Utilization Review Patient Care

FATIMA BROWN

Lancaster, United States ***** 469-***-**** ***********@*****.***

Dependable Utilization Review Nurse promoting over ten years of expertise in healthcare industry. Knowledgeable in admissions and stay reviews.

Hands-on professional proudly offering more than ten years of expertise in nursing field. Well-rounded and personable Utilization Review Nurse talented in reporting, records oversight and performance improvement. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Reliable employee seeking Health Educator position. Offering excellent communication and good judgment. Dedicated nursing professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Medication Administration

Accurate Documentation

Blood Draw and Sample Collection

Nursing Consultation

Compassionate and Caring

Creative Problem Solving

Clear Patient Communication

Patient Examination

Decision Making

Patient Condition Monitoring

Medical Recordkeeping

Critical Thinking

Attention to Detail

Preventive Healthcare

Rehabilitation Assistance

Microsoft Office

Infection Control Procedures

Direct Patient Care

Needs Assessment

Utilization Management Nurse Consultant, 05/2012 to 05/2017 Aetna Medicaid – Arlington, TX

Evaluated medical guidelines and benefit coverage to determine appropriateness of services. Supervised and maintained all utilization review documentation. PROFESSIONAL SUMMARY

SKILLS

WORK HISTORY

Submitted cases to Medical Director for criteria failures and helped facilitate resolutions and approvals. Performed admission reviews based for medical necessity based upon Medicare guidelines specification. Performed prior authorization review of services requiring notification. Associate Degree In Nursing: Nursing, 05/2009

Navarro College - Corsicana, TX

EDUCATION

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