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Utilization Review Case Manager

Location:
Memphis, TN
Posted:
June 17, 2023

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Resume:

Skill Summary:

calendar management (**+ years)

catheter (10+ years)

Critical care (10+ years)

Critical care nursing (10+ years)

Medical laboratory (10+ years

Case Management (4 years)

InterQual (4 years)

Utilization Review (4 years)

Primary Care Experience (10+ years)

ICU Experience (10+ years)

Medication Administration (10+ years)

Venipuncture (10+ years)

Epic (10+ years)

Utilization review

Cerner

Patient Care

Hospital Experience

Employee Orientation

Infection Control Training (10+ years)

Tube Feeding (10+ years)

Professional Experience:

Baptist Memorial Hospital – Memphis, Tn 05/2004 - Present

Registered Nurse

Assess need for, order, obtain and interpret appropriate lab tests.

Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring average 4 patients per shift. Perform lab tests and communicated results.

Liaised between patients and physicians to ensure patient comprehension of treatment plans.

Instruct patients and family members on proper discharge care.

Closely monitor acute conditions.

Initiated hospital-wide study to identify areas for process improvement.

Ensure HIPAA compliance.

Document patient information obtained from interviews.

Delegate staff nurse duties.

Train new staff on quality control procedures.

Followed infection control procedures.

Assist patients with daily functions.

Monitor fluid intake and output levels.

Measure urine and deliver specimens to lab.

Provide all daily living tasks to enhance quality of life for elderly patients.

Assist residents with bathing, dressing, feeding, lifting and transferring.

Experience with various medical conditions including Parkinson\'s, Dementia, Diabetes, Cancer, and Alzheimer\'s disease.

Assisted doctors with non-invasive procedures.

Collect blood and other laboratory specimens and prepare them for lab testing.

Strong leader for nursing personnel assigned to the unit/shift.

Interview patients to obtain medical information, weight and height measurements and vital signs.

Administer medications and assist in diagnostic testing for HIV-positive patients.

Responsible for case management.

Evaluate patient care needs, prioritize treatment, and maintain patient flow.

Managed various general office duties such as answering multiple telephone lines.

Provide patient education.

No Place Like Home - Collierville, TN 07/2009 – 07/2015

Registered Nurse

Ensured HIPAA compliance.

Strong leader for nursing personnel assigned to the shift.

Perform monthly inventory and maintain medical supply counts.

Collect blood and other laboratory specimens and prepare them for lab testing.

Authorize drug refills and provide detailed prescription information to pharmacies.

Assist residents with bathing, dressing, feeding, lifting and transferring.

Measure urine and deliver specimens to lab.

Extensive experience working in homes with disabled children and adults.

Monitor fluid intake and output levels.

Assist patients with daily functions.

Follow infection control procedures.

Ensure efficacy of treatments through monitoring of treatment regimens.

Perform lab tests and communicate results.

Primary care, assessment and evaluation of pediatric patients.

Assess need for, order, obtain and interpret appropriate lab tests

Saint Francis Hospital - Memphis, TN 09/2016 – 01/2020

Registered Nurse/Case Manager

Chronic patient care in med-surg unit, adeptly handling aspects of treatment from medication to wound care to monitoring for Number patients per shift.

Primary care, assessment and evaluation of neonatal.

Pharmacological and non-pharmacological management and treatment of various disorders and diseases.

Manage care for post-operative patients through discharge.

Liaised between patients and physicians to ensure patient comprehension of treatment plans.

Instruct patients and family members on proper discharge care.

Ensure HIPAA compliance.

Follow infection control procedures.

Maintain all confidential personnel files, license and CPR compliance records.

Strong leader for nursing personnel assigned to the unit/shift.

Experience in InterQual

Education:

Associate of Applied Science in Nursing

Southwest Tennessee Community College - Memphis, TN May 2004

Associate of Science

Jackson State Community College - Jackson, TN August 2001

Nursing Licenses

RN Expires: March 2024- State: TN



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