Regina Monaco
Valley Stream
Summary
Dedicated and detail-oriented Registered Nurse with extensive experience in outpatient and inpatient care. Recognizes efficient workflow management, and commitment to delivering high-quality patient care. Specializes in patient advocacy, care coordination, and clinical documentation. Adept at conducting concurrent and retrospective reviews, defending medical necessity, and ensuring compliance with federal, state, and third-party payer regulations. Recognised for leadership, regulatory adherence, and collaboration with interdisciplinary teams.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Registered Nurse
Northwell Health Physician Partners Outpatient Facility
05.2022 - Current
- Conduct clinical reviews and manage appeals and denials for medication prior authorizations, collaborating with physicians and insurance companies to ensure timely approvals
- Utilize ICD-10 codes for insurance billing, ensuring accurate documentation and compliance with payer requirements
- Coordinate care and laboratory tests between physicians and patients to ensure timely results and follow-up
- Administer immunizations and assist in managing preventative care plans for patients
- Triage patient phone calls, address concerns, and provide appropriate guidance or escalation
- Act as a liaison between providers, pharmacies, and payers to help patients navigate insurance coverage
- Maintain meticulous records to meet regulatory standards and payer requirements
Registered Nurse
Mount Sinai South Nassau Communities Hospital
11.2017 - 05.2022
- Provided inpatient nursing care across medical, surgical, and telemetry units, ensuring optimal patient outcomes
- Conducted clinical reviews to maintain adherence to patient care standards and regulatory compliance
- Served as a preceptor for newly hired nurses, mentoring and onboarding staff to integrate seamlessly into the team and adherence to hospital protocols
- Coordinated patient treatment plans with healthcare teams, fostering continuity of care and improved optimal outcomes and continuity of care
- Monitored patient charts for accuracy and oversaw department workflow during shifts
- Promoted to Charge Nurse within one year, managing staff assignments, resource allocation, and critical decision-making
- Recognised for exceptional communication with patients and families, leading to improved overall patient satisfaction
Education
Bachelor of Science - Nursing
Chamberlain University
Addison, IL05.2021
Associate Degree - Nursing
Nassau Community College
Garden City, NY05.2017
Skills
- Clinical Reviews and Insurance Authorization
- Patient Care Coordination
- ICD-10 Coding and Documentation
- Leadership and Staff Mentoring
- Workflow Management
- Strong Communication and Collaboration
Certification
- BLS
- First Aid
- CPR (all current)
Accomplishments
- Promoted to Charge Nurse within one year, managing staff assignments, resource allocation, and critical decision-making.
- Recognised for exceptional communication with patients and families, leading to improved overall patient satisfaction.
Timeline
Registered Nurse
Northwell Health Physician Partners Outpatient Facility
05.2022 - Current
Registered Nurse
Mount Sinai South Nassau Communities Hospital
11.2017 - 05.2022
Associate Degree - Nursing
Nassau Community College
- BLS
- First Aid
- CPR (all current)
Bachelor of Science - Nursing
Chamberlain University
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