Utilization Review Registered Nurse
Resume:
San Antonio, TX *****-**** 623-***-**** ***********@*****.***
KORTNI PRELL
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. PROFESSIONAL
SUMMARY
SKILLS ● InterQual Criteria
Documentation And
Reporting
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● Utilization review
● Records analysis
UTILIZATION REVIEW NURSE 05/2022 to Current
Gonzaba Medical Group, San Antonio, TX
MOTHER-BABY REGISTERED NURSE 10/2016 to Current
Methodist Metropolitan Hospital, San Antonio, TX
REGISTERED NURSE 06/2015 to 10/2016
Aurora Behavioral Health, Peoria, AZ
WORK HISTORY
Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
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Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
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Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
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Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
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Supervised and maintained all utilization review documentation through MCG and Milliman software.
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Administered medications via oral, IV, and intramuscular injections and monitored responses.
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Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
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Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
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Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
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● Managed care from admission to discharge.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
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Administered medications via oral, IV, and intramuscular injections and monitored responses.
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Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
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Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
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Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
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Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
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Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
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Breckinridge Itt School of Nursing, Phoenix, AZ
Asn, Nursing, 12/2015
Sterling High School, Baytown, TX
High School Diploma, 08/1996
EDUCATION
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