Dynamic Registered Nurse with extensive cardiovascular expertise at Baylor Scott & White, recognized for exceptional leadership and interpersonal communication skills. Proven success in coordinating patient care while adeptly utilizing EPIC and Microsoft Office. Strong analytical thinker with effective team management capabilities, committed to delivering high-quality individualized healthcare.
Overview
30
30
years of professional experience
2
2
Certification
Work History
Gastrointestinal Lab
Ralph H. Johnson VA Medical Center
Charleston, South Carolina
06.2023 - Current
GI Lab: Providing individualized care for veterans before, during, and after endoscopic procedures.
Educating patients on procedures, triaging patients via phone, and coordinating with ancillary departments and providers to provide optimum patient care.
Structural Heart Clinic Coordinator: Seamless care of the TAVR, heart valve, and PFO patients from referral to procedure, and home. Working with a multidisciplinary team, including cardiothoracic surgeons, cardiologists, and surgery staff, to facilitate the best outcome for patients.
Transfer and coordinate care to a community hospital if a procedure is not offered at the VA.
Procedures, including TEEs and cardioversions.
Care of cardiac clinic patients, including structural heart, general cardiology, heart failure, and cardiac implanted devices.
Registered Nurse, Personal Health Nurse (Case Manager)
Conifer Health Solutions
Encino, California
09.2017 - 06.2023
Company Overview: Value-Based Care, Encino, California.
Provide personal health management services for members in Central States Contract.
Team Contract: Return on Investment (ROI) Goal 3.0.
Maintained ROI of 133%.
The QA score goal is 85%, and the maintained QA score average is 100%.
100% member satisfaction score on member evaluations.
Individual cost-saving goal of $67,000 per month. Maintained cost savings of over $95,000.
Able to reach (ATR) metrics goal of 60%, maintained ATR at 84%
Utilize MCG guidelines.
Assign BCBS referrals to staff.
Resource for staff during critical events.
Assist team members with cost savings to meet team ROI goals, ensuring contract requirements are achieved.
Registered Nurse, Supervisor Utilization Review
Baylor Scott and White Health Plan
Temple, Texas
01.2016 - 08.2017
Company Overview: An insurance company located in Temple,Texas.
Prior authorization/utilization review oversight for inpatient, outpatient, home health, skilled nursing facilities, inpatient rehabilitation, and mental health facilities for Medicare, Medicaid, Baylor Scott and White employees, commercial, self-funded, and exchange members.
Utilization of IterQual and Care Manager.
Maintained 100% compliance with QA reviews.
Work with a multidisciplinary team, including case management, social workers, providers, members, health plan medical directors, and support staff, to facilitate timely and cost-effective care in compliance with subscriber, CMS, and state insurance regulations, as well as health plan policies.
Appeals resolutions: review denials for missteps, and work with the medical director to resolve denials.
Work on an action plan to maintain Medicare compliance: work with the QA and education team on the policy for the review of Medicare events, and educate staff on changes.
Developed an interactive tool with the Care Manager for real-time visualization of the timeliness of all Utilization Review events to maintain compliance.
High-risk Member Specialty Review Team – focus on transplant and high-cost utilization members.
Staffing management, including hiring, training, and terminating staff.
Staff reviews.
National Committee for Quality Assurance (NCQA) data collection and submission, and work with various departments to achieve NCQA Certification.
I created an action plan to enhance HEDIS measures.
Member of Baylor Scott and White Quality Alliance – improving quality, access to care, enhancing the patient experience, and reducing health care costs along the Baylor Scott and White Continuum.
Baylor Scott and White Heart and Vascular Institute
Temple, Texas
11.2013 - 01.2016
Company Overview: A cardiovascular clinic in Temple, Texas.
Valve Clinic Coordinator: Seamless care of the TAVR and MitraClip patients, from referral to procedure, and back to home.
Working with a multidisciplinary team, including cardiothoracic surgeons, cardiologists, surgery staff, and anesthesiologists, to facilitate the best outcome for patients.
Care of cardiac clinic patients, including CHF, structural heart, and general cardiology.
Assist with the launch of the new MitraClip procedure in the cardiac catheterization lab.
Resolution of Medicare billing and coding issues to recover one year of TAVR revenue over $1,000,000.00.
Work with the marketing and media departments to highlight the TAVR and MitraClip procedures.
Events featured in the local news and Catalyst publication at Scott and White Medical Center.
Increased TAVR procedures from 30 per year to over 100 per year
Company Overview: A hospital located in Fridley, Minnesota.
Manage patients during inpatient and outpatient procedures: arteriograms, cardiac catheterizations, vascular interventions, central line placements, pacemaker and ICD insertions, cardiocentesis, EP studies, ablations, biopsies, cardioversions, TEEs, and image-guided procedures.
Provide nursing support for patients during coronary CTAs.
Supervised staffing and scheduling for multiple departments, phone triage, and conflict resolution.
Created and implemented a plan to cross-train the cardiac team and the Interventional Radiology team.
Company Overview: A hospital located in Waco, Texas.
Manage patients during image-guided procedures: arteriograms, vascular interventions, epidural injections, central line placements, biopsies, fine needle aspirations, paracentesis, and thoracentesis.
Registered Nurse, Medical/Surgical/ Neurological Intensive Care Unit Charge Nurse
United Hospital
St. Paul, Minnesota
07.2000 - 09.2002
Company Overview: A hospital located in St. Paul, Minnesota.
Acute care of neurological, medical, and surgical patients requiring critical care.
Care of adults from ethnically diverse backgrounds.
Charge nurse staffing management and orienting new personnel.
Registered Nurse, Surgical Intensive Care Unit / Charge Nurse
Hillcrest Baptist Medical Center
Waco, Texas
12.1998 - 05.2000
Company Overview: A hospital located in Waco, Texas
Acute care of trauma, cardiovascular, surgical, and medical patients.
Care of adults and pediatric patients from ethnically diverse backgrounds.
Charge nurse staffing management and orienting new personnel.
Registered Nurse, Medical/Surgical Intensive Care Unit Charge Nurse
United Hospital
St. Paul, Minnesota
10.1995 - 12.1998
Company Overview: A hospital located in St. Paul, Minnesota.
Acute care of neurological, medical, and surgical patients requiring critical care.
Care of adults from ethnically diverse backgrounds.
Charge nurse staffing management and orienting new personnel.
Registered Nurse, Medical/Surgical Intensive Care Unit
Hillcrest Baptist Medical Center
Waco, Texas
07.1994 - 08.1995
Company Overview: A hospital located in Waco, Texas
Manage critically ill patients
Acute care of trauma, cardiovascular, surgical, and medical patients
Care of adults and pediatric patients from ethnically diverse backgrounds
Charge nurse staffing management and orienting new personnel.
Education
Bachelor of Science - Nursing
Winona State University
Skills
Interpersonal communication, networking
Multitasking Abilities
Analytical and critical thinking
Supervision and leadership
EPIC, Microsoft Office, Excel, Care Manager, Teams
Written communication
Team management
ACLS/BLS certified
Certification
BLS - American Heart Association, 11/9/24
Advanced Cardiac Life Support, 11/27/24
South Carolina, Compact
Hawaii
Volunteer Experience
Restoration Gateway, 01/01/13 - 12/31/21
American Red Cross 01/01/21 - Present
Timeline
Gastrointestinal Lab
Ralph H. Johnson VA Medical Center
06.2023 - Current
Registered Nurse, Personal Health Nurse (Case Manager)
Registered Nurse, Emergency Department at Ralph H. Johnson VA Medical CenterRegistered Nurse, Emergency Department at Ralph H. Johnson VA Medical Center