TRACIE WELCH
Colorado Springs,CO
Summary
I am a results-oriented nurse who strives to give 100% in all I do. I have varied nursing experience that I have achieved over the last 20 years. Focused on providing the best nursing care possible in compliance with evidenced-based practice.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Manager Program Coordination/CM/UM
Centene
10.2023 - Current
- My responsibilities include, care management/utilization management
- Accomplished multiple tasks within established timeframes.
RN Float- Med-surg/Tele/Swing/ER
Ascension- St. John
06.2024 - 10.2024
- Med-Surg/Tele/Swing/ER float RN nights/days
- My responsibilities include all nursing responsibilities including but not limited to, admitting, discharging, Patient care, IV initiating/maintaining/monitoring, medication administration, phlebotomy, computer charting, pyxis, etc
Appeals/UM/Quality Reviewer RN
Blue Cross Blue Shield of OK.
09.2021 - 10.2023
- Reviewing authorization requests to ensure CMS/NCQA/URAC guidelines are met
- All things nursing related to medical claims/insurance
- Concurrent review, use of Interqual, MCG, Dane street, Allmed, etc
Claims/Appeals/UM Reviewer RN
Community Care Insurance
08.2020 - 09.2021
- Medical claims/authorization/concurrent review that requires investigating that request to ensure in network and necessary treatment is provided to patients use of interqual, and milliman
- Reviewing authorization requests to ensure CMS/NCQA/URAC guidelines are met
- All things nursing related to medical claims/insurance
RN Team Lead Case Manager
Oklahoma University
07.2015 - 08.2020
- My responsibilities included, communicating with physicians and their nurses to provide care for Sooner Care (Medicaid), Medicare, private insurance patients
- Assessing patients of all demographics and diagnosis
- My duties include assessments, documentation, phone communication, accompanying patients to doctors' visits both with their primary care and specialists, home visits when required, communicating to the physicians any needs observed requiring medical/social work intervention, etc
RN Tele-step-down Unit
St. John's Medical Center
01.2015 - 07.2015
- My responsibilities are as below they include all nursing responsibilities and administration of several drips such as insulin, heparin, dobutamine, amiodarone, all drips
- Insertion and maintenance/troubleshooting of all central lines
- I was required to float to all nursing units when needed
- All acute care cardiac nursing responsibilities
Case Manager RN
Preferred Pediatrics Home Health
09.2012 - 01.2015
- My responsibilities include, training nurses, auditing nurses charting, hiring/firing of nurses, creating required paperwork for nursing in the home, receiving doctor's orders, communicating with physicians and their nurses to provide care for pediatric patients while in their homes
- Assessing patients, drawing labs, initiating/maintaining picc lines/IV's and infusions
- Setting up bili beds, bili lights, and drawing bilirubin levels
- Providing patient/caregiver instructions
- Maintenance and troubleshooting of ventilators
- The general patient population is pediatric patients with Mickey buttons(G-tubes), trach's, vent's, etc
- (I left and came back, I worked agency shifts as well during this time)
Travel RN 5E Tele-step-down unit, 11E Med-surg Charge, PICC Team
American Mobile/St. John's Medical Center
01.2011 - 08.2012
- My responsibilities include all nursing responsibilities and administration of several drips such as insulin, heparin, dobutamine, amiodarone, all drips
- Insertion and maintenance/troubleshooting of all central lines
- Charge nurse of busy Med-Surg unit
- Inserting and monitoring PICC lines
- Travel nurse so I was required to float to all nursing units when needed
Travel RN-Float
Nursefinders
06.2010 - 07.2010
- All nursing responsibilities, on tele/med-surg/step-down units
Emergency dept Charge RN
Unity Health Center
11.2009 - 06.2010
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Emergency dept. RN
Banner Thunderbird E.D.
06.2009 - 10.2009
- My responsibilities included but are not limited to, triage, initiating I.V.'s, inserting foley catheters, starting drips, assisting the doctors with codes, intubation, conscious sedation, procedures of all kinds. I also had the usual assessing, medicating, and attending to basic patient care needs in the E.D
Clinical Manager- Banner T-bird OOU
Banner Thunderbird Observation
08.2008 - 06.2009
- My responsibilities included but are not limited to, evaluating patients for hallway beds
- Managing mainly the outpatient chest pain observation unit
- Prepping patients for stress tests', etc
- My responsibilities also included but not limited to; Interpreting telemetry strips and ekg's, initiating cardiac drips, etc.
Travel Tele Observation-RN Banner Thunderbird
Bridge Staffing
05.2008 - 08.2008
- Observation Unit floor nurse
- Mostly my duties were Telemetry nursing, but also included float to all floors, and E.R
- This is a chest pain obs unit, prepped patients for stress tests' and did ekg's, etc
- When my contract was done, they asked me to be the Clinical Manager for this unit
Travel RN- Ottumwa Regional, Ottumwa Iowa
Bridge Staffing
03.2008 - 05.2008
- Med-Surg/Tele RN nights
- My responsibilities include all nursing responsibilities including but not limited to, admitting, discharging, Patient care, IV initiating/maintaining/monitoring, medication administration, phlebotomy, computer charting, pyxis, etc
ER/ Admissions Unit/SWAT (IV) RN (Pilot Program)
Iowa Health Des Moines-Methodist
08.2007 - 05.2008
- My responsibilities included but were not limited to; going to the emergency dept and evaluating patients to see if they were appropriate to come to the unit, lots and lots of conflict resolving, telemetry monitoring, starting/maintaining IV's, monitoring vitals, collecting medical history and entering information into computer, administering medications, transporting patients, SWAT nursing, phlebotomy, accu checks(blood sugar), floating to the emergency department, and all floors at Methodist hospital(700+beds), charting, taking/writing/noting physicians orders, all nursing responsibilities
Travel Telemetry RN-Arizona Boswell Sun City, AZ
Aureus Medical Staffing
05.2007 - 08.2007
- This was a contract on a post cardiac cath, cardiac unit
- My responsibilities included but were not limited to; Interpreting telemetry strips and ekg's, checking groin sites s/p catheterization, administering blood pressure/cardiac meds via iv, computerized charting, etc.
MED-SURG/TELE/E.R. RN
Pella Regional Health Center
06.2005 - 05.2007
- All Med-surg, ER, Tele acute care responsibilities
Education
Master's Degree (Dual) - Nursing Science and Health Care Administration
Oklahoma Wesleyan University
Tulsa, Ok06.2020
Bachelor Degree - Nursing Education
Oklahoma Wesleyan University
Tulsa, Ok12.2014
Associate Degree - Nursing Science
Indian Hills Community College
Ottumwa, IA05.2005
Skills
- Team leadership
- Medication and IV administration
- Direct patient care
- Emergency care
- Pediatric care
- Triage assessment
- IV therapy management
- Advanced cardiac life support
- Telemetry and advanced cardiac care
- RN case management
- Utilization review
- Concurrent review
- Cardiac observation care
- Medical Surgical care
Certification
Compact RN License, Active
Current ACLS certification from AHA
Current BLS certification from AHA
Current PALS certification from AHA
References
Available upon request
Timeline
RN Float- Med-surg/Tele/Swing/ER
Ascension- St. John
06.2024 - 10.2024
Manager Program Coordination/CM/UM
Centene
10.2023 - Current
Appeals/UM/Quality Reviewer RN
Blue Cross Blue Shield of OK.
09.2021 - 10.2023
Claims/Appeals/UM Reviewer RN
Community Care Insurance
08.2020 - 09.2021
RN Team Lead Case Manager
Oklahoma University
07.2015 - 08.2020
RN Tele-step-down Unit
St. John's Medical Center
01.2015 - 07.2015
Case Manager RN
Preferred Pediatrics Home Health
09.2012 - 01.2015
Travel RN 5E Tele-step-down unit, 11E Med-surg Charge, PICC Team
American Mobile/St. John's Medical Center
01.2011 - 08.2012
Travel RN-Float
Nursefinders
06.2010 - 07.2010
Emergency dept Charge RN
Unity Health Center
11.2009 - 06.2010
Emergency dept. RN
Banner Thunderbird E.D.
06.2009 - 10.2009
Clinical Manager- Banner T-bird OOU
Banner Thunderbird Observation
08.2008 - 06.2009
Travel Tele Observation-RN Banner Thunderbird
Bridge Staffing
05.2008 - 08.2008
Travel RN- Ottumwa Regional, Ottumwa Iowa
Bridge Staffing
03.2008 - 05.2008
ER/ Admissions Unit/SWAT (IV) RN (Pilot Program)
Iowa Health Des Moines-Methodist
08.2007 - 05.2008
Travel Telemetry RN-Arizona Boswell Sun City, AZ
Aureus Medical Staffing
05.2007 - 08.2007
MED-SURG/TELE/E.R. RN
Pella Regional Health Center
06.2005 - 05.2007
Bachelor Degree - Nursing Education
Oklahoma Wesleyan University
Associate Degree - Nursing Science
Indian Hills Community College
Master's Degree (Dual) - Nursing Science and Health Care Administration
Oklahoma Wesleyan University
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