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Click here or scroll down to respond to this candidate Candidate's Name RN, BSN
PHONE NUMBER AVAILABLE EMAIL AVAILABLE
Summary: Dedicated Compact State Licensed Registered Nurse (RN) with an extensive clinical
background and recently obtained Utilization Review experience with Remote Learning Services. My
extensive clinical background has given me the foundation needed in utilization review and case
management by using my knowledge through experiences in both acute and chronic care environments.
Known as a patient advocate and a team player I believe in empowering patients by delivering health
education and nursing care that enhances wellness and quality of life.
Skills
Utilization Review Case Management
Primary/Family Practice Retrospective Reviews
Medical/Surgical Concurrent Reviews
Dialysis, ICU, ER Attention to Detail
Home Health/Hospice EMR/EHR: Meditech/Epic
Rehabilitation/Geriatrics Excellent Time Management
Admissions/Assessments Discharge Planning/DME
Appeals/Denials/Auths Nursing Leadership/Mentor
Medicare/Medicaid -CMS Microsoft Office/Excel
Knowledge of Claims/Billing Motivational Interviewing
Employment:
RN/Staff, Dialysis 9/2022 - Present
DaVita Dialysis Athens, Ohio
Educated clients, patients, and caregivers on medical diagnoses and treatment options.
Worked collaboratively with an interdisciplinary team to provide patient-centered care.
Displayed effective communication skills in initiating therapeutic relationships with patients.
Managed health problems for adults and the elderly by continuously fostering improvement.
RN/Care Coordinator, Care Manager 7/2019 8/2022
Muskingum Valley Health Centers (MVHC) Zanesville, Ohio
Assured quality of care by establishing good rapport with patients and families.
Demonstrated exceptional capacity to multitask and manage competing priorities with ease.
Provide excellent customer service and comply with HIPAA confidentiality.
Assisted in the wellness coaching of preventative health options to patients/families.
RN/Hospital Liaison 8/2017 8/2019
Alternate Solutions/Home Health Zanesville, Ohio
Review charts and interpret health records while submitting data as ordered.
Educated clients, patients, and caregivers on services available on discharge.
Responsible for discharge planning duties with Home Health Service ordering at discharge.
RN/Case Manager - Visiting Nurse 6/2016 9/2017
Interim Home Health - Zanesville, Ohio
Collaborated with healthcare teams and social workers to develop and execute treatment plans.
Instructed members and families on compliance with care plans, office visits, and medication
adherence to manage the chronic disease effectively.
RN/Utilization Review Nurse 3/2014 5/2016
Quality Care Partners (QCP) Zanesville, Ohio
Remote client management via telephone, email, and online chat service.
Practice effective customer service, electronic data entry and time management skills.
RN/Staff, ER, ICU, House Float 7/2007 4/2014
Marietta Health Systems Marietta, Ohio
Assured quality of care by establishing good rapport with patients, family, and hospital staff.
Managed and treated health problems, ranging from common to serious, chronic, and complex
from infants to the elderly by continuously fostering improvement.
Professional Education:
Utilization Review-101, Certificate of Completion - Feb, 2024
Remote Learning Services, LLC, taught by Marie Peppers LPN and Judy Clarke, RN
Ohio University Bachelors of Science (Nursing) Athens, Ohio 2012
Ohio University Associates Degree in Nursing Zanesville, Ohio - 2006
License: Registered Nurse, RN, Ohio Compact, Current RN.328901
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