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
undefinedCertification
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
RN BSN
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