Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Samantha Smith

Kenton,Ohio

Summary

Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Overview

15
15
years of professional experience
1
1
Certification

Work History

RN SUPERVISOR, BIOLOGIC COORDINATOR

West Ohio Dermatology
02.2014 - Current
  • Evaluated current processes related to healthcare delivery systems, suggesting changes that could enhance effectiveness or reduce costs.
  • Served as an approachable leader who consistently addressed concerns raised by both nursing staff and families regarding patient care issues or operational challenges within the unit effectively resolving them promptly whenever possible.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
  • Assisted with surgical procedures including preoperative care, postoperative care, and educating patients and families on discharge instructions.
  • Analyzed medical records and other documents to determine approval of requests for authorization.
  • Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
  • Reached out to insurance carriers to obtain prior authorization for medications and procedures.
  • Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
  • Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
  • Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.
  • Researched denied claims and contacted insurance companies to resolve these issues.
  • Assisted in the development of departmental guidelines and procedures for prior authorization processes, improving overall efficiency.
  • Supported team members by providing guidance on complex cases requiring detailed understanding of medical necessity criteria.
  • Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
  • Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
  • Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
  • Established strong relationships with key contacts at insurance companies, streamlining communication channels when resolving issues pertaining to approvals or denials.
  • Assisted clients with completion of applications and paperwork.

Charge RN

Hardin Hills Health Center
08.2010 - 02.2015
  • Assessed patients' physical, psychological, and social conditions to identify appropriate interventions
  • Mentored and supervised junior nurses, fostering a supportive and collaborative work environment.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Supervised and managed daily scheduling, tasking, and administration.
  • Created effective relationships with outside organizations including hospitals, rehabilitation centers, skilled nursing facilities., in order to ensure a smooth transition of care for discharged patients
  • Participated in quality improvement activities related to case management processes
  • Collaborated with physicians, nurses, and other healthcare professionals to ensure the best outcomes for patients
  • Actively participated in interdisciplinary team meetings to discuss complex cases and develop treatment plans accordingly
  • Developed strategies that promote continuity of care across multiple settings or levels of service delivery
  • Coordinated referrals for services such as home health agencies and community resources
  • Established positive rapport with clients and their families while maintaining professional boundaries at all times.

RN FLOOR NURSE

Hardin Memorial Hospital
05.2011 - 01.2013
  • Participated in continuing education programs to stay abreast of latest advances in nursing practice
  • Maintained accurate documentation of patient progress notes according to departmental policies and procedures
  • Developed strong relationships with patients and their families to provide emotional support throughout treatment process
  • Collaborated with interdisciplinary teams to ensure optimal outcomes for patients
  • Demonstrated skill in providing quality patient care, including assessing and monitoring vital signs, administering medications, and performing treatments
  • Assisted physicians with procedures such as wound dressing changes, IV starts, intubations and central line insertions
  • Educated patients regarding disease processes, treatments options and follow up instructions
  • Educated patients and family members about treatments, care requirements, and other relevant information
  • Performed ongoing patient assessments, notifying supervising clinician of abnormal findings.
  • Promoted a safe environment by consistently adhering to infection control policies and procedures.
  • Facilitated timely discharges through efficient coordination with case managers, social workers, and physicians.

RN Supervisor

Kenton Nursing And Rehabilitation Center
11.2009 - 05.2011
  • Managed multiple tasks simultaneously while remaining organized and prioritizing duties efficiently
  • Recognized for ability to recognize changes in condition that require prompt assessment or intervention
  • Developed strong relationships with patients and their families to provide emotional support throughout treatment process
  • Delegated tasks appropriately according to staff competencies while ensuring safe delivery of care
  • Identified potential risk factors associated with falls prevention among elderly population
  • Provided compassionate end-of-life care while adhering to ethical standards and regulations
  • Administered medications and treatments according to physician orders
  • Assessed and evaluated patient physical, mental, and emotional status to assist with care needs
  • Delivered non-judgmental and non-discriminatory care sensitive to patient diversity, preserving dignity and rights
  • Assessed patient's physical and psychosocial status to determine readiness for discharge.
  • Managed critical situations calmly and efficiently, providing guidance to the nursing team during emergencies.
  • Cultivated an atmosphere of teamwork and open communication among staff members, resulting in a more cohesive work environment and greater job satisfaction for the nursing team.

Education

BACHELOR OF SCIENCE (B.S.) IN NURSING CANDIDATE -

Western Governors University
Millcreek, Utah
04.2024

ASSOCIATE IN APPLIED SCIENCE (A.A.S.) IN NURSING -

Rhodes State College
Lima, Ohio
07.2009

Skills

  • Quality Improvement
  • Clinical Leadership
  • Patient Advocacy
  • Staff Supervision
  • Compassionate Care
  • Patient education and counseling
  • Prior authorization specialist
  • Clinical assessment
  • Nursing Documentation
  • HIPAA Compliance
  • Interdisciplinary Collaboration
  • Electronic Medical Record Software
  • Drug utilization review

Certification

BLS for Healthcare providers

References

References available upon request

Timeline

RN SUPERVISOR, BIOLOGIC COORDINATOR

West Ohio Dermatology
02.2014 - Current

RN FLOOR NURSE

Hardin Memorial Hospital
05.2011 - 01.2013

Charge RN

Hardin Hills Health Center
08.2010 - 02.2015

RN Supervisor

Kenton Nursing And Rehabilitation Center
11.2009 - 05.2011

BACHELOR OF SCIENCE (B.S.) IN NURSING CANDIDATE -

Western Governors University

ASSOCIATE IN APPLIED SCIENCE (A.A.S.) IN NURSING -

Rhodes State College

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