Sarah Phillips
Conifer
Summary
Professional nurse with extensive experience in utilization review. Skilled in analyzing patient care and ensuring compliance with healthcare regulations. Strong focus on team collaboration and achieving optimal patient outcomes. Adaptable and reliable, excelling in dynamic environments requiring precise decision-making and effective communication.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse
AdventHealth
10.2023 - Current
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Director Of Finance & Administration
Network Infrastructure Construction Company
05.2021 - 10.2023
- Facilitated communication between finance team members, department heads, and executive leadership.
- Cultivated relationships with banking partners to secure favorable terms on borrowing arrangements.
- Reviewed collection reports determining status of collections and amount of outstanding balances.
- Managed budgeting process including forecasting, variance analysis, and cost control.
- Advised leadership on customer trends and implications of decisions to drive business forward.
- Oversaw accounts payable, receivable activities ensuring accuracy in billing, payment cycles.
- Demonstrated ability to manage multiple tasks while remaining adaptable and flexible.
- Focused on learning new skills and staying updated with industry changes.
- Oversaw accounts payable and receivable, ensuring timely processing and accurate recordkeeping.
Registered Nurse Case Manager /Utilization Review Nurse
Littleton Adventist Hospital
03.2017 - 08.2021
- Provided customized patient and family education to foster continuum of care.
- Involved patients and families in identifying and clarifying needs and expectations to develop mutual and realistic goals.
- Used computers to complete necessary documentation on patient progress.
- Educated patients about their diagnosis, medications, nutrition requirements, pain management strategies.
- Consulted and coordinated with healthcare team members to plan, implement, or evaluate patient care plans.
- Participated in multidisciplinary rounds to discuss current plan of care for each assigned patient.
- Supported patient advocacy by providing education on available community resources.
- Served as a liaison between patients and families and insurance companies regarding authorization for services.
- Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
Postpartum Registered Nurse
Littleton Adventist Hospital
08.2013 - 03.2017
- Monitored lab values closely to detect potential issues that could lead to adverse outcomes.
- Ensured all documentation was completed accurately according to hospital policies and procedures.
- Performed newborn assessments, monitored vital signs, administered medications, and provided breastfeeding support.
- Monitored, recorded, and reported symptoms or changes in patients' conditions.
- Provided emotional support for women experiencing difficult deliveries or birth complications.
- Maintained excellent communication with physicians regarding changes in patient condition or treatment plan modifications.
- Assessed patient's physical and psychosocial status to determine readiness for discharge.
- Determined learning needs of patients and families to develop appropriate teaching strategies.
- Conducted postpartum discharge teaching sessions to ensure successful transition home from hospital stay.
Telemetry Charge Nurse
Littleton Adventist Hospital
11.2010 - 08.2013
- Facilitated timely admission and discharge processes to ensure efficient workflow of the unit.
- Cared for patients with heart disease using electrocardiogram or other vital sign-measuring devices.
- Managed multiple tasks simultaneously while maintaining focus on quality patient care.
- Maintained accurate documentation of patient's vital signs, treatments, medications, and other pertinent information as required by hospital policy.
- Developed effective relationships with interdisciplinary team members to ensure quality patient outcomes.
- Instructed students from various nursing programs during clinical rotations.
- Ensured compliance with hospital policies and procedures related to telemetry services.
- Actively participated in continuing education programs designed to enhance knowledge base related to Telemetry Unit nursing practices.
- Managed acutely ill patients requiring close observation due to cardiac dysrhythmias or other medical conditions.
- Mentored junior staff members on providing high quality nursing care in the telemetry setting.
Cardiac Stepdown Registered Nurse
Denver Health Medical Center
07.2008 - 10.2010
- Facilitated timely discharge planning by coordinating with case managers and other appropriate healthcare professionals.
- Identified opportunities for improvement within the unit by participating in ongoing quality improvement initiatives.
- Collaborated with interdisciplinary team members to ensure optimal patient outcomes.
- Performed bedside procedures such as wound dressing changes and chest tube management.
- Provided direct patient care in the Cardiac Intensive Care Unit, including monitoring vital signs, administering medications and treatments, and providing emotional support to patients and their families.
- Managed ventilator weaning for mechanically ventilated patients.
- Served as charge nurse when needed; delegated tasks appropriately among nursing staff members based on skill level and experience.
Education
Bachelor Of Science (B.S.) - Nursing
Regis University
Denver, CO05.2008
Skills
- Revenue Recognition
- Business Operations
- Patient Care
- Records analysis
- Documentation and reporting
- Patient and Family Advocacy
- Operational Standards
- Patient Care Planning
Certification
Colorado Registered Professional Nurse - Active #0186477
Illinois Registered Professional Nurse - Active #041.577292
Timeline
Utilization Review Nurse
AdventHealth
10.2023 - Current
Director Of Finance & Administration
Network Infrastructure Construction Company
05.2021 - 10.2023
Registered Nurse Case Manager /Utilization Review Nurse
Littleton Adventist Hospital
03.2017 - 08.2021
Postpartum Registered Nurse
Littleton Adventist Hospital
08.2013 - 03.2017
Telemetry Charge Nurse
Littleton Adventist Hospital
11.2010 - 08.2013
Cardiac Stepdown Registered Nurse
Denver Health Medical Center
07.2008 - 10.2010
Bachelor Of Science (B.S.) - Nursing
Regis University
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