Utilization Review Case Manager
Resume:
Alexandrea Waytes
RN
Garland, TX *****
*********@*****.***
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
Contact this candidate