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Title Mental Health Utilization Management
Target Location US-NC-Sanford
Email Available with paid plan
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Candidate's Name
Street Address  Autumn Valley DriveSanford, NC Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfessional SummaryOver thirty-two years of professional experience as a Licensed Practical Nurse and five years as a certified nursing assistant skilled in acute, surgical, behavioral health, home care and Utilization management and review.Easily trained, flexible, and work well with team members and accountable with excellent organizational and communication skills.Dealt with several types of patients with mental health problems/behavioural health problems having anxiety, depression, bipolar, suicidal thoughts, alcohol, and substance abuse.Having advanced knowledge of the assessment, diagnosis, and treatment of psychiatric disorders that helps provide specialized care.Done Utilization management through utilization review, risk management, quality assurance into management in order to ensure the judicious use of the facility's resources, and high-quality patient care. Conducted chart reviews, inpatient, scheduled appointments, and edited charts regularly for better recovery.Scheduled and assigned duties for nursing assistants for goals to be completed and counselled 4-8 nursing assistant on a team.Handled admission, discharges, daily charting via electronic computer system.Attained MHA degree and looking forward to working with the decision makers in the healthcare system. Completing this degree gives me the opportunity to a vast new structure of experience, graduating with a 4.0 GPA, and inducted into the Delta Epsilon Tau National Honor Society. I am delighted to work with a group of dynamic individuals that will enhance my skills in the administrative field.EducationMasters in Healthcare Administration Ashworth College Lacrosse, GA 2021Bachelor Applied Science, minor Psychology Campbell University Buies Creek, NCAssociate in Arts University of Maryland College Park, MarylandLicensed Practical Nurse Richmond Technical Center Richmond, VARelevant Course WorkHealth Care Human Resources ManagementInformation ManagementManaged HealthcareEthics in HealthcareHealth Care Politics and PolicySkillsEMR/EHR SystemsCernerSharePointMS OfficeWord, Excel, OutlookUtilization Management and ReviewBehavioral Health experienceProfessional ExperienceLPN (Home Healthcare)First Choice Home Care Sanford, NC May 2019  June 2023Maintained care of clients in homecare.Dealt with several patients with mental health problems/behavioural health problems such as anxiety, depression, bipolar, suicidal thoughts, and hallucinations.Followed all orders prescribed by the physician/doctors/supervisors.Have advanced knowledge of the assessment, diagnosis, and treatment of psychiatric disorders that helps provide specialized care.Assessed and evaluating patients mental health, developing treatment care plan, consulting with other health professionals about treatment plan, providing care and psychotherapy treatment, counselling sessions, maintenance of medical records, supporting and educating the patients and their family.Took care of 1-3 patients during a given time. Moving from one home to the next after care was completed and relieved by nurse or family member following report. While in the home followed the home health certification and care plan signed by the physician and reviewed by the clinical director. Once the plan of care was sent to the home I reviewed and compared with the previous plan of care for validation. Any changes from the prior plan of care I notified the clinical director for clarification and reviewed any addendums to plan of care. Followed employee handbook for care to foster quality patient care. Also, reviewed medical administration record (MAR) for corrections and compared with the previous list. Scheduled and made appointments. Accompany patients to and from appointments. Notified physician office for any changes in mental and behavioural status and message left with nurse on duty. If needed administered benzodiazepines per order. Monitor for side effects and effectiveness of medication.Responsibilities included managing assigned case load and updated the MAR and treatment sheets.Acted as an advocate between team member, family, and healthcare providers related to home health plan of care.Effectively utilize excellent communication skills through physicians, case managers, and other utilization management team.Assessed and evaluated patients mental health developed from the treatment care of plan. Consulted with other health professional concerning treatment in providing quality care for psychotherapy treatment.Provided maintenance of MARs, educated patient, and family members.Supported, counselled patient, and family members relate to home health plan of care.Done Utilization management through utilization review, quality assurance management in order to ensure the judicious use of the facility's resources and high-quality care, chart reviews, scheduling appointments, and edited charts regularly for better recovery.Maintained proper operating of Trilogy 100 and Trilogy Evo ventilator with quadriplegia client, change tubing, and maintenance of equipment.Received verbal orders from physicians and transcribe to quick memos per facility policy.Over two and half years experienced with Trilogy 100 ventilator.Administered medications by mouth, intravenous, intramuscular, intravenous via PICC line, nebulizing treatment, ear, and eye drops.Administered medication, prepared charts for administration, and reviewing charts for better recovery.Obtained urine and sputum specimens.Performing ROM exercises daily.Assisted in transferring paraplegia clients using proper body mechanics via bed, chair, and commode.Performed vital signs such as temperature, respirations, pulse, and blood pressure.Obtained and maintained oxygen saturations.Cared for the maintenance of oxygen tank and equipment.Maintained care of Foley and supra pubic catheters, observed for signs & symptoms of infection, and reported to clinical director.Obtained a daily finger stick and covered with sliding scale insulin.Maintained and change wound dressing daily.Managed patient with a tracheotomy, i.e., suction and dressing changes.Managed g-tube, proper placement, dressing changes, and administered tube feedings.Daily monitored patients for risk of harm to self or others and documented. Document signs and symptoms of hallucination and suicidal ideation. Reported to clinical director any changes in patients behaviour.Any abnormalities reported to RN (clinical director).LPN (Travel Nursing)Favorite Healthcare Staffing April 2019  June 2019Worked in long-term care, retirement community facilities, and Alzheimers unit.Administered medication to mental health problem patients with anxiety, depression, bipolar, suicidal thoughts, and Alzheimers disease.Worked under supervision of RNs. Followed physicians orders and prescription religiously and reported directly to supervisors.Monitored children with psychology and eating disorders.Monitored patients with alcohol and substance abuse.Done Utilization management through utilization review, quality assurance management in order to ensure the judicious use of the facility's resources and high-quality care, chart reviews, inpatient, scheduling appointments, and edited charts regularly for better recovery.Charted and recorded all patient care in SharePoint, EMR/EHR. Received verbal and electronic orders.Assisted physicians with rounding on patients and placed new orders in electronic system.Maintained intravenous fluids, i.e., insertion, checked for infection, and infiltration. Treatment protocol performed for any complications.Performed phlebotomy duties for laboratory, analysis with proper tube, labelling, and refrigerator until laboratory courier picks up.Prepared and administered rectal, by mouth, subcutaneous, intravenous, and intramuscular medication, i.e., observed for any adverse reaction and report findings.Changed wound dressings daily. Administered Flu, TB, and T-DAP, and Pneumonia shots.Cared for patients on isolation such as droplet, contact, and airborne.Obtained vital signs such as temperature, pulse, respiration, blood pressure and report any abnormalities to RN.Finger sticks performed on diabetic patients and followed sliding scale insulin per order.Maintained communication for socialization skills.Scheduled and confirmed appointments.Worked conducting a blood pressure study for patients at risk to foster electronic devices to monitor heart rate and blood pressure.Charted CIWA protocol for behaviour, medication, and treated per physician order.Attended designated interdisciplinary sessions with staff for patients in short and long-term goalsPerformed admission suicide risk assessment search with chaperon of items for potential harm to self or others.Participated in the decisions with interdisciplinary team for management of medical, mental, and behaviour health patients.Any abnormalities reported to RN (charge nurse).LPN (Med-Surg)Central Carolina Hospital, Sanford, NC January 2019  March 2019Dealt with mental health patients having anxiety, suicidal thoughts, bipolar, depression, and hallucination.Administered medicines, prepared charts, and reviewed them properly.Monitored adult patients with psychology disorders and charted per hospital protocol.Handled UM/Utilization management. Collected, reviewed, audited, extracted data from patient charts related to medical, mental, and behaviour health disorders.Done Utilization management through utilization review, quality assurance management in order to ensure the judicious use of the facility's resources and high-quality care, chart reviews, inpatient, scheduling appointments, and edited charts regularly for better recovery.Charted in Cerner EMR/EHR for CIWA protocol.Participated in the decisions with interdisciplinary team for management of mental and behaviour health patients.Assisted in IV set-ups: validate solution to be regulated, analyze infusion site, kept track of IV function, patient comfort, and terminated IV at an appropriate time as ordered by MD.Worked under supervision of RNs. Followed physicians orders and prescription religiously, and reported directly to supervisors.Discharged patients according to discharge instructions per physicians orders.Monitoring patient vital signs such as respiration, temperature, blood pressure, heart rate, and overall condition.Admitted, obtained patient history, and document information into Cerner EMR/EHR.Assisted with tests or procedures.Provided personal care, such as helped with bathing and toileting.Assembled equipment such as gastrostomy tubes, catheters, and oxygen supplies.Performed wound care for several different types of wounds and dressing changes.Administered medication by mouth, IV, IM, rectal, and Z-track per order.Monitored, started, and discontinued intravenous catheters and intravenous fluids.Conducted one to one suicide watch and documented behaviour per hospital protocolAny abnormalities reported to RN (charge nurse).LPN (ED)Central Carolina Hospital, Sanford, NC October 2018  January 2019Dealt with mental health patients (anxiety, bipolar, depressive and suicidal thoughts), administered medicines, prepared charts, and reviewed them properly.Participated in the decisions with interdisciplinary team for management of medical, mental, and behavioural health patients.Psychotherapy treatments and procedures performed per physician order on a case by case basis.Kept patients and family members updated on test results or treatment per physicians.Monitored patient's with psychology disorders.Maintained contact with laboratory personnel to report any initial lab findings back to the E.R physicians.Planned for patients admission per physicians order.Done Utilization management through utilization review, quality assurance management in order to ensure the judicious use of the facility's resources and high-quality care, chart reviews, inpatient, scheduling appointments, and edited charts regularly for better recovery.Charted in Cerner EMR/EHR for CIWA protocol per physician order.Handled patient care after RN initial patient assessments, performing laboratory work, and assisted physicians with procedures.Monitored patient and documented results in Cerner EMR/EHR.Monitored blood pressure, pulse rate, respiration, and temperature over the course of a patients stay in the E.R.Administered medications via IM, IV, IV push, by mouth, started IVs. Performed laboratory analysis, such as drawing blood, swabbed throats and eye/throat/nasal, and wound cultures.Administered immunizations to patients. Collected specimens per physicians orders.Performed patient procedures or treatments, such as electrocardiograms, wound changes, ear irrigations, glucose finger, urine dipsticks, insertion and removal of catheters, and visual acuity tests.Any abnormalities reported to RN (charge nurse) and physician.Maintained intravenous fluids, i.e., insertion, removal, checked for infection, and infiltration.Conducted one to one suicide watch and documented behaviour per hospital protocol.LPN (Med-Surg)Central Carolina Hospital, Sanford, NC February 2018  October 2018Assumed care for unconscious and coma patients, i.e., bathing, dressing, safety precautions, and proper positioning in bed.Managed patients with mental health problems; anxiety, bipolar, depression, suicidal thoughts, and substance abuse. Proper treatment and procedure performed per physician order.Charted CIWA protocol for behaviour per physician orders in EMR/EHR.Conducted one to one suicide watch and documented per hospital protocol.Handled UM/Utilization management. Collected, reviewed, audited, extracted data from patient charts related to medical, mental, and behaviour health disorders.Prepared charts and reviewed them properly.Done Utilization management through chart reviews and edited charts regularly for high quality patient care.Participated in the decisions with interdisciplinary team for management of medical, mental, and behaviour health patients.Performed tracheotomy care, i.e., suction and dressing changes.Managed patients with chest tubes, i.e., watched for proper function of the tube.Monitor patients daily and documented results in Cerner EMR/EHR.Maintained orders received by physician via Cerner EMR/EHR, i.e., laboratory work, test, diet changes, medication, discharges, and dressing changes.Transported patients via wheelchair, stretcher, and bed.Assisted in ambulating patients for test and procedures.Monitored care of cast patients, i.e., elevated cast on the pillow and appropriate handling of the cast.Checked extremities for circulatory changes, i.e., pain, swelling, numbness, peripheral pulses, and discoloration of the skin.Managed patients with skin traction, i.e., proper weight, elevation, site care, checked site for signs, and symptoms of infection.Trained patient for proper usage of an incentive spirometer and insulin shot.Prepared and administered douches.Administered medications via IM, IV, IV push, and by mouth.Conducted one to one suicide watch and documented behaviour per hospital protocolAny abnormalities reported to RN (charge nurse).LPN (Travel nursing)Favorite Healthcare Staffing May 2017  October 2018Worked in long-term care, retirement community facilities, Alzheimers unit, and behavioural health unit.Handled utilization management. Collected, reviewed, audited, extracted data from patient charts related to medical and mental health disorders.Done Utilization management through chart reviews, inpatient scheduling, and edited charts regularly for high quality patient care.Participated in the decisions with interdisciplinary team for management of mental and behaviour health patients.Charted CIWA protocol for behaviour per physician orders in EMR/HER.Chart and record all patient care in SharePoint, EMR/EHR and received verbal and electronic orders.Assisted physicians with rounding on residents and place new orders in electronic system.Maintained intravenous fluids, i.e., insertion, removal, checked for infection, and infiltration.Collected specimens for laboratory analysis with proper tube, labelling, and refrigerator until laboratory courier picks up.Prepared and administered rectal, by mouth, subcutaneous, intravenous, and intramuscular medication, i.e., observed for any adverse reaction and report findings.Administered ear and eye drops per order.Applied creams to dermatology areas per order.Changed wound dressings daily.Administered Flu, TB, T-DAP, and Pneumonia shots.Collected urine, stool, blood, and wound specimens.Cared for patients on isolation such as contact, airborne, or droplet.Obtained vital signs such as temperature, pulse, respiration, blood pressure and report any abnormalities to RN.Finger sticks performed on diabetic patients and followed sliding scale insulin per order.Maintained communication for socialization skills.Scheduled and confirm appointments.Maintained the daily operation of a cardiac life vest.Any abnormalities reported to RN (charge nurse).LPN (Quality Improvement)Central Carolina Hospital, Sanford, NC October 2017  February 2018Under the direction of quality management director, planned and organized quality measures for GWTG for stroke and CHF.Conducted ongoing evaluation of the validity and reliability of quality improvement measures.Handled UM/utilization management. Collected, reviewed, audited, and extracted data from patient charts related to core measures; such as Chest pain, heart failure and stroke for high quality patient care.Transferred data to QI tools in the appropriate sections.Evaluated audit findings and implement appropriate corrective actions.Displayed communication skills to convey information clearly, accurately, and completely.Worked efficiently in multi-tasking, time management, and in a professional manner.Transferred data to ACD tools for CHF.All results were documented in electronic computer system.Participated in the decisions with interdisciplinary team for management of patient core measures.Conducted follow up care with patients related to core measures via phone calls, scheduling appointments, transportation, diet, and medications.LPN (Med-Surg)Central Carolina Hospital, Sanford, NC April 2017  September 2017Managed patients with tracheotomies and mental health.Admitted and discharged patients per physicians orders.Conducted one to one suicide watch and documented behaviour per hospital protocol.Monitored adult patients with psychology disorders that include anxiety, depression, suicide ideation, alcohol, and substance abuse.Participated in the decisions with interdisciplinary team for management of medical, mental, and behaviour health patients.Chart CIWA in EHR/EMR per hospital policy.Handled UM/Utilization management. Collected, reviewed, audited, extracted data from patient charts related to medical and mental health disorders.Done Utilization management through chart reviews, inpatient scheduling, and edited charts regularly for high quality patient care.Managed patients with chest tubes, i.e., watched for proper function of the tube and documentation.Assessed patients daily and documented results in EMR/HER.Maintained orders received from EMR/EHR, i.e., laboratory work, test, diet changes, medication, discharges, and dressing changes.Transported patients via wheelchair, stretcher, and bed.Assumed care for unconscious and coma patients, i.e., bathing, dressing, safety precautions, and proper positioning in bed.Planned care for cast patients, i.e., elevated cast on the pillow and appropriate handling of the cast.Checked extremities for circulatory changes, i.e., pain, swelling, numbness, peripheral pulses, and discoloration of the skin.Managed patient with skin traction, i.e., proper weight, elevation, site care, checked site for signs, and symptoms of infection.Trained patient for proper usage of an incentive spirometer and insulin shot.Maintained intravenous fluids, i.e., insertion, removal, checked for infection, and infiltrationConducted one to one suicide watch and documented behaviour per hospital protocolAny abnormalities reported to RN (charge nurse).LPN (Quality Improvement)Central Carolina Hospital, Sanford, NC February 2017  April 2017Under the direction from excellence coordinator, planned, and organized quality measures for GWTG for stroke and CHF.Handled UM/utilization management. Collected, reviewed, audited, and extracted data from patient charts related to core measures; such as Chest pain, heart failure and stroke for high quality patient care.Conducted ongoing evaluation of the validity and reliability of quality improvement measures.Transferred data to QI tools in the appropriate sections.Evaluated audit findings and implement appropriate corrective actions.Displayed communication skills to convey information clearly, accurately, and completely.Worked efficiently in multi-tasking, time management, and a professional manner.Transferred data to ACD tools for CHFAll results were documented in an electronic computer system.Participated in the decisions with interdisciplinary team for management of patient core measures.Conducted follow up care with patients related to core measures via phone calls, scheduling appointments, transportation, diet, and medications.LPN (Engineer Department)Central Carolina Hospital, Sanford, NC December 2016  February 2017Worked in the engineering department answering phones and transferring calls.Received calls daily for maintenance issues for the hospital.Called staff on walkie talkie for related issues needing to be fix and documented issue daily in engineer log binder.Documented in computer, print sheets, and handouts given to designated engineer staff to fix.After maintenance issues were fixed, documented work order in the computer, noted maintenance issue has been completed, and files documents according to issue.All vendors signed into engineer department and were given a badge to perform their duties and return badge when departing.Maintained all keys for the hospital in a lockbox and keys must be signed in and out of log book.Signed for all supplies and informed designated personnel supplies arrived.LPN (Employee Health/Infection Control)Central Carolina Hospital, Sanford, NC October 2016  December 2016Typed and filed confidential documents.Copied, scanned, print, and emailed documents pertaining to health and infection issues.Audited medical charts for performance improvement.Collected, reviewed, audited, and extracted data from patient charts related to patient health and infection control issues.Participated in Health Fair to educate the community on preventive and medical issues.Participated in wellness screening that included screening clients for proper identification, height, weight, performing phlebotomist laboratory work for cholesterol levels, and documented information into Excel 2010.Assisted employee health nurse with flu and TB shots.Updating infection control and employee health policies from computer and filed in designated binders.Monitored staff for proper hand hygiene/PPE, checks off compliance, and reported information to infection control nurse.Assisted infection control nurse with project for Joint Commission Fair on infection issues.For one week in charge as the infection control nurse and handled the following duties: hand hygiene, PPE check off, file CVAD/Foley Cath compliance, and check for abnormal laboratory results, document in infection control binder, and patients with positive labs was confidential report to the department of health or nursing facility.All documents confidential sent to facilities by encrypted email.Participated in the decisions with infection control nurse for management of patient infection control issues.Done Utilization management through chart reviews and edited charts regularly for high quality patient care.Under the direction of infection control nurse duties performed per her instructions and per hospital protocol.LPN (Med-Surg)Central Carolina Hospital, Sanford, NC May 2016  October 2016All orders received via EMR/EHR.Handled UM/Utilization management. Collected, reviewed, audited, and extracted data from patient charts related to medical and mental health disorders.Done Utilization management through chart reviews, inpatient scheduling, and edited charts regularly for high quality patient care.Conducted one to one suicide watch and documented behaviour per hospital protocol.Monitored and managed patients with behavioural health problems that include anxiety, depression, hallucination, bipolar, suicide ideation, alcohol and substance abuse.Charted CIWA protocol per physician order in EMR/EHR.Participated in the decisions with interdisciplinary team for management of medical, mental, and behaviour health disorders.Worked in Outpatient Surgery and performed the following duties: register patient, verify consent form signed, start IV, maintained intravenous fluids, maintain VS, and monitor care after surgery.Managed patients with chest tube, i.e., watched for proper function of the tube and report any abnormal findings to RN or physician.Discharge patients home with instruction per physician orders.Monitored adult patients with psychology and mental health problems that including anxiety, depression, bipolar patients, suicidal thoughts, and substance abuse.Rendered care for patients, i.e., dressing, bathing, brushing teeth, and feeding.Assembled meal trays and examined for proper diet.Prepared oxygen set up, i.e., placed nasal cannula, face mask on the patient, and the prescribed amount of oxygen per physician.Assembled and cared for tube feedings, i.e., skin care, check placement, type, and the amount of feeding per physician orders.Maintained care of patients in isolation, i.e., enteric, contact, and respiratory.Prepared and administered rectal, by mouth, subcutaneous, intravenous, and intramuscular medication, i.e., observed for any adverse reaction and report findings.Conducted one to one suicide watch and documented behaviour per hospital protocolAny abnormalities reported to RN (charge nurse).LPN (Admission Nurse)Central Carolina Hospital, Sanford, NC June 2015  May 2016Admitted all medical patients from ER, second, and third floor.Received direct admit patients from physician office to holding room for admission.Start IVs, administered IVF, administered medications via IM, IV, IV push, and by mouth.Monitored patient and documented results in Cerner EMR/EHR.Taught and educated patients for diabetics, CHF, and PNA with hospital brochure.Maintained patients on isolations per hospital protocol.Admission history completed and transferred patient to medical-surgical floor for further care.Participated in the decisions with interdisciplinary team for management of medical, mental, and behaviour health patients.Done Utilization management through chart reviews and edited charts regularly for high quality patient care.Any abnormalities reported to RN (charge nurse).LPN (Med-Surg)Central Carolina Hospital, Sanford, NC May 2008  June 2015Monitored patients daily and documented results in paper chart.Handled UM/Utilization management. Collected, reviewed, audited, extracted data from patient charts related to medical, mental, and behaviour health disorders.Done Utilization management through chart reviews and edited charts regularly for high quality patient care.Monitored adult patients with psychology disorders; such as depression, anxiety, bipolar and suicidal thoughts, alcohol, and substance abuse.Conducted various psychotropic treatments, psychotherapy, and treatment plans per physician ordersChart CIWA protocol per hospital policy.Participated in the decisions with interdisciplinary team for management of medical, mental and behaviour health patients.Conducted one to one suicide watch and documented per hospital policy.Assumed care for conscious and comatose patients, i.e., bathing, dressing, safety precautions, and proper positioning in bed.Planned care for cast patients, i.e., elevated cast on the pillow and appropriate handling of the cast.Checked extremities for circulatory changes, i.e., pain, swelling, numbness, peripheral pulses, and discoloration of the skin.Administer medication i.e.by mouth, IM, IV, SQ, and IV push.Urine, sputum, and stool specimens collected daily per physician orders.Monitored and used restraints for combative patients for safety precaution, i.e., assess condition, turn every 2 hours, and offered fluids.Administered Flu, TB, and Pneumococcal vaccines.Taught diabetic education, i.e., diet, exercise, and insulin shots per hospital pamphlets.Monitored for signs and symptoms of hypoglycaemia and hyperglycaemia.Cared for patients with tracheotomy, giving oxygen, suction, and dressing changes.Cared for patients with decubitus ulcers; staging, packing, and apply a sterile dressing.Used electronic scanner for medication administration in 2012.Managed patients with chest tube, i.e., watched for proper function of the tube and report any abnormal findings to RN or physician.Discharge patients home with instruction per physician orders.Started using Cerner EMR/EHR in 2012.Conducted one to one suicide watch and documented behaviour per hospital protocolAny abnormalities reported to RN (

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