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Utilization Review Case Manager

Location:
Dallas, TX
Posted:
October 08, 2022

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Resume:

Alexandrea Waytes

RN

Garland, TX *****

adsw3p@r.postjobfree.com

+1-402-***-****

Professionally trained RN with experience ensuring high standards of culturally competent care for wide variety of

patients with diverse needs. Registered Nurse with 21 + years experience in clinical settings providing care to diverse populations.

Responsible RN with excellent communication skills demonstrated by 21 years of experience in healthcare. Nurse Case Manager with valid RN. Solid clinical, utilization review and case management experience within a managed care environment. Authorized to work in the US for any employer

Work Experience

RN Psychiatric Nurse ED

Parkland Health & Hospital System - Dallas, TX

December 2020 to Present

RN School Nurse

Dallas Independent School District - Dallas, TX

September 2019 to January 2020

Care for kids in school

Mental Health Nurse

Green Oaks Behavioral Healthcare Service - Dallas, TX January 2017 to October 2019

North hills

HCA Corporate - Dallas, TX

May 2017 to February 2018

Psychiatric Nurse/Med-Surgery/Neuro Tele/ Out-Patient Surgery Registered Nurse Psychiatric

Millwood Hospital - Arlington, TX

June 2016 to January 2018

RN Travel Nurse Med-Surgery/ Neuro Tele/ Psych

Accountable Healthcare Staffing - Dallas-Fort Worth, TX September 2015 to 2017

Travel to different hospital in the DFW area.

RN Travel Nurse Medsurg/Neuro Teley

Aya Healthcare - Arlington, TX

October 2015 to September 2016

Responsibilities

Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound

care to monitoring patients per shift.

Assessed need for, ordered, obtained and interpreted appropriate lab tests. Examined patients and dispensed contraceptives and other medications as needed. Pharmacological and non-pharmacological management and treatment of various disorders and diseases.

Liaised between patients and physicians to ensure patient comprehension of treatment plans. Closely monitored acute conditions.

Ensured HIPAA compliance.

Developed and implemented nursing care plans.

Delegated staff nurse duties.

RN Case Manager

ENCOR Mental Health Home Healthcare - Omaha, NE

June 2014 to October 2015

Assessed need for, ordered, obtained and interpreted appropriate lab tests. Led CNA training program and conducted classes for prospective CNAs. Oversaw the training of 15 students

monthly.

Oversaw and manage clinical and support staff in patient care activities while maintaining a high level of staff

morale and professionalism.

Liaised between patients and physicians to ensure patient comprehension of treatment plans. Demonstrated ability to lead and motivate outstanding healthcare teams. Provided DHS (Department of Health Services) with corrective action plans. Developed and implemented nursing care plans.

RN Acute Rehab

Alegent Health-CHI (IMC) - Omaha, NE

October 2012 to June 2014

Assessed need for, ordered, obtained and interpreted appropriate lab tests. Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound

care to monitoring for 4 patients per shift.

Examined patients and dispensed contraceptives and other medications as needed. Pharmacological and non-pharmacological management and treatment of various disorders and diseases.

Liaised between patients and physicians to ensure patient comprehension of treatment plans. Instructed patients and family members on proper discharge care. Closely monitored acute conditions.

Demonstrated ability to lead and motivate outstanding healthcare teams. Ensured HIPAA compliance.

Developed and implemented nursing care plans.

Developed patient care plans, including assessments, evaluations and nursing diagnoses. Delegated staff nurse duties.

Ensured efficacy of treatments through monitoring of treatment regimens. Psych Tech

CHI Alegent Health - Omaha, NE

December 2010 to October 2012

Organized and led two support groups per shift in subjects related to physical and emotional health. Ensured HIPAA compliance.

Assisted patients with daily functions.

Monitored fluid intake and output levels.

Assisted residents with bathing, dressing, feeding, lifting and transferring. Psychiatric Technician/CNA

Douglas County Hospital - Omaha, NE

November 2001 to January 2012

Responsibilities

Longterm Psych.

Ensured HIPAA compliance.

Provided DHS (Department of Health Services) with corrective action plans. Assisted patients with daily functions.

Monitored fluid intake and output levels.

Assisted residents with bathing, dressing, feeding, lifting and transferring. Education

Master of Science in Nursing in PMHNP

Walden University - Minneapolis, MN

September 2019 to May 2022

Associate of Science

College Of Saint Mary - Omaha, NE

2012

Bachelor's in Nursing

GCU

Nursing Licenses

RN

Skills

• RN

• Med Surg

• Hospital

• Staff Nurse

• Utilization Review

• Family Planning

• EMR Systems

• Managed Care

• Behavioral Health

Certifications and Licenses

CPR

October 2021 to Present

Crisis Prevention Intervention

January 2022 to Present

PMHNP-BC

July 2022 to July 2027

Acls

October 2021 to Present

AED Certification

BLS Certification

Compact State Nurse License

Additional Information

Skills

Strong clinical judgment Insulin medication assistance Patient counseling professional Tracheotomy care

Successfully directs staff meetings Proper catheter insertion/removal High level of autonomy

Patient/family focused

Patient evaluation/intervention

Problem resolution capability

Thorough physical assessments

Foley catheter insertion/removal familiarity



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