Penni Moore
Vail,AZ
Summary
Experienced Registered Nurse skilled in critical thinking and quality assurance. Successfully managed prior authorization processes, ensuring compliance and accuracy while collaborating with healthcare teams to enhance patient care outcomes.
Overview
2027
2027
years of professional experience
Work History
Registered Nurse
Banner University health plans
Tucson, Arizona
03.2013 - 09.2026
- Performed detailed medical reviews of prior authorization requests following established criteria and protocols.
- Assessed prior authorization requests for accuracy and completeness to facilitate approvals.
- Monitored prior authorization timelines to ensure timely responses.
- Reviewed prior authorization requests for compliance with insurance guidelines.
- Communicated with healthcare providers to collect required documentation.
- Worked with other departments to gather additional information needed for prior authorization.
- Advised providers on the prior authorization process to enhance submission quality.
PCCU/Cardiac/Intensive observation
Tucson Medical Center
Tucson, Arizona
2006 - 2019
- Monitored patient vital signs and promptly communicated changes to the healthcare team to ensure timely interventions.
- Managed medications and treatments based on physician orders.
- Delivered critical injections, managed IV therapy, and placed IV catheters to ensure patient treatment continuity.
- Collaborated in patient assessments and contributed to the development of comprehensive care plans with team members.
- Worked with multidisciplinary teams to improve patient care plans.
- Taught patients and families about health management and discharge steps.
- Instructed patients on disease treatment and care plans to support quality of life and positive outlook.
- Provided emotional support to patients facing serious health challenges, fostering a compassionate care environment.
Education
Associate of Science - Nursing
Pima Community College
Tucson, AZ05-1995
Skills
- Medical review and care coordination
- Documentation accuracy and quality assurance
- Documentation accuracy
- Quality assurance
- Provider education and team collaboration
- Critical thinking
- Effective communication
- Effective communication
Timeline
Registered Nurse
Banner University health plans
03.2013 - 09.2026
PCCU/Cardiac/Intensive observation
Tucson Medical Center
2006 - 2019
Associate of Science - Nursing
Pima Community College