Post Job Free

Resume

Sign in

Review Nurse Pre Service

Location:
Cooksville, MD, 21723
Posted:
November 05, 2023

Contact this candidate

Resume:

Resume updated on: November/**/****

Brendalee R. Mendillo RN, BSN, US RN

***** ********** *****

Cooksville, MD 21723

667-***-****

CAREER OBJECTIVE

Medical professional seeking Pre-Service Review Nurse or Utilization Review Nurse position, utilizing problem solving, critical thinking and communication skills, as well as nursing background.

QUALIFICATIONS

With 10 months experience as Pre-Service Review Nurse. Able to perform clinical coverage review services, considering medical necessity clinical screenings, determine if medical necessity criteria are met for the patient, communicate with insurance companies for pre-authorization, notify physicians about insurance decisions, and document all reviews.

With 4years experience as dialysis nurse.

With exposure to medical ward as volunteer nurse

Six-months experience as private duty nurse.

Remarkable experience in dialysis therapy

Sound knowledge of nursing process to make recommendations for patient care

Ability to multi-task and work independently and make sound judgments in team environment

Ability to assist in lifting patients and equipment

Ability to provide coverage at area facilities during times of short staffing as required

Exceptional organization and communication skill.

Computer literate.

LICENSES AND CERTIFICATIONS

Institution

: Maryland Board of Nursing

Nursing Registration No.

: R262824

Institution

Nursing Registration No.

Institution

Nursing Registration No.

: Minnesota

: 2505151

: Professional Regulation Commission, Philippines

: 0860535

Nursing School Info

2011-2015

University of Science and Technology

Bachelor of Science

in Nursing

PRE-SERVICE REVIEW NURSE EXPERIENCE

September 30, 2022- July 29, 2023 (10 MONTHS)

OPTUM GLOBAL SOLUTIONS

Position: Pre-service Review Nurse (Prior-authorization)

Role, Responsibilities, Skills:

Provides a first-level clinical review for all medical and surgical authorization requests against applicable criteria, policies and procedures. Accurately document all reviews and contact providers and members according to established timeframes.

Act as member advocate by expediting the care process through the continuum, working in concert with the healthcare delivery team to maintain high-quality and cost-effective care.

Screening and coordinating cases within utilization management department including case management and discharge planning to ensure optimal care for members.

Escalates all potential quality issues and grievances to correct bright workflows.

DIALYSIS NURSING EXPERIENCE

AUGUST 16, 2021- DECEMBER 16, 2021 (4 MONTHS)

MSR HEALTHCARE INC.

Eduardo L. Joson Hospital, Brgy. Bitas, Cabanatauan City

Hospital based dialysis Unit

Position: Part time Dialysis Nurse, 24-30 Hours/week, 4 patients Area: Dialysis Unit

Roles, Responsibilities, Skills:

1.Assess patient’s condition, pre and post weight and vital signs.

2.Review patient’s dialysis treatment and set proper goal.

3.Cannulate patient’s dialysis access. Maintain infection free status of patient’s dialysis catheter.

4.Monitoring of their vital signs before, during and after the treatment.

5.Established good nursing service for the patients.

6.Providing proper health teaching about dialysis.

September 2, 2019- June 2021 (1 year and 9months)

Diapura Nefrocentrum

ad0vms@r.postjobfree.com

Diapura Nefrocentrum is a dialysis unit in Diakonessenhuis, a hospital in Paramaribo, Suriname. This dialysis center is consisting of 18 dialysis machines.

Position: Dialysis Staff Nurse, 40 hours / week, 6 Patients Area: Dialysis Unit

Roles, Responsibilities, Skills: KIWA ISO 9001

Demonstrates ability to perform technical skills for the Hemodialysis Registered Nurse including the patient’s treatment, and emergency procedures, as determined by the competency assessment program

Initiates, monitors, and discontinues dialysis treatments according to established procedures

Performs hemodialysis access care according to established procedures

Establishes priorities of care, both emergent and non-emergent

Obtains blood samples and other specimens as ordered. Interprets results and intervenes appropriately when applicable.

Maintains a safe environment for self, patients, and staff by following Universal Infection Control Precautions and cleaning procedures.

Assesses patient’s pre/post treatment and reports problems

Maintains competency in operations, sanitization, maintenance, of all equipment used for dialysis, and special procedure.

Assists in orientation and training of new and existing staff and acts as a resource person for staff members within the scope of practice

Equipment: Hemodialysis machine and other hemodialysis equipment, Suctioning Machine, ThermoScan, sphygmomanometer, Pulse oximeter, Stethoscope, Nebulizer, Glucometer, Desktop computer, E-Cart, standing scale, Oxygen equipment.

March 21, 2017- April 06, 2019 – December 2010 (24 months)

MSR HEALTHCARE INCORPORATED

JRT BLDG., M.H. DEL PILAR ST., HILARIO CORNER, BRGY. LIGTASAN, TARLAC CITY PHILIPPINES

Free standing dialysis center in Tarlac City with 12 hemodialysis machine

Position: Staff Nurse, 48 hours / week, 4-6 Patients

Area: Hemodialysis Unit

Roles, Responsibilities, Skills:

Responsible for the implementation, administration, monitoring, and documentation of patient’s response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.

Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedure.

Performs all required pre-treatment dialysis machine alarm testing.

Displays leadership skills and ability to direct and supervise other (dialysis nurse trainee, technician)

Apply knowledge of specific conditions and treatment therapies for the specific patient population of the unit.

Perform appropriate assessment patient/family teaching of management of pain beginning at admission with reassessment and follow up throughout hospitalization and concluding with discharge planning needs.

Primed dialyzer and bloodlines recording patients’ medical information and vital signs

Oversaw dialysis treatment and cannulated accesses.

Cleaned and dressed permanent and temporary catheters.

Monitored patients adjusted specialized equipment and interpreted and recorded information.

VOLUNTEER/OTHER NURSING EXPERIENCE

June 01, 2015 – November 01, 2015 (5months)

Eduardo L. Joson Memorial Hospital

Secondary hospital in Nueva Ecija, Philippines with 100 bed capacity..

Position: Volunteer Nurse, 40 hours/week.

Area: Medical Ward

December 18, 2015 – April 20, 2016 (4 months)

Out Patient Care/ Private Duty Nurse

Caring for 78 years old patient who undergone hip replacement surgery. Assisting the patient in daily living, giving medication and assistance to every follow-up check up to clinic/ hospital.

Position: Private Duty Nurse (72hours/week) Area: Out Patient

SEMINARS AND TRAININGS ATTENDED

I.V. Therapy Training Program (2015)

License No: 15-014020

Hemodialysis Nurse Training

(July 11, 2016-August 12, 2016)

Advance Cardiac Life Support- Emergency Cardiovascular Care

(September 24, 2017)

Recognition and Management of Acute Coronary Syndrome

(September 24, 2017)

Airway Adjuncts, Endotracheal Intubation and Management in ACLS

(September 24, 2017)

Basic ECG and Dysrhythmia Recognition

(September 24, 2017)

Administration of Appropriate Drugs within the ACLKS Algorithms

(September 24, 2017)

Recognition and Management of Acute Ischemic Stroke Cardiovascular Care

(September 24, 2017)

Basic Life Support

(September 17, 2017)

CPR and AED Training

(September 17, 2017)



Contact this candidate