Registered Nurse Medical
Resume:
Shanna Bonamarte, RN **************@*****.***
Oroville, CA 95966
OBJECTIVE
Professional RN, CM seeking permanent UR/UM/CM position within the healthcare industry. I am looking for the opportunity to grow professionally and expand my experience and knowledge while providing support for my clients in a positive working environment.
SUMMARY
Remote, telephonic, and on-site communication with physicians, case managers, patients, families/caregivers and healthcare team members.
Exceptional internal and external communication skills.
Skilled at establishing and maintaining positive and effective work relationships with co-workers, clients, members, providers and customers.
Participate in peer review quality improvements with staff members
Work independently and handle multiple projects simultaneously.
Negotiates with payers and healthcare agencies for services; identifies internal and/or external resources and refers appropriately to meet patient needs.
Manage patient care through daily case reviews and create discharge plans that help patients transition smoothly and safely to their homes or other facilities.
Arrange alternative care services; contact and maintain communication with acute long term care, acute rehabilitation, or skilled nursing facilities to move patients through the care continuum.
Utilization reviews of medical records for inpatient medical necessity for appropriate patient status (Medicare and Medicaid); ensure that the appropriate quality of care/level of care (LOC) has been determined.
InterQual system knowledge and experience with compliance and turnaround times. Proficient in Allscripts, Sorian, Nextgen and Epic computer programs.
CAREER HISTORY
Highland Hospital, Oakland CA 10/2015-6/01/2016 Utilization Review/ RN Case Management (Travel Position): Ensure appropriate level of care through comprehensive concurrent review for medical necessity of inpatient care, as well as the utilization of ancillary services, following evaluation of medical guidelines and benefit determination (Medicare, Medical). In conjunction with other members of the IDT, provide discharge planning, referrals, DME arrangements, transportation, etc.
St Vincent Hospital, Billings MT 06/2014-7/2015
Utilization Review/ RN Case Management (06/2014-08/01/2015): Utilization review of medical records for inpatient medical necessity for appropriate patient status (Medicare, Medicaid and Private Insurance). Develop, implement, and evaluate individualized patient care plans. Continuously monitors appropriateness of plan and ensures timely implementation. Advise insurance companies and health care facilities on questions of hospital admission, length of stay, imaging studies, surgeries, medications, referrals and many other treatments and procedures. In conjunction with other members of the IDT, provide discharge planning, referrals, DME arrangements, transportation, etc.
Advanced Care Hospital, Billings, MT 07/2013-06/2014 Registered Nurse/Clinical Liaison (07/2013-06/2014): Managed assigned sales territory based on data, trends, marketing needs, and facility needs. Coordinate specific marketing and public relations at conferences, seminars/in-services, advertising, media relations, and government relations. Assist Case Managers with referrals and patient transfers. Meet with patient families to ensure confidence in services and treatment. Establish the patient’s eligibility for care and provide education regarding member benefits.
Registered Nurse (10/2012-07/2013): Developed focused assessments and critical thinking skills and utilized evidence-based research to guide practice and enhance positive patient outcomes. Systematically evaluated the quality and effectiveness of nursing care and participated in individual and collective activities to improve patient care and the healthcare environment.
Billings Health and Rehabilitation, Billings, MT 01/2011-07/2013
Registered Nurse/LTC & TCU: Provided quality care for patients recovering from medical and surgical conditions. Assess for rehabilitative potential and collaborate with appropriate therapeutic modality. Conduct assessments of patients’ needs by collecting in-depth information from the patient, patient’s family/caregiver, physicians and other providers. Evaluated and documented the patient/family response to nursing care based on the plan of care and established priorities. The Transitional Care Unit was a 24 bed unit designed to treat male and female patients who have met written admission criteria for skilled nursing services.
CERTIFICATIONS/LICENSES
Registered Nurse, State of Montana, License No. 40107
Registered Nurse, State of California, License No. 95052363
BLS Certification, expires August 2018
EDUCATION
Bachelor of Science Degree in Nursing, Montana State University, Bozeman, MT 2010
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