Shiny Joseph

*** ********** **,

Kennedale, TX **060

Tele# 469-***-**** (cell)

ad08rl@r.postjobfree.com

CAREER OBJECTIVE

•Registered Nurse over 25 years of dedicated service and practical knowledge, seeking an opportunity to be a part of an innovative system.

•Current experience in the area of Prior Authorization for outpatient surgical services as a Travel Nurse.

•Highly motivated and experienced candidate with professional and cultural exposure to the working environments in India and the United States.

•Highly proficient in learning and absorbing new professional skills and etiquette, maintaining professional and personal relationships of high caliber with patients and medical personnel.

•Proven record of reliability and responsibility, with multiple honors such as the Nurse of the Year 2015 Henry Award, and multiple Daisy Awards from CARDIOLOGY unit.

•Extensive supervisory experiencing, serving as the Charge Nurse and preceptor of the 32-bed Cardiac telemetry Unit, of the Henry Ford Hospital, Detroit, MI.

•Culturally competent, with proficient knowledge in multiple languages.

EXPERIENCE AND EMPLOYMENT PROFILE

1.Work as Utilization review Nurse at AmerihealthCaritas health care from 2023 Jan till date Reviewing concurrent and retrospective cases for IP,OP,SNF and Long term care.

2.Travel Nurse-Prior Authorization and Triage at Medely Nursing Agency from 2022 Jan to 2023 Jan.. Pre-authorizations and reviews with a variety of cases which includes general surgeries, orthopedics, pediatrics, pain management procedures, GI LAB, colonoscopies, EGD, GI surgeries, and cardiovascular surgeries. As a prior authorization nurse, reviewed authorization requests in a timely manner and ensured the requests met national standards and contractual requirements. Concurrent and retrospective review for outpatient procedures, Durable medical equipment's, and home health referrals. Experience in ICD 10 coding.

3.Eclipse Surgical Centre in Euless (Prior Authorization and review, triaging and PACU) from 2018 to 2022. As a prior authorization nurse reviewed authorization requests and promoted the quality and cost effectiveness of patient care using clinical acumen. Also prepared documentation, performed audits of patient records, and assisted with leadership as needed. Active roles in training new employees and collaboration with medical team.

4.VA North Texas health system from Feb 2016 to Feb 2018 worked in cardiac telemetry and GI Lab.

5.Registered Nurse Cardiac telemetry - Henry Ford Hospital, Detroit from May 2007 to Feb 2016.

6.Registered Nurse intensive care unit - Santi Hospital, India from Feb 2000 to Nov 2006.

7.Registered Nurse Intensive Care Unit - Bombay Hospital & Medical Research Center, India from September 1991 to November 1993, and September 1996 to Jan 2000.

8.Registered Nurse Intensive Care Unit - P.D. Hinduja National Hospital, India from May 1994 to August 1996.

JOB EXPERIENCE

Outpatient Surgery-Travel Nurse

Pre-Authorization for Outpatient procedures, DMEs, Home Health Referrals. Triaging, Chart audit, and training new employees.

Cardiac Telemetry

Very proficient nursing knowledge in managing patients on telemetry monitoring after cardiac catheterization, PCI and Stent Placement, Cardiac arrhythmias, patients after pacemaker placements, TAVR, POST heart transplant, CABG etc. Patients with chest tubes and accordion drain, critical drips management. EKG interpretation and telemetry monitoring.

GI LAB

Management of patient with moderate sedation, assisting endoscopic procedures. Give education to the veteran on colonoscopy and prepare for the procedure.

EQUIPMENT EXPERIENCE

Ventilator, Defibrillator, Cardiac Monitor, External pacemaker, ECG Machine, ABG & ACT Machine, pulse ox meter, Suction apparatus, Nebulizer, Ambu Bag, Glucometer, Infusion and Syringe pump, other patient care equipment's.

EDUCATIONAL QUALIFICATION

•Associate Degree in Nursing RN.

•Passed the Higher Secondary School Board of Public Examination, Kerala in March 1986.

•Passed Pre- Degree from The M.G. University of Kerala in 1988.

CREDENTIAL AND LICENSES

•Registered nurse in the state of Texas.

•ACLS & BLS.

•Continuing educations.

•Life Membership-Trained Nurses Association of India.

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