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Registered Nurse Manager

Location:
Waco, TX, 76657
Salary:
$50,000/year
Posted:
April 15, 2013

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Resume:

Elisa R. Oliver, RN

**** *. **** **

McGregor, Texas 76657

Home: 254-***-****

**********@*****.***

Dedicated, hard-working Registered Nurse with Case Management experience and a broad range of nursing

experience in Psychiatric, Intensive Care, Pediatric and General Medical-Surgical.

Work History

April 2011 – Scott & White – Temple, Texas

June 2012 Utilization Management Nurse

Responsible for Utilization Management for a Medical -Surgical Unit within the hospital.

Also responsible to cover other units such as Oncology, Psychiatric, and Telemetry. Use

Interqual criteria to determine if a patient meets criteria for further hospitalization. If the

patient does not, the physician is contacted and plans for the patient are discussed.

Provided medical information to Insurance Companies from the patient’s medical

record. If patient’s care is denied by the Insurance Company, responsible for

coordinating with the physician to perform an appeal of the denial.

March 2007 – Superior Health Plan – Austin, TX

October 2010 Outpatient Case Manager & Discharge Planner

Coordinated discharge services and needs for managed Medicaid members, including

infants as well as adults. Reached out to members not enrolled in case management, but

would benefit from case management services. Contact ed members regarding status of

current health and review of plans. Updated needs for members with them as well as

service providers. Reviewed medical needs with other nurses and the medical director.

September 1999 – St. David’s Hospital – Austin, TX

March 2007 Case Manager for Telemetry Unit, Intermediate Care Unit and Intensive Care Unit

Performed utilization review of appropriateness of hospitalization as well as performed

discharge planning. Met with charge nurse to review medical needs of patients.

Reviewed patient care plans. Communicated with insurance companies regarding the

patient’s care. Documented diagnosis, plans and steps in discharge plan. Coordinated

services for patient’s in the community where the resided so that the patient would have

the necessary services at home upon discharge.

December 1997 – Brackenridge Hospital – Austin, TX

September 1999 Case Manager for the Intensive Care Unit

Performed case management services for one of the busiest ICU in the central Texas area.

Reviewed all ICU patients daily with Charge Nurse for the unit. Made arrangements for

each patient including transfer to another hospital if mandated by insurance, movement to

next level of care or palliative care initiation. Met with families regarding the patient’s

treatment and plan of care. Communicated with insurance companies regarding the

patient’s care.

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Elisa R. Oliver, RN

May 1995 – United Healthcare (formerly Traveler’s) – Austin, TX

November 1997 Utilization Review Nurse

Provided telephonic Utilization Review for Outpatient services for insured members.

Reviewed benefits available, requests for services and review of diagnosis.

April 1992 – Austin Diagnostic Clinic, Allergy Department – Austin, TX

April 1995 Staff Nurse

Registered Nurse for four Allergy Physicians. Administered allerg y shots, in-office IV

infusions, and nebulizer treatments. Refilled prescriptions as directed by the physician.

Provided physicians with medical information on patients. Conducted allergy testing as

requested by physician. Traveled to satellite offices with physician as needed. Provided

patient services as needed and requested. Provided patient education.

November 1990 – Traveler’s Insurance – San Antonio, TX

February 1992 Utilization Review Nurse

Provided telephonic Utilization Review, primarily Psychiatric review based on mental

health benefits available for the insured member. Made contact with insured member’s

providers and/or facilities to determine necessary for treatment. Responsible for the

geographic area of: Texas, Arkansas, Oklahoma, Kansas, and Louisiana.

September 1987 – Laurel Ridge Hospital – San Antonio, TX

October 1991 Unit Psychiatric Registered Nurse; Later promoted to Hospital Supervisor.

Unit Nurse: Provided direct Psychiatric nursing care on locked and unlocked units. Met

with therapists and psychiatrists for all patients.

Hospital Supervisor: Reviewed treatment plans for all hospital units including adult,

adolescent and children. Responsible for providing telephonic psychiatric assistance from

calls from public because of a community initiative to provide a resource for the public in

need of mental health assistance. Conducted i ntake of all admissions not performed during

routine hours as well as ensured all paperwork met laws for appropriate age group.

Coordinated admissions with nursing units and physicians.

1985 – 1987 Brown Schools – San Marcos, TX

Staff Nurse – PRN

Unit Registered Nurse for Residential Psychiatric Care for Children, Adolescents and

Adults. Dispensed medications, coordinated physician exams, reviewed psychiatric

efficacy of medications received by patient.

1982 – 1985 Austin State School – San Marcos, TX

Community Services Nurse

Coordinated health care for Adults with Mental Retardation living in the following

counties: Hays, Comal and Guadalupe.

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Elisa R. Oliver, RN

1979 – 1982 Brown Schools – San Marcos, TX

Staff Nurse

Unit Registered Nurse for Residential Psychiatric Care for Children, Adolescents and

Adults. Dispensed medications, coordinated physician exams, reviewed psychiatric

efficacy of medications received by patient.

1976 – 1979 Children’s Medical Center – Dallas, TX

Emergency Room Admissions Registered Nurse

Triaged all pediatric admissions. Assisted physicians with assessment of outpatient cases.

1974 – 1976 Parkland Hospital – Dallas, TX

Pediatric Staff Nurse

Acute Care Nurse for trauma, medical and burn care departments.

1973 – 1974 Brackenridge Hospital – Austin, TX

Pediatric Staff Nurse

Acute Care Nurse for the Pediatric Unit.

Licensure

Expires State of Texas, Registered Nurse License (Active)

August 2012

Education

1970 – 1973 Brackenridge School of Nursing – Austin, TX

Degree: Nursing Diploma

Graduated: Yes

1966 – 1970 Lockhart High School – Lockhart, TX

Education Level: High School Diploma

Graduated: Yes

Available upon request.

References

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