Rhonda Rocco
Pittsburgh,PA
Overview
6
6
years of professional experience
Work History
Registered Nurse
The Verland Foundation
Sewickley, PA
10.2023 - Current
- Provided patient care and education to patients with chronic illnesses.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
Registered Nurse
Merakey
Pittsburgh, PA
04.2023 - 10.2023
- Provided patient care and education to patients with chronic illnesses.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
Utilization Review Nurse
Highmark Blue Cross Blue Shield
Remote, PA
09.2018 - 11.2022
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Provided education to providers regarding utilization management processes and protocols.
- Collaborated with multidisciplinary teams on developing strategies for improving care quality and controlling costs.
- Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Participated in provider meetings to discuss cases involving complex medical conditions or difficult authorization decisions.
Education
Associate of Science - RN
CCAC
Pittsburgh, PA01-2005
Skills
- Nursing staff leadership
- Mobility Assistance
- Data Collection
- Infectious disease control
Timeline
Registered Nurse
The Verland Foundation
10.2023 - Current
Registered Nurse
Merakey
04.2023 - 10.2023
Utilization Review Nurse
Highmark Blue Cross Blue Shield
09.2018 - 11.2022
Associate of Science - RN
CCAC
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