Wanda Bass
Madison,TN
Summary
Dynamic RN with extensive experience in critical care nursing at NHC Westmeade Health and Rehab Center. Proven expertise in utilization review and nursing assessments, effectively optimizing patient care and resource utilization. Skilled in evidence-based guidelines and compassionate in hospice care, ensuring high-quality outcomes for patients and families.
Overview
36
36
years of professional experience
1
1
Certification
Work History
RN Staff Nurse
NHC Westmeade Health and Rehab Center
Nashville, TN
01.2025 - Current
- Provide nursing care for patients on mechanical ventilators by performing critical care nursing duties.
- Monitored patient vital signs, administered oral, IV, and intramuscular medications.
- Performing assessments of patients' physical and mental health status.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Case Manager/Utilization Review
Life Care Centers of America
Nashville, TN
03.2024 - 11.2024
- Utilized evidence-based guidelines to support utilization review decisions and recommendations.
- Assessed the appropriateness of medical services and procedures based on clinical documentation and criteria.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Reviewed denial letters issued by insurance companies to ensure that they were appropriate and timely.
Utilization Review Nurse
Nashville General Hospital
Nashville, TN
06.2023 - 02.2024
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Monitored patient admissions and discharges to optimize care coordination and resource utilization.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Provided education to providers regarding utilization management processes and protocols.
Utilization Review Coordinator
Corizon Correctional Medical Services
Brentwood, TN
09.2019 - 05.2023
- Performed pre-certification, concurrent, and retrospective reviews of inpatient and outpatient services.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Educated healthcare providers on utilization review processes, criteria, and best practices.
Contract Nurse
Consolidated Medical Staffing
Nashville, TN
03.2009 - 09.2019
- Specialty Surgery Center: Provide pre and intraoperative care for patients during their surgical experience.
- Ascend Management Innovations: As appeals nurse I would review patient medical records and utilize clinical knowledge and medical guidelines to determine why cases are denied and whether an appeal is required.
- Alive Hospice: Provide emotional and practical support for both the patient and their family as they both face serious illness and end of life decisions.
- Rollin Hills: As a mental health nurse, I would provide psychiatric care and support for patients with mental illness.
- Tyson Foods: As the occupational nurse, I provided emergency care to employees that became injured on the job.
Utilization Review Nurse
Mynexus
Brentwood, TN
09.2016 - 08.2019
- Assessed the appropriateness of medical services and procedures based on clinical documentation and criteria.
- Referred cases to secondary review for failure to meet criteria.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Utilized evidence-based guidelines to support utilization review decisions and recommendations.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
LTAC RN
Select Specialty Hospital
Nashville, TN
01.2008 - 03.2009
- Provide care for Long Term Acute Care for critically ill patients that are Ventilator Dependent and continue to have serious medical problems requiring more acute medical care for an extended period of time, usually 20 to 30 days after discharging from a traditional hospital ICU.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
Perioperative Nurse
US Department of Veterans Affairs
Nashville, TN
02.1998 - 12.2007
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Provided direct care for patients undergoing surgery in the O.R. by acting as a scrub nurse or circulator specializing in orthopedics, cardiovascular, ENT, plastic, general, neuro, and urology surgeries.
Perioperative Nurse
Vanderbilt University
Nashville, TN
08.1989 - 01.1998
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Provided direct care for patients undergoing surgery in the O.R. by assisting the operating room surgeons as a scrub nurse or circulator specializing in orthopedics, cardiovascular, ENT, plastic, general, neuro, and urology surgeries.
Education
ASN - Nursing
Tennessee State University
Nashville, TN12.1989
L.P.N. -
Triton College
River Grove, IL12.1984
Skills
- Critical care nursing
- Utilization review
- Hospice and palliative care
- Nursing assessments
- Acute and rehabilitative care
- ICD-9 forms
Certification
- RN License
- BLS Certification
References
References available upon request.
Timeline
RN Staff Nurse
NHC Westmeade Health and Rehab Center
01.2025 - Current
Case Manager/Utilization Review
Life Care Centers of America
03.2024 - 11.2024
Utilization Review Nurse
Nashville General Hospital
06.2023 - 02.2024
Utilization Review Coordinator
Corizon Correctional Medical Services
09.2019 - 05.2023
Utilization Review Nurse
Mynexus
09.2016 - 08.2019
Contract Nurse
Consolidated Medical Staffing
03.2009 - 09.2019
LTAC RN
Select Specialty Hospital
01.2008 - 03.2009
Perioperative Nurse
US Department of Veterans Affairs
02.1998 - 12.2007
Perioperative Nurse
Vanderbilt University
08.1989 - 01.1998
ASN - Nursing
Tennessee State University
L.P.N. -
Triton College
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