Prior Authorization Medical Records
Resume:
Camellia Tyson
Education is my purpose (An ounce of prevention is worth a pound of cure)
Dallas, TX 75217
*************@*****.***
Professional Summary
Hardworking nurse accustomed to treating diverse patient needs while managing dynamic conditions. Offering excellent
clinical knowledge and judgment combined with strong documentation, vitals monitoring and problem- solving abilities.
Well-versed in managing emergent cases with grace and efficiency. Always willing to learn new new things.
Work Experience
LPN Staff Nurse
Trinity Home Hemodialysis-Duncanville, TX
November 2021 to Present
Pt care planning, (CQI ) . Nine years experience with EMR applications. Three years Physician rounding.. Administered medications, tracked dosages and documented patient conditions. Patient Medication Reconciliation 9.5 years experience Hospice/palliative care in relations to dialysis
telehealth with patient via webchat(zoom, ring central,etc) 13 months experience Receive inbound calls/make outbound calls from patients and physicians 9 years exp Monitored and recorded patient condition, vital signs, recovery progress and medication side effects. Answered patient questions and provided take-home materials for further information. Educated patients and families on treatment strategies and at-home care. Treated patients by administering various types of medications and therapies. Administered oral, intramuscular and IV medications to patients and monitored responses. Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services. Prior authorization for medication and medical procedures for three years. Recorded patients' medical history, vital statistics and test results in electronic medical records. Patient Care Navigator
Dallas Nephrology Associates-DeSoto, TX
December 2023 to December 2024
• Prior authorization for medical procedures, preventive care
• Utilization review mgmt
• The role of the Patient Navigator is to identify patients in the practice who have been diagnosed as CKD Stage 4 and 5 and to ensure that these patients are receiving appropriate follow-up care that has been designated as the standard of care for patients in these stages of chronic kidney disease. The role is to monitor and coordinate with the physician, nurse and patient the treatment plan and follow adopted guidelines of care for this group of patients.
• Participates in reviewing laboratory tests and assists with patient phone calls as necessary.
• Handles telephone calls from patients/family members in a courteous, informative manner. Relays messages to physician as appropriate. Provide follow-up to patients/ family members/physicians as necessary.
• Documents appropriate information in medical records clearly and accurately according to procedures.
• Identifies patient’s need for education, additional information, etc., and seeks assistance as necessary.
• Follows infection control policies and procedures. II. Participates as a team member in the office to facilitate a pleasant cohesive atmosphere for staff, patients, physicians: 9% (8% w/goals)
• Maintains a constant awareness of policies and procedures approved for clinical practice.
• Serves as a role model for professional conduct and practice and as a catalyst for improving standards of nursing practice.
• Effectively communicates on the phone and face-to-face by being courteous, prompt, and polite.
• Demonstrates problem-solving abilities. Initiates collaborative efforts to improve patient care. Serves as a resource to other clinical staff members.
• Attends staff meetings regularly.
• Ability/knowledge of computer programs in order to accomplish necessary procedures.
• Ensures that patients and family members are always treated with courtesy and sensitivity. Makes appropriate explanations to them when necessary
• Maintains standards of clinical practice by selecting appropriate avenues for professional growth and CEU’s necessary for state licensure requirements.
• Participates in DNA Compliance Plan
Participates in training of new staff.
• Special projects as assigned by management
• Performance of health risk assessment
Medical Support Specialist LPN
Takeda Pharmaceuticals- Biolife-Dallas, TX
December 2022 to December 2023
• Determines donor eligibility to donate plasma, and mangement of donor adverse events.
• Reviews donor lab results
• Performance of health risk assessment
• Evaluate and manage donor reactions
• Pt education of suitability/unsuitability
• Ability to multitask and work as a team player
• Attention to detail and ability to work independently LPN STAFF NURSE
Fresenius Medical Care-Dallas, TX
October 2003 to January 2021
Pt care planning, (CQI ) . Nine years
Admissions eight years .Experience with EMR applications. Three years Physician rounding.. Administered medications, tracked dosages and documented patient conditions. Patient Medication Reconciliation 9.5 years experience Phlebotomy Experience 9+ years
Receive inbound calls/make outbound calls from patients and physicians 9 years exp ICD10 coding
Monitored and recorded patient condition, vital signs, recovery progress and medication side effects. Answered patient questions and provided take-home materials for further information. Educated patients and families on treatment strategies and at-home care. Treated patients by administering various types of medications and therapies. Administered oral, intramuscular and IV medications to patients and monitored responses. Performance of health risk assessments.
Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services. Addressed rapid response and code situations by strategically organizing and delegating tasks. Recorded patients' medical history, vital statistics and test results in electronic medical records. Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
Promoted healthy lifestyle choices to reduce re-emergence of painful or dangerous symptoms. ANESTHESIA TECHNICIAN
Parkland Health & Hospital System-Dallas, TX
January 2000 to May 2003
Coordinated and set up supplies and equipment for planned procedures. Kept work areas and equipment clean and sanitized for optimal protection. Cleaned and restocked carts in operating rooms for general surgery and labor and delivery. Maintained clean and sterile fields in operating rooms when assisting anesthesiologists. Education
Certificate in License Vocational Nursing/License Practical Nurse Dallas Nursing Institute - Dallas, TX
May 2011 to April 2013
GED in General Studies
Cedar Valley College - Lancaster, TX
May 2009 to June 2009
Skills
• Public health (10+ years)
• Leadership (9 years)
• Filing (10+ years)
• Memory care
• Managed Care (10+ years)
• English
• Communication skills (10+ years)
• Nursing (10+ years)
• Epic (1 year)
• Phlebotomy (10+ years)
• Medical Terminology (10+ years)
• Windows
• Tube feeding
• Time management (10+ years)
• Laboratory Experience
• Hospital Experience (3 years)
• Home health (2 years)
• Analysis skills (10+ years)
• Care plans (10+ years)
• Supervising Experience (10+ years)
• Order Entry (10+ years)
• Medical office experience (1 year)
• Phone triage (3 years)
• Anatomy Knowledge (10+ years)
• Windows (10+ years)
• Typing 35 wpm (10+ years)
• Writing skills (10+ years)
• Medical coding (9 years)
• Vital Signs (10+ years)
• Teaching (10+ years)
• Case management (2 years)
• Documentation review (10+ years)
• Case management (3 years)
• Continuous improvement
• Computer Skills (10+ years)
• Venipuncture (10+ years)
• Microsoft Access (10+ years)
• Vital signs (10+ years)
• Tube Feeding (1 year)
• Medical terminology (10+ years)
• Wound care (3 years)
• EMR Systems (10+ years)
• Home health (2 years)
• Microsoft Word (9 years)
• Caregiving (10+ years)
• Medical Office Experience (3 years)
• Insurance Verification (2 years)
• Utilization management (2 years)
• Medical Records (9 years)
• Microsoft Powerpoint (5 years)
• Documentation review (10+ years)
• Customer service (10+ years)
• Microsoft Outlook (10+ years)
• Typing
• Medical Scheduling (8 years)
• Microsoft Excel (10+ years)
• Data collection (10+ years)
• ICD-9 (10+ years)
• Conflict management (10+ years)
• ICD-10 (10+ years)
• Employee Orientation (10+ years)
• Experience Administering Injections (10+ years)
• Insurance verification
• Medication Administration (9 years)
• Microsoft Office
• Patient Care (10+ years)
• Geriatrics (10+ years)
• Motivational interviewing
• Home Care (2 years)
Certifications and Licenses
AHA Certification
AED Certification
Certified Medical Assistant
CCMA Certification
RN License
RMA
PALS Certification
Certified Case Manager
BLS Certification
Heartsaver Certification
IV Certification
CPR Certification
ACLS Certification
PALS
April 2022
PALS Certification and PALS Instructor
LPN
April 2013 to April 2024
Compact State Nurse License
April 2013 to April 2024
LVN
April 2013 to April 2024
BLS Certification and BLS Instructor
July 2021 to July 2023
ACLS Certification and ACLS Instructor
July 2021 to July 2023
Additional Information
• Skills
Medication and IV administration Broad medical terminology knowledge Staff Development and Precepting Medication administration expert Computerized charting specialist Diabetes management
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