Peggi Wudel
Estherville,IA
Summary
Dependable Utilization Review Nurse promoting over 16 years of expertise in healthcare industry. Knowledgeable in admissions and stay reviews.
Dependable Utilization Review Nurse promoting over 16 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.
Overview
32
32
years of professional experience
Work History
Utilization Review Registered Nurse
Avera Holy Family Hospital
Estherville , Iowa
09.2005 - 03.2020
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Supervised and maintained all utilization review documentation through MCG guidelines .
- Served as subject matter resource, providing information related to Physician Denial situations.
- Performed prior authorization review of services requiring notification.
- Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
- Devise or identify solutions for irregular requests and issues.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Participated in Performance Improvement policy committee to discuss policies, propose revisions and implement changes.
Registered Nurse
Avera Holy Family Hospital
Estherville , Iowa
02.2003 - 09.2005
- Provided direct patient care, stabilized patients and determined next course of action.
- Managed care from admission to discharge.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit.
Respiratory Therapist
Avera Holy Family Hospital
Estherville , Iowa
02.1988 - 02.2003
- Aided physicians with various procedures such as bronchoscopies, ventilator management and intubations.
- Monitored patient's physiological responses to therapy such as vital signs, arterial blood gases and blood chemistry changes.
- Provided comprehensive care to improve and strengthen clients' respiratory functions.
- Developed system of staff communication to enable quicker implementation of treatment plans and improved comprehensive patient care.
- Managed and operated mechanical ventilators to deliver airway management.
- Provided antibiotics, bronchodilators and anti-inflammatory medications with hand-held nebulizers, metered-dose inhalers and positive pressure equipment.
- Cooperated and communicated with physicians to deliver patient satisfaction and meet compliance with set standards.
- Educated patient and family on patient's illness and available remedies.
- Conducted tests such as EKGs and drainages.
- Analyzed and ran tests and conveyed results to other staff.
- Assessed, diagnosed and treated breathing issues.
- Treated patients after conducting assessments and laboratory testing.
- Provided emergency care to patients.
Education
Associate of Science - Registered Nurse
Iowa Lakes Community College
Estherville, IA02.2003
Bachelor of Science - Respiratory Therapy
Heath Care Sciences
National City, CA02.1990
Skills
- EMR Systems
- Electronic Charting
- Patient Care Assessment
- InterQual Criteria
Timeline
Utilization Review Registered Nurse
Avera Holy Family Hospital
09.2005 - 03.2020
Registered Nurse
Avera Holy Family Hospital
02.2003 - 09.2005
Respiratory Therapist
Avera Holy Family Hospital
02.1988 - 02.2003
Associate of Science - Registered Nurse
Iowa Lakes Community College
Bachelor of Science - Respiratory Therapy
Heath Care Sciences
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