TANESHA HICKMON
Richton Park,USA
Summary
Dynamic Utilization Review Nurse with extensive experience at UCM Ingalls, excelling in medical record analysis and regulatory compliance. Proven ability to enhance patient outcomes through effective care coordination and problem-solving. Adept at educating staff on policies, ensuring adherence to healthcare regulations, and fostering collaborative team environments.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse
UCM Ingalls
Harvey, Illinois
07.2024 - Current
- Conducted comprehensive utilization reviews for patient care plans.
- Collaborated with healthcare teams to ensure compliance with regulations.
- Analyzed medical records to assess appropriateness of services provided.
- Communicated with providers regarding authorization requirements and decisions.
- Monitored patient outcomes to identify trends in service delivery.
- Educated staff on utilization management policies and procedures.
- Assessed patient medical records to determine the appropriateness of requested services and procedures.
Case Management Nurse
UCM Ingalls Hospital
Harvey, Illinois
06.2023 - 07.2024
- Administered medications and treatments as per physician orders.
- Monitored vital signs and reported changes to healthcare providers.
- Collaborated with interdisciplinary teams to develop patient care plans.
- Educated patients and families on health conditions and treatments.
- Documented patient progress and care in electronic health records.
- Trained and mentored new nursing staff on hospital protocols.
- Ensured compliance with safety standards and infection control measures.
Telemetry Nurse
UCM Hype Park
Chicago, IL
02.2022 - 08.2022
- Responsible for coordinating staffing, delegating nurse assignments, preparing schedules, overseeing admissions and discharges.
- Ensured efficacy of treatments through monitoring of treatment regimens.
- Utilized the nursing process in compliance with hospital policies and procedures, legal and regulatory standards.
- Answered triage phone calls and directed patient care under the LPN scope of practice.
- Ordering, interpreting, and evaluating diagnostic tests to identify and assessing the patient's condition.
- Any other duties as assigned.
Travel Nurse
Maxim Healthcare Staffing
Chicago, IL
09.2020 - 02.2022
- Manage the care of patients experiencing severe but usually non-life-threatening problems requiring moderately complex assessment, therapies, and interventions.
- Interpret cardiac rhythm strips, provide appropriate nursing treatment, and administer medicine.
- Monitoring patients' recovery and compiling reports for the relevant doctors and other stakeholders.
- Completing your duties at hospitals, clinics, and other healthcare facilities.
- Ensuring that all equipment and medical supplies are kept sterile and well-organized.
- Any other duties as assigned.
Staff Nurse
Roseland Community Hospital
Chicago, IL
05.2017 - 01.2022
- Assessment and care of surgical patients during their recovery from anesthesia in the hospital setting.
- Administration of medications via IV and oral route, maintain data entry proficiency via EMR and, paper charting.
- Floated to Med-Tele, MSTA, ER, and PACU triage for staffing needs.
- Assessed patient's condition and monitored post-surgical recovery.
- Implemented post-surgical treatment plan and provided detailed report to med/surg nurse for patient transfer/admission.
- Reviewed and implemented physician orders, establishing a safe and encouraging environment.
- Interim Manager (August 2021-January 2022)
- Case Manager (May 2020-August 2021)
- Acute Care, PACU, Detox (May 2017-April 2020)
Travel Nurse
Cynet Health
Champaign Urbana, IL
06.2021 - 08.2021
- Traveling to organizations to administer medication and vaccinations, and complete blood pressure, glucose, and other tests.
- Performing wound inspections, changing dressings, and monitoring the patients' overall wellbeing.
- Addressing patients' concerns and providing healthcare and nutritional advice where possible.
- Monitoring patients' recovery and compiling reports for the relevant doctors and other stakeholders.
- Work with doctors to perform treatments on patients with musculoskeletal conditions.
- Any other duties as assigned.
Staff Nurse
Acumen Medical Staffing
Chicago, IL
04.2020 - 09.2020
- Restores and promotes patient's health by completing the nursing process.
- Collaborates with physicians and multidisciplinary team members.
- Provides physical and psychological support to patients, friends, and families.
- Identifies patient care requirements by establishing personal rapport with patients and their families.
- Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
- Any other duties as assigned.
Care Coordinator
Blue Cross Blue Shield
Chicago, IL
04.2013 - 10.2018
- Assessment of pre/post-surgical patients, discharge coordination, episodic case management of waiver and non-waiver clients, care plan development, reconciliation and education of medications, referrals to internal and external programs as needed.
- Developed and documented care plans for individual patients, tracking processes, patient self-management support, implementation of clinical practice guidelines and work process/patient flow improvements.
- Assisted the patient in coordination of any additional tests, images and consults with specialists and provided specific education regarding medication regimen and drug interaction/side effects.
- Assisted patient in recognizing and removing barriers to care to improve overall health outcomes.
- Demonstrated ability to be self-directed, highly organized, multi-tasked, and proficient in problem solving skills.
- Any other duties as assigned.
ADON (Assistant Director of Nursing)
Loving Hands R on the Way
Hammond, IN
08.2011 - 07.2015
- Facilitated hiring, training, and monitoring of nursing staff to enhance performance.
- Managed clinical operations and developed comprehensive care plans.
- Prepared daily schedules and organized shift planning to optimize staffing.
- Ensured adherence to departmental procedures and policies by nursing personnel.
- Assisted in budget preparation and managed expenses effectively.
- Conducted patient rounds to address concerns and improve satisfaction.
Staff Nurse
Advocate South Suburban
Hazel Crest, IL
01.2012 - 02.2014
- Assists in tracking/treatment of skin breakdown and assesses fall risk and implements fall prevention protocol.
- Consistently identifies early signs and symptoms of patient's condition and utilizes appropriate interventions to minimize complications.
- Consistently identifies and documents patient-specific problems and measurable goals on the interdisciplinary plan of care.
- Collaborates with other disciplines - especially by attending and participating in SNF Care Plan.
- Provide basic patient care and treatments, such as taking temperatures or blood pressures, dressing wounds, treating bedsores, giving enemas or douches, rubbing with alcohol, massaging, or performing catheterizations.
- Any other duties as assigned.
- Skilled Nursing Unit, Float to Telemetry and Ortho Unit
ADON (Assistant Director of Nursing)
Renaissance @87th street
Chicago, IL
02.2009 - 07.2011
- Ensured adherence to departmental procedures and policies by nursing staff.
- Assisted in budget preparation and managed expenses effectively.
- Conducted patient rounds, addressing complaints promptly.
- Evaluated departmental performance and recommended strategic improvements.
- Scheduled staff meetings to discuss patient updates and issues.
- Monitored compliance with state, federal, and local standards.
Labor and Delivery Nurse
St. Bernard Hospital
Chicago, IL
06.2007 - 01.2009
- Conducted prenatal visits for expectant mothers, addressing both normal and high-risk pregnancies.
- Taught childbirth preparation classes to empower pregnant women with essential knowledge.
- Delivered individualized clinical care and guidance to pregnant patients throughout their journeys.
- Assessed and developed comprehensive patient care plans in collaboration with healthcare teams.
- Evaluated medical histories while providing direct bedside nursing care to surgery patients.
- Prepared, administered, and documented prescribed medications accurately and efficiently.
- Served in Labor Delivery from October 2007 to January 2009, focusing on maternal care.
- Worked in Med Surg from June 2007 to October 2007, managing diverse patient needs.
Education
Bachelor of Science - Nursing
Chicago State University
Chicago, IL12.2006
Skills
- Microsoft Office applications
- Spreadsheet management
- Word processing
- Database administration
- Internet navigation
- Office equipment operation
- Utilization review
- Medical record analysis
- Regulatory compliance
- Care coordination
- Patient outcome monitoring
- Problem solving
- Time management
- Documentation and reporting
- Medical coding
- Discharge planning coordination
- HIPAA compliance
- Telephonic nursing
- Healthcare regulations
- Plan of care support
- Quality improvement strategies
- Physician consultations
Certification
- BASIC LIFE SUPPORT (BLS) CERTIFIED, American Heart Association, 10/01/19
- ADVANCED CARDIAC LIFE SUPPORT (ACLS) CERTIFIED, American Heart Association, 10/01/19
Timeline
Utilization Review Nurse
UCM Ingalls
07.2024 - Current
Case Management Nurse
UCM Ingalls Hospital
06.2023 - 07.2024
Telemetry Nurse
UCM Hype Park
02.2022 - 08.2022
Travel Nurse
Cynet Health
06.2021 - 08.2021
Travel Nurse
Maxim Healthcare Staffing
09.2020 - 02.2022
Staff Nurse
Acumen Medical Staffing
04.2020 - 09.2020
Staff Nurse
Roseland Community Hospital
05.2017 - 01.2022
Care Coordinator
Blue Cross Blue Shield
04.2013 - 10.2018
Staff Nurse
Advocate South Suburban
01.2012 - 02.2014
ADON (Assistant Director of Nursing)
Loving Hands R on the Way
08.2011 - 07.2015
ADON (Assistant Director of Nursing)
Renaissance @87th street
02.2009 - 07.2011
Labor and Delivery Nurse
St. Bernard Hospital
06.2007 - 01.2009
Bachelor of Science - Nursing
Chicago State University