Maurica Treat MSN, RN

OSAGE BEACH, MO.

808-***-****

ad4bn1@r.postjobfree.com

RN Clinical Utilization/Case Manager Nurse Professional Profile Knowledgeable and resourceful Registered Nurse with more than 30 years of service in the healthcare industry including expertise in the areas of didactic and clinical instruction, administrative leadership, and direct patient care. Maintains a proven track record of working with staff and utilization review nurses from various insurance companies to develop and refine skills needed to successfully serve as instrumental members of multidisciplinary patient care teams. Motivated and detail oriented leader with the ability to critically examine patient’s medical records, and closely monitor the appropriateness of healthcare expenditures. Ability to rely on experience, advanced degree in nursing, and awareness to detail to review appropriate criteria to gather an accurate account of the patient’s clinical condition. Experienced performing frequent case reviews, checking medical records for numerous insurance carriers., and ensuring patients are receiving the treatments they are eligible to receive. Eager to build upon prior professional experiences paired with training and credentials to serve in a dynamic, challenging, and rewarding role as an Utilization Review Registered Nurse role.

Areas of Training and Experience Include:

Experienced Utilization Review Nurse

Online and Face-to-Face Review

Strategies

Pediatric, NICU & Nursery Experience

Proven Nurse Leader as a

Nurse Educator

Clinical & Administrative

Leadership

Patient Clinical Review,

Assessment & Evaluation

Patient Education,Safety &

Advocacy

Regulatory Compliance

Requirements

Electronic Medical Record

Platforms

EDUCATION & CERTIFICATIONS

Masters in Nursing Education, Grand Canyon University, Phoenix, AZ Bachelor of Science in Nursing, Chamberlain College of Nursing, St. Louis, MO Chamberlain’s Honor Society Inductee

Associate of Applied Science in Nursing, Tulsa Community College, Tulsa, OK Oklahoma State Board of Nursing, Compact Registered Nurse License, (Current) Arkansas State Board of Nursing, Registered Nurse License, (Current) American Heart Association, ACLS Certification, (Current) American Heart Association, BLS Instructor Certification, (Current) NURSING EDUCATION EXPERIENCES

Lake Regional Hospital-Osage Beach, Osage Beach, Mo 2022-Present Dual Role encompassing Case Management/ Utilization Review Review Electronic Health Records for complex claims for our patients. Work closely with Medicaid, Medicare, Veterans Administration, Out- of- State Medicaid, and a diverse amount of private insurances . Alos, responsible for ensuring clinical information is submitted accurately and in a timely manner to ensure complete payment to the hospital. Adhere to absolute HIPPA guidelines regarding pt’s PHI. Ability to communicate to individual Utilization review nurses from numerous insurance companies professionally and appropriately regarding patients current clinical status when necessary for review. Work closely with patients and patients' families to ensure safe discharge planning has been implemented before patients discharge to home or another care facility. Utilize nursing expertise to ensure patients needs are met while in our facility and assist them with planning for a safe discharge. ICTC – MUSKOGEE, Muskogee, OK 2020 – April 2022

Lead Clinical Instructor for Health Careers Certification Program, Lecturer & Clinical Instructor: Core Curriculum, Sim. Lab Instructor

Cultivate and maintain an inclusive and supportive learning environment that meets the unique needs of students pursuing postsecondary training in the health professions. Foster the development of strong communication, critical thinking, and collaborative skills empowering students to successfully work side by side with multidisciplinary healthcare providers in diverse clinical settings upon graduation. Deliver course content in the areas of Medical Terminology, Human Anatomy and Physiology to high school students, as needed. Consistently provide timely and constructive feedback to all learners on their performance to support ongoing growth and professional development. Ensure that all instruction delivered is in alignment with established objectives as outlined by the college and its accreditors.

Successfully led students to develop strong content knowledge as demonstrated through the 99% passage rate on certification exams.

CARL ALBERT STATE COLLEGE, Sallisaw, OK 2012 – 2017 & 2018 – 2020 Course Coordinator: Core Curriculum Classes, Instructor, and Lab Manager Served in a dual capacity as Course Coordinator and Lab Manager tasked with the delivery of didactic and clinical instruction for cohorts of 35 to 70 nursing students fostering skill development in the areas of Nursing Fundamentals, Ethics, Nursing Processes, Medical-Surgical Care, Neonatal Intensive Care, and Pediatrics. Modeled the incorporation of compassionate care for diverse populations while remaining cognizant of patients' preferences, values, and needs. Leveraged partnerships with interdisciplinary colleagues to assist students in optimizing patient outcomes while maintaining the highest emphasis of safety for all individuals on the units. Demonstrated proper utilization of Nursing Informatics systems to aid each student in refining their technology skills and both effectively and efficiently managing their time. Crafted all laboratory simulation instructions and medical-nursing scenarios; monitored a team of faculty members with the responsibility for content delivery. Educated faculty on the proper usage of simulation equipment and consistently ensured fully functioning machines to support uninterrupted and quality instruction. Rendered lecture based instruction, as needed, in online and face to face settings, for traditional nursing, concurrent, and general studies students in the areas of Medical Terminology and Nutrition.

Recognized as a member of the faculty responsible for helping to maintain the top passing rate on the NCLEX exam across the entire state of Oklahoma.

TULSA COMMUNITY COLLEGE, Tulsa, OK 2017 – 2018

Lead Instructor: RN Program – Career Mobility Track LPN/Paramedic to RN Facilitated the transfer of knowledge, fostering of collaborative skills, and focus on critical thinking and systematic observation while delivering a concept based curriculum to LPNs and Paramedics transitioning into the role of a Registered Nurse. Directed, managed, and evaluated the student’s development of nursing techniques while placing an emphasis on evidence based practice and patient centered care approaches. Supervised students in the clinical environment; provided guidance and direct support, as needed, to promote application of best practices and safe, quality care.

Empower students taking the PN-CLEX exam to achieve a 99% passing rate. CLINICAL NURSING EXPERIENCES

BAPTIST HEALTH, Van Buren, AR 2019 – 2020

House Supervisor

Leveraged healthcare leadership and patient care expertise to oversee all departments throughout a 103-bed acute care facility. Oversaw the day-to-day administrative and clinical functions in the absence of unit management. Ensuring adequate staffing coverage to meet the needs of patients while maintaining productivity and upholding the mission, vision, and values of the organization. Promoted a patient-centered environment by proactively responding to complex concerns and complaints and implementing resolutions that drove improved organizational operations.

Ensured daily project/department milestones and goals were met. Adhered to approved budgets for each department. Acted as liaison between administration and staff to maintain open communication to increase collaboration for an optimally functioning organization. Assisted with increasing the hospital’s safety by assisting the hospital with developing strategies to meet mandated standards in the industry. WEST HOUSTON MEDICAL CENTER, Houston, TX

Registered Nurse: NICU/Nursery

2011 – 2012

Successfully employed the full scope of the nursing process during and after deliveries by providing immediate, intermediate and intensive care for 1 to 4 critical infants, per shift. Obtained and reviewed health assessments and collaborated with physicians, in addition to ancillary professionals, to administer lifesaving treatments and highly skilled procedures to maximize the potential of a full, timely recovery. Observed all responses to care to determine efficacy and modified plans, as appropriate, to further improve patient outcomes. Created a welcoming and caring environment for neonates and their families offering encouragement and support for those navigating complex, critical health conditions. Completed and submitted thorough clinical notations to the patient’s medical record in congruence with local, state, and federal healthcare regulations.

UTMB ACCESS CENTER, Galveston, TX 2009 – 2011

Triage RN/Telemedicine

Evaluated patient healthcare needs via telemedicine interactions. Consulted and conferred with multidisciplinary healthcare providers to formulate individualized care plans and adjudicate dispositions on the basis of acuity and stability. Maintained and secured complete, accurate, confidential records of all patient interactions in compliance with rigorous standards for professional practice.

Contributed to an organizational growth initiative, as an active member of patient education and procedural committees; played a pivotal role in implementing preceptor duties that supported new nurses in honing their skills in time management, crisis intervention, and the ability to apply lifesaving interventions across multidisciplinary units.

Improved the delivery of evidence based care to diverse patient populations through active engagement with

Quality Improvement Committee for Telehealth Medicine for UTMB

Lead research project for decibel noise levels within the call center and their relation to employee health concerns for call center employees

Authored new policies and guidelines to further enhance the quality of employee health concerns and improve patient care.

ST. ELIZABETH HOSPITAL, Lincoln, NE 2007 – 2009

Registered Nurse: NICU/Nursery

Assessed, planned, implemented, and evaluated individualized, compassionate care for newborns and their families. Conducted initial and ongoing assessments to identify medical needs and developed care plans, in consultation with midwives and neonatologists, to optimize patient outcomes. Safely completed bedside care including ventilator management and tube feedings; experienced in proper provision of care at isolettes. Meticulously observed responses to care and initiated stabilizing interventions in the event of emergencies. Provided comfort, guidance, and support to new parents on developmental milestones, safe newborn care, feeding, and when to seek further medical assistance to reduce the potential for adverse outcomes. Charted all evaluations, provided care, interventional responses, and ongoing needs to support exceptional care across the continuum.

Additional experience as RN/Charge Nurse: NICU and Nursery with Medical Center of Lewisville and Arlington, RN/Charge Nurse: Pediatrics and NICU with Boone Hospital Center, RN with Forsyth Medical Center, RN: PACU with Mark Mathers Plastic Surgeon, and as a RN: Med-Surg with St. Francis Hospital

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