Stephanie D Thompson
Las Vegas
Summary
Experienced nurse with 20+ years in the healthcare sector, recognized for exceptional communication and organizational skills. Expertise in utilizing analytical thinking to address challenges and enhance patient outcomes. Detail-oriented and focused on achieving measurable results in fast-paced environments.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Clinical Claims Review RN
United Healthcare Group
Las Vegas
01.2025 - Current
- Analyzed claims for compliance with company policies and regulatory guidelines.
- Conducted audits to uphold quality control standards within the department.
- Reviewed documentation for accuracy and completeness of submitted claims.
- Collaborated with team members to resolve discrepancies in claim submissions.
- Monitored claims trends to identify potential areas for improvement.
CASE MANAGEMENT RN/ UTILIZATION REVIEW
Southern Hills Hospital
Las Vegas
02.2015 - 12.2024
- Executed assessment, planning, and implementation of individualized discharge plans for patients.
- Facilitated communication among physicians, clinical staff, and case managers to coordinate care.
- Reviewed patient charts for compliance with governmental and non-governmental regulatory standards.
- Collaborated with healthcare teams to optimize quality outcomes and cost containment strategies.
- Coordinated appeal processes involving providers, members, payers, and third-party administrators.
- Enhanced patient care plans through multidisciplinary team collaboration.
- Educated patients and families on effective health management and wellness practices.
- Streamlined patient admissions, discharges, and transfers for operational efficiency.
RN CASE MANAGER
Nathan Adelson Hospice
Las Vegas
11.2014 - 02.2015
- Home Care Conduct patient care and assessment
- Assess patient's needs, medication, and equipment
- Organization and implementation of patient care
- Maintain patient chart and documentation of care
- Perform patient education and home safety.
- Utilized critical thinking skills to assess changes in patient conditions, recognize complications and intervene appropriately.
- Attended interdisciplinary meetings to discuss complex cases and provide input regarding appropriate course of action.
- Managed multiple tasks while providing timely, high quality patient care.
REGISTERED NURSE PICU NICU AND PEDS
University Medical Center
Las Vegas
08.2001 - 11.2014
- Conduct patient care and assessment
- Organization and implementation of patient care
- Maintain patient chart and documentation of care
- Perform patient education.
- Actively participated in interdisciplinary rounds to discuss current plan of care for all assigned patients.
- Administered blood and blood products, monitoring patients for signs and symptoms related to transfusion reactions.
- Monitored patients for changes in status and indications of conditions such as sepsis and shock and institute appropriate interventions.
- Prioritized nursing care for assigned critically ill patients, based on assessment data and identified needs.
Education
ASSOCIATE IN SCIENCE - Science
Lincoln Land Community College
Springfield, IL01.2000
ASSOCIATE IN SCIENCE - Pre Pharmacy
Lincoln Land Community College
Springfield, IL01.1997
Skills
- InterQual criteria expertise
- Claims analysis and documentation
- Regulatory compliance
- Patient assessment and care planning
- Discharge planning and coordination
- Patient education and consultation
- Physician consultations
- Authorization management
- Patient transfers and transitions
- Interdisciplinary collaboration
- Critical thinking skills
- Effective communication strategies
- Problem-solving abilities
- Research utilization in practice
- Clinical judgment and decision-making
- Home health care coordination
- Patient discharge processes
- Maintaining privacy and confidentiality
- Utilization review
- Prior authorization
- Discharge planning coordination
- Time management abilities
References
References available upon request
Certification
Registered Nurse License, April 2027
Timeline
Clinical Claims Review RN
United Healthcare Group
01.2025 - Current
CASE MANAGEMENT RN/ UTILIZATION REVIEW
Southern Hills Hospital
02.2015 - 12.2024
RN CASE MANAGER
Nathan Adelson Hospice
11.2014 - 02.2015
REGISTERED NURSE PICU NICU AND PEDS
University Medical Center
08.2001 - 11.2014
ASSOCIATE IN SCIENCE - Science
Lincoln Land Community College
ASSOCIATE IN SCIENCE - Pre Pharmacy
Lincoln Land Community College
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