Behavioral Health Patient Care

Location:

Topmost, KY

Posted:

April 25, 2024

Contact this candidate

Resume:

Maranda Goble APRN, FNP-C

Experience

****-*******

Clinical Coordinator • Utilization Review Supervisor• Frontier Behavioral Health

The Utilization Management Behavioral Health Nurse completes medical record reviews from medical records sent from Frontier Behavioral Health Facilities to obtain sufficient clinical information. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence-based care, and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. Utilizes clinical experience and skills in a collaborative process to assess appropriateness of treatment plans across levels of care, apply evidence-based standards and practice guidelines to treatment where appropriate. Coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical judgment to render coverage determination/recommendation along the continuum of care facilities including effective discharge planning. Coordinates with providers and other parties to facilitate optimal care/treatment. Identifies residents at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs. Identifies opportunities to promote quality effectiveness of healthcare/behavioral services and benefit utilization. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.

2016-2022

TRAVEL RN • ER/ICU/MED SURG • AYA Healthcare

Provide direct patient care taking in account legal, ethical, profession and agency standards. Provide direct nursing care to patients in psychiatric, surgical, emergency, geriatrics, pediatrics, and orthopedic settings. Care for patients with health problems, chronic diseases, comorbidities, end of life care, acute care needs, while maintaining and establishing protocols. Provide emergency care as guided by hospital standards and policy. Carefully plans nursing assessment for each patient, to use SOAP as guidelines for patient directed care. Identify high risk situations that need further attention, psychiatric, suicidal patients, and risk for abuse both physically and verbally. Implements and assesses plan of care, and proactive in monitoring and achieving patient goals

2013-2016

STAFF RN• ER/ICU • Pikeville Medical Center

Serves as coordinator for patient care as assigned in emergency setting, including patient triage, emergencies, physician back up. Screening new patients arriving to ed and reassessing constantly post procedure reinforcement of patient needs and adheres to infection policy and procedures testing during hospitalizations. Administer medications as deemed necessary per institution policy and procedure guidelines. Maintain accurate inventory of all supplies, medications, and syringes. Identifies adverse reactions, changes in conditions while taking appropriate actions.

Education

Walden University, Minneapolis, MN

Master of Science, Family Nurse Practitioner 2021

Eastern Kentucky University, Richmond, KY

Bachelor of Science Nursing 2017

American National University, Pikeville, KY

Associate of Science, Nursing 2012

Communication/ Organizations

Member of collaborative treatment team for residential substance abuse treatment team, ability to work independently and reports directly to medical director and CEO.

ANA

Global World Kappa Gamma Honor Society

National Honor Society of Poetry

Skills/Computer Applications

ACLS/PALS/NIHSS

FNP-C

CERNER

MEDITECH

EPIC

WELLSOFT

ECLINICAL

MCKESSON