Registered Nurse Medical
Resume:
Kyla S. U’Ren, RN
Las Vegas, NV 89113
**********@*****.***
My objective is to use my education and skills to provide quality, patient centered care for a
healthcare organization as a Registered Nurse.
Objective
Direct care of patients
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Educated patients for home care and discharge planning
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Skills
Operated and maintained monitors of bio medical equipment
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Medical terminology and medication administration skills
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Maintained sterile fields and application of dressings
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Catheter, IV, and suctioning training
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Charting and documentation of patient care, Acute and chronic care experience
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ACLS and BLS certified.
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Completion of an AACN IMC program
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Utilization Management skills, experience with Miliman Care Guidelines, CMS coverage
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determinations, as well as commercial medical coverage policies.
Education
College of Southern Nevada
Graduated the ADN program December 16th, 2010
Graduated with GPA 3.36
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Kyla S. U’Ren, RN
I have several years of customer service, computer technology, and patient care experience in the
Healthcare field. I have completed an Intermediate Care RN course, and hold current BLS and ACLS
Experience
certifications, and have Utilization Review experience. I am proficient in medical terminology and I
have computer experience through my past and present jobs as well as home use. I am familiar with
Microsoft Office, Word, Works and various applications. I type approximately 50 wpm. I believe in
team work and work well with others. I am looking forward to new learning experiences during my
career as a Registered Nurse.
WORK HISTORY
11/2011 Present Healthcare Partners of Nevada 702-***-****
RN Utilization Management
In this position, I am responsible to review, verify and process requests for diagnostic testing,
inpatient admissions, outpatient procedures/testing, home health care, pharmacy pre authorization
and DME as applicable, and cover Prior authorization phone lines. As a prior authorization UM
nurse, I review prior authorization requests for medical appropriateness by using established clinical
protocols to determine the medical necessity of the request. I utilize Milliman Care Guidelines,
CMS, plan specific coverage policies and collaborate with members of the management team and
the Medical Director in determining medical necessity of service, level of care, length of stay and
general appropriateness of care in the most cost effective, quality setting. My main responsibility
was determining medical appropriateness for home healthcare for our members and working
closely with the care management team to promote positive outcomes for our patients. I also
performed Medical Claims Reviews for our claims department to review denied claims for medical
necessity in coordination with our Medical Director.
2/2011 11/2011 Summerlin Hospital Medical Center 702-***-**** Registered Nurse II
IMC
Responsible for providing patient care based upon the nursing process; being effectively involved
with maintaining the standard of care for assigned patients through assessment, planning,
implementation and evaluation. Primary patient population is post open heart patients, cath lab,
and other cardiac related diagnoses.
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Kyla S. U’Ren, RN
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