Ozella Austin
RN
Madison,Mississippi
Summary
Accomplished Registered Nurse Case Manager with 25+ years of experience dedicated to quality care of diverse patients. Skillfully blend hands-on skills with advanced background in Clinical and Office settings. Work effectively with all levels of healthcare providers, physicians and administrators to address patient needs.
Overview
22
22
years of professional experience
Work History
RN Case Manager/Utilization Review Registered Nurse
Magnolia Health Plan
01.2012 - 03.2021
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Liaised with physicians regarding patient needs, performance and changes.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Authored initial assessments of patients and family to develop plans for individual home care needs.
- Worked with suppliers and vendors on provision of medical equipment, items and services.
- Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
- Prepared clinical notes and updates for review by primary physician.
- Educated and supported home healthcare providers with training, guidance, mentoring and resources required to achieve objectives."
- Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
RN Case Manager/Utilization Review Registered Nurse
Rehab Incorporated
02.2004 - 12.2011
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Liaised with physicians regarding patient needs, performance and changes.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Created patient assessments and plans for individual home care needs.
- Authored initial assessments of patients and family to develop plans for individual home care needs.
RN Utilization Review Nurse
Health Systems Of Mississippi
06.1999 - 11.2003
Education
Associate of Science - Nursing
Mississippi University For Women
Columbus, MS12.1977
Skills
- IV Drug Therapy Management
- OSHA Safety Expertise
- BAC Screening
- Hearing Screenings
- Chronic Disease Management
- Drug Calculations
- Family Education
Accomplishments
- Documentation - Ensured charting accuracy through precise documentation.
- Quality Assurance - Ensured and enforced medical office compliance with HIPAA, OSHA and CLIA regulations for maximum quality and control.
- Supervision - Headed onboarding process for new nursing staff.
- Supervised team of 15 staff members.
- Magnolia Health Plan Promotions: Lead Case Manager 10/29/2012, Utilization Management Supervisor 2/18/2013, Interim Supervisor for Affordable Care Act Department 4/8/2014, Utilization Manager 8/3/2015.
Timeline
RN Case Manager/Utilization Review Registered Nurse
Magnolia Health Plan
01.2012 - 03.2021
RN Case Manager/Utilization Review Registered Nurse
Rehab Incorporated
02.2004 - 12.2011
RN Utilization Review Nurse
Health Systems Of Mississippi
06.1999 - 11.2003
Associate of Science - Nursing
Mississippi University For Women
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