RN

April Strode

**** ****** **** **** *********, TN 37367

423-***-**** ********@*****.***

Certifications

RN, States of Tennessee

Education

Bowling Green Technical College - 2009 RN Associate Degree in Applied Science, Nursing Technical Skills

CareAdvance, Microsoft Office, Agent Workspace,Cerner, Morcare, MCG guidelines Competencies

Detail-Oriented Hard Working Care Management

Proficient Communicator Trustworthy Leadership

Organized Quick Learner Self-Motivated

Education Customer Service Utilization Management

Relevant Experience

Tennova Healthcare- CHS

February 2021- current

Clinical Utilization review Specialist

● Review clinical data and submit to insurance for prior authorizations

● Refer to physician for peer to peers during a denial

● Appeals for denials received

● Track observation stays to convert to inpatient as appropriate

● Follow MCG guidelines for hospital review

●

Life Care of Rhea County

May 2019-February 2021

Director of Nursing

● Lead employees in the day to day activities of the facility- Nursing and non- clinical staff

● Assist HR with attendance and time clock punches

● Work beside executive director in maintaining the building with staff and clinical education needed

● Interview and hire nursing staff

● Lead and work Covid units during the pandemic as necessary

● Work with adjoining assisted living for staffing and education

● Resolved staff complaints, completed audits and evaluations BlueCross BlueShield of TN (Chattanooga, TN)

September 2018-April 2019

Transition of Care Nurse-Total Health Management

• Assists hospital care coordination team with discharge planning needs of the members • Communicates with member, and/or family /significant other, and designated health care providers to assess, plan and implement care plans to transition the member to the appropriate level of care

• Reviews request for health care services, according to guidelines, to ensure quality and cost effective care

• Assesses resource utilization and cost management; diagnosis, past and present treatment and prognosis.

• Negotiates rates and monitors appropriate cases and services for members

• Assesses clinical information to develop and implement treatment plans for transition to appropriate level of care

Spring City Nursing Home (Spring City, TN)

April 2018-September 2018

Staff Development Coordinator and Assistant Director of Nursing

• Facilitated classes for Certified Nursing Assistant Certification

• Provided Continuing Education for Staff

• Assisted with management of the Department of Nursing, including evaluation of staff • Evaluated and took action around complaints, failed audits, and staff problems. BlueCross BlueShield of TN (Chattanooga, TN)

October 2017-April 2018

Transition of Care Nurse-Total Health Management

BlueCross BlueShield of TN (Chattanooga, TN)

1

February 2016-October 2017

Case Manager-Total Health Management

• Patient advocate

• Resource Utilization

• Cost Management

• Care Planning

• Evaluated member status including physical, psychosocial, environmental, financial, and health status expectation

• Maintained communication and collaborate with patient, family, physicians and health team members, and payer representatives.

• Routinely assessed client’s status and progress

Spring City Nursing Home (Spring City, TN)

August 2012-January 2015

Staff Development Coordinator and Assistant Director of Nursing Rhea Medical Center (Dayton, TN)

May 2012-July 2012

Med-Surg floor nurse

• Assess patient status

• Gave medications as ordered

• Provided care to patients for acute needs and post op care

• Education to patients and family

Athens Regional Medical Center (Athens, TN)

February 2012-May 2012

Women services and post-op overflow

• Worked with labor and delivery on some occasion as needed

• Worked in nursery as needed

• Provided post-op care to patients

• Postpartum care for new mothers

Monroe County Medical Center (Tompkinsville, KY)

November 2006-February 2012

Med- Surg floor- CNA from 2006-2009, RN 2009-2012

• Provide care to patients

• Administer medications as ordered

• Procedures as ordered

• House supervisor as RN on nights

• Admissions and discharges

• Family and patient education

2

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