SHIRLEY CASSITY
RN/UTILIZATION REVIEW
Havana,AR
Summary
WENT TO SCHOOL AND WORKED PART TIME TAKING CARE OF PATIENT AT HOME WHILE BEING A SINGLE MOM. IAM VERY HARD WORKER AND GIVE 100%. IAM HONEST, COMPASSIONATE, AND PATIENT ADVOCATE. IT IS VERY ENJOYABLE TAKING CARE OF PATIENT GIVING THE BEST CARE DESERVED. SO MUCH EXPERIENCE AND HAVE LEARNED SO MUCH SINCE BECOMING A NURSE. LEARNING NEVER ENDS. IM DEPENDABLE AND GET ALONE WELL WITH STAFF.
Overview
28
28
years of professional experience
5
5
years of post-secondary education
1
1
Certification
Work History
Utilization Review Registered Nurse
JOHN ED CHAMBERS HOSPITAL
DANVILLE, AR
01.2010 - Current
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Served as subject matter resource, providing information related to MEDICAL situations.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Devise or identify solutions for irregular requests and issues.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Supervised and maintained all utilization review documentation through CPSI.
- Performed admission reviews based for medical necessity based upon MEDICAL REVIEW specification.
- Performed prior authorization review of services requiring notification for 40 + patients. .
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
DIRECTOR OF NURSING
ATKINS NURSING AND REHAB
ATKINS , AR
05.1999 - 05.2009
- Planned and assigned workload to 40-person nursing staff to direct patient care.
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Established new policies and updated existing policies to improve standard of care for patients.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Performed rounds to observe care and interview staff, residents, and families.
- Evaluated work performance of ALL nursing personnel to determine wage increases and implement discipline.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Identified department issues to recommend corrective actions.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Ordered all pharmacy supplies and kept check on inventory levels.
CHARGE RN
MERCY HOSPITAL
OZARK, AR
05.1995 - 05.1998
- Supervised and managed daily scheduling, tasking, and administration 50 STAFF+
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Implemented quality patient care techniques to align with safety, health, and organizational regulations.
- Cared for patients' wounds and changed dressings.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Supervised patient admissions and discharges from hospital to home care, rehabilitative facility, or self-care 40 + PATIENTS.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift for 80+ patients.
Education
Bachelor of Science - NURSING
Arkansas Tech University
Russellville, AR 08.1990 - 05.1995
Skills
Documentation and reporting
Patient care plans
Physician consultations
Discharge planning coordination
Interpersonal and written communication
Patient and family advocacy
Collecting vitals
Medication Administration
Oxygen saturation standards
Certification
RN BSN
Timeline
Utilization Review Registered Nurse
JOHN ED CHAMBERS HOSPITAL
01.2010 - Current
DIRECTOR OF NURSING
ATKINS NURSING AND REHAB
05.1999 - 05.2009
CHARGE RN
MERCY HOSPITAL
05.1995 - 05.1998
Bachelor of Science - NURSING
Arkansas Tech University
08.1990 - 05.1995