Compassionate and efficient Registered Nurse with eight years of inpatient, outpatient, and utilization management experience providing high quality health care services.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Home Health Registered Nurse
Warm Hearth at Home
11.2024 - Current
Traveled to patients' homes on daily basis to assess health conditions and provide superior level of nursing care.
Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
Provided physical assessments, medication, and chronic disease management to home health patients.
Incorporated therapeutic, rehabilitative and nursing goals into detailed, individualized care plans based on diagnoses.
Utilization Review Nurse
Sentara Health Plans
02.2022 - 11.2024
Interqual and MCG guideline experience
worked independently and manage workload
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
Performed prior authorization review of services requiring notification.
Customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
Submitted cases for criteria failures and helped facilitate resolutions and approvals.
Registered Nurse, Endoscopy
Lewis Gale
06.2019 - 10.2021
Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Implemented care plans for patient treatment after assessing physician medical regimens.
Monitored patient reactions after administering medications and IV therapies.
Equipped patients with tools and knowledge needed for speedy and sustained recovery.
Registered Nurse, PCU
Lewis Gale
06.2017 - 11.2018
Instructed and documented patient follow-up care activities to prepare for transfer or discharge.
Monitored cardiac and other critical vital signs to detect changes and enable intervention of life-threatening or emergency situations.
Conducted ongoing evaluation of patient outcomes to document success of interventions and strategies in relation to plan of care.
Administered prescribed medications, changed dressings, cleaned wounds and monitored vital signs to provide high standards of patient care.
Education
Bachelor of Science - Nursing
Radford University
Radford VA
12-2016
High School Diploma -
Parry McCluer High School
Buena Vista VS
06-2012
Skills
In-home care services
Post-surgical care
Medical office administration
Cardiac monitoring
Wound care management
Interpersonal and written communication
Electronic medical records
Medication review
Medical records management
Medicaid
Medicare
Documentation and reporting
Utilization management
HIPAA compliance
Certification
BLS, 2023, American Red Cross
ACLS, 2023, American Red Cross
Registered Nurse, 2017, Virginia Department of Education, 0001273155