Rosemarie Knox , RN
Ocala,FL
Summary
Compassionate and detail-oriented Registered Nurse with a demonstrated clinical background, excellent communication skills, attention to detail, and recently obtained utilization review experience with Remote Learning Services. I pride myself on having a solid knowledge base, high critical thinking skills, and the ability to apply evidence-based guidelines during the determination process. Clinical background is in medical-surgical, orthopedics, neurology nursing, and hospice admissions, which has given the foundation required for utilization review by using experience in acute care environments.
Overview
6
6
years of professional experience
Work History
Hospital Hospice RN Admissions
Empath Health - Hospice of Marion County
10.2023 - Current
- Coordinated seamless transitions between different levels of care by collaborating with hospital staff, nursing home personnel, or private caregivers as needed.
- Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
- Ensured timely initiation of hospice services by effectively managing caseloads and promptly addressing urgent admissions requests.
- Improved patient admission process by efficiently conducting initial assessments and obtaining necessary medical information.
- Collaborated with physicians, case managers, and other healthcare professionals to expedite appropriate hospice referrals and admissions.
Registered Nurse/ Charge Nurse Neurosciences Unit
AdventHealth
01.2022 - 07.2023
- Audited charts and reviewed clinical documents to verify accuracy.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Maintains excellent communication service standards while providing compassionate care.
- Displayed effective communication skills while initiating therapeutic relationships with patients.
Registered Nurse Vaccinator
Integrated Resources, Inc, IRI
02.2021 - 05.2021
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Documented nursing services provided and uploaded to comprehensive tracking systems for health records and billing.
Registered Nurse/Charge Nurse, Med-Surg/Orthopedics Registered Nurse
The Villages Regional Hospital
09.2018 - 12.2020
- Built rapport with patients and family members to deliver exceptional care.
- Monitored nursing care, patient assessment processes and treatment implementations.
- Performed patient assessments and adjusted care plans accordingly.
- Strengthened unit care standards and policies with focus on patient safety and dignity.
- Documented medications administered, treatments and patient procedures performed in appropriate records according to privacy requirements.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments.
- Collaborated with various healthcare professionals to determine specific and individualized care plan based on goals and long-term health.
Education
Bachelor of Science - Professional Nursing
Western Governors University
Salt Lake City, UT08.2024
Certificate of Completion - HEDIS
Remote Learning Services, LLC
Taught By Marie Peppers, LPN & Judy Clarke, RNCertificate of Completion - Utilization Review 101
Remote Learning Services, LLC
Taught By Marie Peppers, LPN & Judy Clarke, RN05.2023
Associate of Science - Professional Nursing
Rasmussen University
Ocala, FL05.2018
Skills
- Utilization Review
- Quality Chart Review
- Medical/ Surgical
- Neurology/ Geriatrics
- Hospice Admissions
- Care Coordination
- Admission Reviews
- Appeals/ Denials
- Managed Care
- Medicare/ Medicaid
- Knowledge of Claims/ Billing
- Concurrent Reviews
- Retroactive Reviews
- Pre-authorization
- Attention to detail
- EMR/EHR Systems / Cerner/ Epic
- Time Management
- Mentor/ Leadership
- Critical Thinking
- Microsoft Office/ Excel
- Excellent Customer Service
Licenses & Certifications
- Registered Nurse License, Florida - Current Compact License RN#9492096
- BLS American Heart Association Exp. 07/31/2026
- NSLS Advanced Leadership Certificate
Timeline
Hospital Hospice RN Admissions
Empath Health - Hospice of Marion County
10.2023 - Current
Registered Nurse/ Charge Nurse Neurosciences Unit
AdventHealth
01.2022 - 07.2023
Registered Nurse Vaccinator
Integrated Resources, Inc, IRI
02.2021 - 05.2021
Registered Nurse/Charge Nurse, Med-Surg/Orthopedics Registered Nurse
The Villages Regional Hospital
09.2018 - 12.2020
Bachelor of Science - Professional Nursing
Western Governors University
Certificate of Completion - HEDIS
Remote Learning Services, LLC
Certificate of Completion - Utilization Review 101
Remote Learning Services, LLC
Associate of Science - Professional Nursing
Rasmussen University
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