Tracey Schwiete
Ankeny,IA
Summary
Experienced nursing professional with proven teaching expertise and devotion to building up new nurses with skills necessary to excel in today's healthcare settings. Top-notch clinical expertise, sound judgment and strengths in workflow optimization and strategic planning. Vigilant and conscientious about isolating and resolving concerns.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Business Nurse Educator
Aetna CVS Health
10.2022 - Current
- Organized short-term educational programs such as lectures and workshops to address specific clinical topics.
- Develop and deliver training sessions to new employees and or transfers for UM role-specific training for acute inpatient and post-acute teams
- Provided education on Commercial and Medicare membership
- Monitored progress of each student and provided formal evaluation upon completion of clinical placements.
- Collaborate with senior managers, program design, medical directors, learning and performance, results management on job aide processes, performance results and updating processes.
- Remained up to date on clinical protocols, procedures and developments within utilization management to serve as informational resource to students.
Utilization Management Nurse
Aetna CVS Health
06.2021 - 10.2022
- Review for Medicare members for the post-acute setting for admission to skilled nursing facilities, inpatient rehab facilities or long-term acute hospital for PAR or NON-PAR facilities
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Working with facilities to provide the member with appropriate care when transitioning from the acute to post-acute setting
- Assigned float nurse to assist where the work was greater
- Hub leader for a group of nurses to provide daily assistance with questions and providing direction on daily work
- Mentor to new staff on the team.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Utilization Management Nurse
Aetna CVS Health
12.2015 - 06.2021
- Working in a high pace environment by reviewing both commercial and Medicare members for admission to acute care facilities
- Working in many different platforms of
- IDX, ATV, MedCompass and Meritain
- Gathers clinical information and applies appropriate clinical criteria/guidelines using MCG
- Having access to many hospitals electronic medical record systems with high volume to complete 24 to 72 hour turn around times
- Identifies members for referral opportunities
- Productivity up to 140%
- Mentor new staff on the team
- Assist in team lead duties for running reports and assist with team questions.
Registered Nurse, Surgery
MercyOne West Des Moines Medical Center
10.2012 - 12.2015
- Work independently and efficiently in the scrubbing and circulating role for general surgery procedures, orthopedic surgery, ENT procedures, gynecological surgeries, robotic prostatectomy, Plastic surgery, and Pediatric Dental procedures requiring general anesthesia
- Assist Anesthesia in the care of critically ill patients, EHR charting, Collect and care for specimens, Patient education, Orientating new staff members
- Scrub and circulate Total Joints, Robotic cases for Obstetrics/Gynecology and Urology
- Fire Safety Officer and Foley Champion
- Provide moderate sedation for Endoscopies.
Registered Nurse, Telemetry Unit
MercyOne Des Moines Medical Center
, IA
04.2012 - 10.2012
- Participated in a multidisciplinary team of medical professionals to assess, evaluate, and diagnose patients and develop effective treatment plans under direction of the physician.
- Collecting, analyzing, and interpreting lab values and other patient data.
Certified Medical Assistant
Merle Hay Family Medicine
06.2005 - 04.2012
- Documented vital signs and health history for patients in clinic and urgent care sitting.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
- Taught patients about medications, procedures, and care plan instructions.
- Triaged patient phone calls and provided education, process medication refills, provide lab results and physician referrals as needed.
Education
Associate degree - Nursing
Des Moines Area Community College
2011
Skills
- Ability to work in fast-paced environment
- Competency Assessment
- Performance Measurement
- Presentation Skills
- Interventions Understanding
- Excellent communication skills, both written and verbal
- Educational Leadership
- Risk Management
- Course Content Development
- Online Databases
- Instructional Presentations
- Providing Feedback
Certification
- Licensed Registered Nurse - 130019 10/15/2023
Health Education Summary
• Develop and deliver training sessions to new employees and or transfers for Utilization Management role-specific training for acute inpatient and post-acute teams.
- Managed and created curriculum to comply with companies policies and procedures.
- Successfully managed training sessions to over 60 new employees for 2023.
- Lead and developed training sessions that's role specific to increase productivity metrics.
- Selected to redevelop and manage training material for Utilization Management acute inpatient requests.
- Instructed team members on proper Foley techniques.
- Coached new hires in Utilization Management and created workflows for better understanding of policies and procedures.
Timeline
Business Nurse Educator
Aetna CVS Health
10.2022 - Current
Utilization Management Nurse
Aetna CVS Health
06.2021 - 10.2022
Utilization Management Nurse
Aetna CVS Health
12.2015 - 06.2021
Registered Nurse, Surgery
MercyOne West Des Moines Medical Center
10.2012 - 12.2015
Registered Nurse, Telemetry Unit
MercyOne Des Moines Medical Center
04.2012 - 10.2012
Certified Medical Assistant
Merle Hay Family Medicine
06.2005 - 04.2012
Associate degree - Nursing
Des Moines Area Community College
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