reasoning to determine and utilize appropriate evidence-based guidelines
- Ability to read, analyze, and interpret documents, reports, technical procedures, governmental regulation, and correspondence
- Ability to write routine reports and correspondence; and ability to present information in one-on-one, small group, and large group situations to management and staff
- Ability to apply proper grammar, spelling, punctuation, and format to typed material Must have excellent oral and written communications skills
- Ability to use Microsoft products: Word, Excel, PowerPoint, Outlook
- Basic computer skills to include saving, copying, pasting, scrolling, etc
- Written and verbal communication skills with a demonstrated ability to deliver excellent customer service
- Communicate professionally with physicians and clients
- Ability to multi-task and quickly adapt in a fast-paced environment
- Maintain a positive attitude and outstanding customer service while working closely internally with Nexus team-members, panel physicians and clients
- Strong organizational skills
- Attention to detail
- General Typing Skills at 45wpm
- Proficiency in English with an aptitude for spelling and grammar
- Exemplary planning and time management skills
- Ability to work in high pressure, deadline driven environment
- Ability to multitask and prioritize daily workload
- High level verbal and written communications skills
- Discretion and confidentiality
- Demonstrated ability to problem solve complex, multifaceted, situations
- Ability to engage easily in abstract thought
- Strong organizational and task prioritization skills
Certification
- RN LICENSE NO-115654
Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Career advancementWork-life balanceCompany CultureFlexible work hoursPersonal development programsHealthcare benefitsWork from home optionPaid time offTeam Building / Company RetreatsPaid sick leave401k matchStock Options / Equity / Profit SharingQuote
Success is often achieved by those who don’t know that failure is inevitable.
Timeline
Grand Canyon University
Bachelor of Science from Nursing
11.2022 - 05.2024
Utilization Review Nurse
D&V Comfort Care
01.2022 - Current
Licensed Practical Nurse/RN
Sterling Care South Mountain
04.2018 - 01.2022
Licensed Practical Nurse Case Manager
Frederick Health and Rehabilitation Center
09.2017 - 12.2018
Private Home Caregiver
Right at Home senior care
06.2014 - 11.2016
- RN LICENSE NO-115654
Essential School of Nursing
Associate in nursing
Standard College of Nursing
Diploma in Nursing
University Of Lagos
Bachelor of Arts in Early Childhood Education
University Of Lagos
Associate of Arts
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