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Click here or scroll down to respond to this candidateCandidate's Name , RNStreet Address
PHONE NUMBER AVAILABLE EMAIL AVAILABLEEducation Ohio University Bachelor Degree of Applied Science in Nursing August 2012-August 2014 Kent State University Associate Degree of Applied Science in Nursing August 2005-May 2008ExperienceCVS HEALTH AUGUST 2019-PRESENT Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management process Gather clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgement to render determination/recommendation along the continuum of care Identifies members for referral opportunities to integrate with other products, services and programs Identifies opportunities to promote effectiveness of healthcare services and benefit utilization Consults lends expertise to the other internal and external constituents Completes Pre-Cert and post acute concurrent reviews. Reviews acute inpatient criteria using MCG.LAKE HEALTH SYSTEM JULY 2018-AUGUST 2019 Utilization Review/Gatekeeping Care Coordination assisting with discharge planning Reviewed clinical documentations to determine requirements of inpatient or observation status utilizing MCG and Interqual. Monitored length of stay while collaborating with physicians and case managers LAKE HEALTH SYSTEM AUSUST 2008-JULY 2018 Staff nurse for 32-bed Medical Surgical Telemetry unit Acted in Charge Nurse role managing unit throughout in collaboration with other units, facilitate teamwork and prioritization of patient care needs, act as resource for nursing and administrative staff Provided training to new employees to foster professional growth and development and assure the highest level of patient care. Worked collaboratively with interdisciplinary healthcare team members to plan a safe discharge and to optimize patient care outcomes UNIVERSITY HOSPITAL SYSTEM MARCH 2012-JANUARY 2010 Transcribed physician dictations Worked independently from home in a timely manner to maintain compliance with Ohio regulatory standards2 |
