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Authorization Nurse Call Center

Location:
Tampa, FL
Posted:
April 20, 2023

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Resume:

MP

Marilyn Polak

Professional Summary

Compassionate Charge Nurse offers 38 years of patient care, adult psych, and proven clinical knowledge, natural interpersonal strengths and technical abilities. Highly skilled in charting, managing patient intake and discharges and monitoring care plans. Well-versed in promoting policies and protocols to achieve core measures. Team-oriented and reliable with expert healthcare knowledge, clear verbal and written communication skills and sound clinical judgment. Demonstrated success in cultivating strong patient rapport to drive outcome goals. To seek and maintain full- time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Work History

Gale Healthcare Solution Georgia Regional Hospital - Travel RN Charge Nurse-Forensics

Atlanta, GA

02/2022 - Current

● Managed care from admission to discharge.

Provided direct patient care, stabilized patients and determined next course of action.

Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.

Manage six nurses and nursing activities in 44-bed hospital by providing comprehensive nursing guidance and maintaining outstanding patient satisfaction and care standards.

● Trained, evaluated and coached clinical staff to improve performance. Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.

Supervised, directed and motivated high-quality performance from nursing staff.

Updated patient charts with data such as medications to keep records current and support accurate treatments.

Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

adwnnx@r.postjobfree.com

727-***-****

Tampa, FL 33626

Skills

● Preventative Health

● Staff Supervision

● HIPAA Compliance

● Medication Administration

● Emergency Care

● Case Management

● Patient Advocacy

● Medical Records Management

● Critical Care

● Health Education

● Medication Management

● Patient Care Planning

● Healthcare Administration

● Addiction recovery

● Substance abuse

● Covid- testing

● PPE Compliance

● PCR

Education

Walden University

Minneapolis, MN

Bachelor of Science: Nursing

Tompkins Cortland Community College

Dryden, NY

Associate of Arts: Registered Nursing

Program

Lewiston Maine, St Maple Hospital - RN Charge Nurse- Contract Tampa, FL

10/2021 - 01/2022

Baycare Behavioral Health - Registered Travel Psych Nurse- Full Time Tampa, FL

03/2015 - Current

Conferred with physicians to discuss diagnoses and devise well- coordinated treatment approaches.

Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.

Investigated and independently resolved complaints from staff, physicians and patients by leveraging clinical judgment and unit management expertise.

Implemented medication and IV administration, catheter insertion and airway management.

Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.

Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.

Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.

Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit.

Collected blood, tissue and other laboratory specimens and prepared for lab testing.

Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.

● Educated family members and caregivers on patient care instructions. Communicated openly and collaboratively with all healthcare staff to organize successful patient care.

Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.

Performed patient assessments to monitor expected response to medications and altering treatment plans.

● Explained useful coping methods to relieve depression and anxiety. Monitored vital signs, nutritional intake and signs and symptoms of complications to report deviations to supervisor.

Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.

Walton High School

Bronx, NY

High School Diploma

Certifications

● BLS Certification

● CPR Certification

● FL Compact State Nurse License

● New york State Nurse License

Anthem, Inc - Prior Authorization Nurse

04/2013 - 05/2016

Provided direct quality care to patients by monitoring, recording and evaluating psychiatric conditions.

Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.

Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.

Provided skilled, timely and level-headed emergency response to critically-ill patients.

Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.

Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.

Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.

Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.

Communicating the care preferences of clients, serving as their advocate and verifying that the intervention meets clients' needs and goals of treatment

Communicated with healthcare team members to plan, implement and enhance treatment strategies.

Implemented care plans for patient treatment after assessing physician medical regimens.

Administered different therapies and medications in line with physician orders and treatment plan.

Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

● Screening clients and/or population for healthcare needs

● Developing a client focus case management plan

Educating the client/family/caregiver about the case management process and evaluating their understanding of the process

Engage members in a collaborative relationship which empowers the member to manage his/her physical, environmental and psychosocial health issues, to improve and maintain lifelong well-being and remain at home

Provide complex care management to Anthem's most vulnerable members, the frail elderly, chronically ill and the functionality challenged

Identify risks, gaps in care and prevent unnecessary hospitalizations and ER visits

● Educate member on preventative care

● Attend all annual and mandatory educational trainings Collaborate with other team members of the "care team", member physicians and clinical associates

RN, Field, Life Path Hospice

04/2005 - 02/2013

Central Park Health Care - RN Supervisor

12/2003 - 02/2005

Boca Ciega Health Care - Nurse Supervisor

09/2001 - 10/2003

Dolphin View Nursing Home & Rehab Center, PAG - RN Relief Supervisor

11/2000 - 07/2001

RN, Faith Home Health - Pediatric

08/1997 - 10/2000

Educate on resources to assist with medication reconciliation and understanding medical conditions

● Phone triage at call center

Field triage to hospice patients' home visits/on call, pain management, assist patient and family members on medications needed to provide patient with the most comfort

Reviewed all medications to ensure that patient and family had a good understanding of instructions given

● Comforted family and friends as needed

● Arranged Chaplain to come out to the home, if necessary Performed end of life care, skills performed Iv admiration Blood draw Foley insertion etc.

Supervised and evaluated work activities of personnel: Medical Nursing Technical Clerical Service and maintenance

● Provided staffing and scheduling needs for RN's LPN's HHA's Developed and implemented organizational policies and procedures for the facility/medical unit

● Managed mental health acute and long term care unit

● Group Therapy Planning

Implemented decision making for emergency care and treatment modalities

● Checked patients' pulse, temperature, and respiration

● Administered and prescribed oral medications.

● Restorative Infection Control management

In charge of Restorative Program, Infection Control and " Get A Lift Program "

Trained employees with the use of mechanical devices in a no lift facility

● Updated patient care plans accordingly

● PRN relief staff floor nurse

Determined eligibility of admissions to psych facility on evening and night shift

● Trained family members to provide bedside care.

● Performed various levels of care for private duty pediatrics

● Performed psychological evaluations

● Worked management and administration

Developed and maintained computerized record management systems to store and process data such as personnel activities and information produce reports

● Utilized tools:

● 10 vents

● Pulse Oximetry

● Cardiac monitors

● Intravenous administration

● Electrocardiograph

● Bi Pap

● C Pap machines

● Experience with patients with tracheotomies

Provided patients with help moving in and out of beds, baths, wheelchairs, and with dressing and grooming.



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