Samantha Reil
Buffalo,MN
Summary
Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse
Ridgeview Medical Center
Waconia, MN
01.2024 - Current
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Collaborated with multidisciplinary teams on developing strategies for improving care quality and controlling costs.
- Provided education to providers regarding utilization management processes and protocols.
- Participated in provider meetings to discuss cases involving complex medical conditions or difficult authorization decisions.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Analyzed utilization data to identify patterns and make recommendations for cost-effective care delivery.
- Conducted comprehensive reviews of patient records to ensure medical necessity and compliance with healthcare standards.
RN Case Manager
Park Nicollet
Hopkins, MN
04.2021 - 01.2024
- Conducted Oasis assessments
- Home care routine visits
- Provided direct nursing care such as wound dressing changes, blood draws, medication administration and patient education.
- Monitored and evaluated effectiveness of treatment plans and interventions.
- Collaborated with physicians, nurses and other healthcare professionals to ensure optimal patient outcomes.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Provided emotional support and counseling to patients dealing with chronic illness or end-of-life issues.
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Facilitated referrals to community resources for additional support services.
- Maintained accurate documentation of patient progress in the electronic health record.
- Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
- Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
Registered Nurse
Oral and Maxillofacial Surgery
Wayzata, MN
02.2020 - 04.2021
- Assists in oral surgical procedures
- Drawing up medication for sedation
- Provided patient care before, during, and after surgery, including taking vital signs.
- Administered medications orally or topically as directed by physician orders.
- Collaborated with interdisciplinary teams to ensure optimal outcomes for patients undergoing surgery.
- Assessed patients' medical histories to determine appropriateness of oral surgery procedures.
- Instructed patients on proper home care techniques following oral surgery.
- Performed triage assessments of walk-in patients in a clinic setting.
- Maintained and sterilized instruments, tools, and equipment used during dental surgeries.
Education
Bachelor of Science in Nursing -
Capella University
06.2021
Associate of Science in Professional Nursing -
Rasmussen College
01.2019
Associate of Arts in General Education -
St. Cloud State University
01.2017
Skills
- RN
- Home Health
- Ventilator
- Wound Care
- Medication Administration
- Insurance Verification
- Vital Signs
- EMR Systems
- Triage
- Experience Administering Injections
- Disease Management
- Care Planning
- Case Management
- Patient Care and Education
- Community Resource Referrals
- Chronic Disease Management
- Needs Assessment
- Infection Control
- Student Precepting
- Medical Recordkeeping
- Patient Examination
- Patient Condition Monitoring
- Care Coordination
- Treatment Plan Modification
- Colostomy Care Familiarity
- Catheter Monitoring
- Critical Thinking
- ICD-10
- Patient Care Assessment
- Treatment Recommendations
- Immunizations and Vaccinations
- Training Staff
- Healthcare Program Planning
- Strong Clinical Judgment
- Tracheostomy Care
- Sanitation
- Monitoring Vital Signs
- Decision-Making
- Blood Draw and Sample Collection
- Medical Coding
- Quality Improvement
- Utilization review
Certification
BLS Certification
Timeline
Utilization Review Nurse
Ridgeview Medical Center
01.2024 - Current
RN Case Manager
Park Nicollet
04.2021 - 01.2024
Registered Nurse
Oral and Maxillofacial Surgery
02.2020 - 04.2021
Bachelor of Science in Nursing -
Capella University
Associate of Science in Professional Nursing -
Rasmussen College
Associate of Arts in General Education -
St. Cloud State University