Tiesha C. Burrows
Utilization Review Nurse
Mesquite,TX
Summary
Hands-on professional proudly offering more than 13 years of expertise in nursing field. Well-rounded and personable Utilization Review Nurse talented in reporting, records oversight and performance improvement.
Overview
4
4
Certifications
5
5
years of post-secondary education
17
17
years of professional experience
Work History
Remote Concurrent Review Nurse
Wellmed Medical Management
01.2016 - Current
- Performed admission reviews for medical necessity based upon Interqual/Milliman specification.
- Submitted cases to Medical Director for criteria failures and helped facilitate resolutions and approvals.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Supervised and maintained all utilization review documentation through Trucare EMR.
- Participate in continuing training and education to improve processes.
- Team Lead for Market Pod-Analyzing quality metrics, auditing documentation for process improvement, onboarding new hires
Post-surgical Nurse
Eminent Medical Center
12.2016 - Current
- Managed patients recovering from medical or surgical procedures.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Communicated medical information and discharge instructions to patients and families to reduce return visits.
- Assessed patients immediately following surgery to identify and resolve potential complications.
- Connected with patients and families from variety of cultural and economic backgrounds to establish and maintain open communication for improved patient outcomes.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
Inpatient Nurse
Texas Institute for Surgery
01.2011 - 01.2015
- Observe and monitor the overnight day surgery patient.
- Provide discharge teaching on home medications, wound care, dressing changes, etc per surgeon’s instructions, as well as blood pressure, diabetes and cholesterol maintenance and education.
- Provide appropriate triage and care for emergency room patient-including assessing, stabilizing and transferring the emergent patient to a higher level facility, such as cardiac emergencies, illnesses, post-surgical complications and occasional employee injuries and sicknesses.
- Acting Charge Nurse and support person for night shift staff and agency personnel.
- Preceptor for new hires on night shift.
Staff Nurse
Baylor University Medical Center
Dallas, TX
01.2008 - 06.2010
- Administer medications safely and accurately according to Five Rights.
- Assist Doctors with bedside procedures.
- Educate patients and family on disease process and medications.
- Provide accurate and concise documentation for care provided.
- Day Shift Representative for Skin and Wound Assessment Team.
- Floor Representative for Medical Service Line Quality Improvement Committee.
- Recipient of Service of Excellence Award in 1/2009.
- Recipient of Service of Excellence Award in 2/2010.
Education
Bachelor of Science - Nursing
The University of Texas At Arlington
08.2002 - 12.2007
Skills
EMR / EHR
Interpersonal and written communication
Documentation and reporting
Physician consultations
Discharge planning coordination
Acute care expertise
Strong clinical judgment
Certification
BLS- Expires 6/2023
Timeline
Post-surgical Nurse
Eminent Medical Center
12.2016 - Current
Remote Concurrent Review Nurse
Wellmed Medical Management
01.2016 - Current
Inpatient Nurse
Texas Institute for Surgery
01.2011 - 01.2015
Staff Nurse
Baylor University Medical Center
01.2008 - 06.2010
Bachelor of Science - Nursing
The University of Texas At Arlington
08.2002 - 12.2007