Tonya Kurtz
nurse
Mt. Pleasant,SC
Summary
Proficient and caring nursing team member offering over 10 years of patient-facing experience. Addresses patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds. Dependable healthcare team member with sound judgment, excellent clinical abilities and smooth bedside manner. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Clinical Care Review Nurse
AmeriHealth Caritas Family Of Companies
04.2017 - Current
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed over 75 prior authorization review of services per week requiring notification.
- Supervised and maintained all utilization review documentation through Jiva.
- Communicated with providers what information would be needed to complete their prior authorization request, often guiding them t correct resources to find additional information. Also communicated all determinations of prior authorization request including approvals and denial.
- Trained 4 new hire nurses on prior authorization review process, creating material required to perform reviews in line with current criteria and clinical and corporate policies.
- Worked on denial verbiage creating and editing up to 25 denial communications sent to providers and members per day, including state mandated verbiage and criteria.
- Passionate about learning and committed to continual improvement
Registered Nurse, PACU
MUSC
08.2012 - 02.2017
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals.
- Implemented medication and IV administration, catheter insertion and airway management.
- Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Minimized hospital stays with recovery-centered approaches, reducing average in-patient stay length.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Cardiac Registered Nurse
Palmetto Health Richland Heart Hospital
06.2010 - 08.2012
- Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.
- Prioritized and revised patient care activities based on acuity of symptoms and patient preferences.
- Assisted in diagnosis and treatment of conditions such as unstable angina, cardiomyopathy, coronary artery disease, and cardiac dysrhythmia.
- Maintained detailed records of patient conditions, reactions and progress in alignment with physician orders.
- Conducted initial assessments, documented findings in patient records and notified physicians of abnormal findings.
- Administered medication, pain management and analysis of patient responses to interventions to improve individual performance.
Education
Bachelor of Science - Nursing
South University
Savannah, GA01.2017
Associate of Science - Nursing
Midlands Technical College
West Columbia, SC05.2010
Skills
- Multi-Tasking and Prioritization
- Adaptable and Flexible
- Assisting Physicians
- Caregiving Skills and Patient Communication
- Sterile Procedures and Techniques
- Medication Administration
- IV Insertion
- Strong Clinical Judgment
Certification
- Training - Progressive Care Certificate of Nursing 2011
Hobbies
I believe that investing time in your own health allows you to have the strength and ability to help others achieve their health goals and wellness. In my spare time I enjoy yoga, walks on the beach, walking the bridge, spending time with family, and reading.
Timeline
Clinical Care Review Nurse
AmeriHealth Caritas Family Of Companies
04.2017 - Current
Registered Nurse, PACU
MUSC
08.2012 - 02.2017
Cardiac Registered Nurse
Palmetto Health Richland Heart Hospital
06.2010 - 08.2012
Bachelor of Science - Nursing
South University
Associate of Science - Nursing
Midlands Technical College
Similar Profiles
Diane WiltDiane Wilt
Clinical Care Reviewer at AmeriHealth Caritas Family of CompaniesClinical Care Reviewer at AmeriHealth Caritas Family of Companies
Kevin A. FAISON, SR.Kevin A. FAISON, SR.
Director, Member, and Community Engagement at AmeriHealth Caritas Family of CompaniesDirector, Member, and Community Engagement at AmeriHealth Caritas Family of Companies
DANIEL E. HOLLINSWORTHDANIEL E. HOLLINSWORTH
Information Systems Engineer I at AmeriHealth Caritas Family of CompaniesInformation Systems Engineer I at AmeriHealth Caritas Family of Companies
Asya JonesAsya Jones
Grievance and Complaints Associate at AmeriHealth Caritas Family of CompaniesGrievance and Complaints Associate at AmeriHealth Caritas Family of Companies
Quenton JenkinsQuenton Jenkins
Sales Associate at PublixSales Associate at Publix