Registered Nurse - Utilization Review & Care Coordination
Resume:
ELIZABETH NARON, RN
Chadbourn, NC • 910-***-**** • ********@*****.***
PROFESSIONAL SUMMARY
Compassionate and highly skilled Registered Nurse with 18+ years of progressive healthcare experience across home infusion, clinical research, utilization review, critical care, medical-surgical nursing, care coordination, and nursing supervision. Strong background in clinical assessment, patient education, medication and IV therapy, documentation, medical-necessity review, and interdisciplinary collaboration. Known for sound clinical judgment, attention to detail, patient advocacy, and the ability to work independently while coordinating complex care. Well suited for remote RN roles involving telephonic clinical support, case management, utilization review, care coordination, chart review, and patient education.
CORE COMPETENCIES
• Clinical Assessment & Triage
• Remote Patient Support
• Case Management & Care Coordination
• Utilization Review & Medical Necessity
• Prior Authorization & Pre-Certification
• Clinical Documentation & EHR
• Patient & Caregiver Education
• Home Infusion & IV Therapy
• Medication Administration & Monitoring
• Critical Care Nursing
• Clinical Research Support
• Interdisciplinary Collaboration
• Staff Training & Mentorship
• Infection Prevention & Aseptic Technique
PROFESSIONAL EXPERIENCE
Home Infusion Registered Nurse Helms Home Care Wilmington, NC Jan 2022 – Present
Provide skilled nursing care to home-bound patients receiving infusion therapies and complex medication management.
Initiate and maintain IV therapy using strict aseptic technique and infection-prevention standards.
Monitor patients throughout treatments and identify and respond to adverse reactions or complications.
Educate patients, caregivers, and families regarding medications, infusion procedures, and symptoms requiring medical attention.
Coordinate care with physicians and healthcare teams to promote safe and effective treatment outcomes.
Maintain accurate clinical documentation and patient records.
Clinical Research Nurse Professional Case Management Myrtle Beach, SC Aug 2008 – Present
Conduct clinical assessments, monitor patient progress, and support research protocols.
Review health history, medications, lifestyle factors, and treatment responses to support individualized care.
Assist with examinations, procedures, and ongoing clinical care needs.
Collaborate with physicians and interdisciplinary teams to implement individualized care plans.
Maintain detailed electronic health record documentation while ensuring regulatory compliance.
Provide patient education related to treatment plans, preventive care, and home management.
Lead Infusion Nurse Starmount Health Elizabethtown, NC Oct 2021 – Dec 2021
Managed infusion therapy services while ensuring patient safety and adherence to clinical protocols.
Initiated IV access, administered medications, and monitored patients for complications.
Educated patients and caregivers on infusion procedures and treatment expectations.
Trained nursing staff and students in infusion techniques, patient-care standards, and safety practices.
Primary Vaccine Coordinator / Supervisor LHI / Optum Pembroke, NC Apr 2021 – Mar 2022
Coordinated COVID-19 vaccine inventory, storage, and distribution processes.
Trained nursing staff on vaccine preparation, administration, and documentation requirements.
Ensured compliance with safety standards, infection-control practices, and reporting procedures.
Supervised clinical operations and supported staff performance.
Registered Nurse Supervisor COVID Testing Site Lumberton, NC Sep 2020 – Mar 2021
Supervised daily clinical operations and nursing staff activities.
Performed patient assessments and ensured accurate documentation.
Promoted infection-prevention practices and compliance with safety protocols.
Managed patient concerns using compassionate communication and clinical expertise.
Medical-Surgical Registered Nurse McLeod Loris Seacoast Hospital Loris, SC Oct 2018 – Sep 2020
Delivered comprehensive nursing care to patients with acute and chronic medical conditions.
Managed medication administration, IV therapy, wound care, and patient monitoring.
Responded to emergencies and changes in patient condition using evidence-based nursing practices.
Educated patients and families regarding diagnoses, treatments, and discharge planning.
Maintained accurate documentation and collaborated with interdisciplinary healthcare teams.
Utilization Review Registered Nurse CareCore National / eviCore Healthcare Bluffton, SC Jul 2012 – Aug 2018
Reviewed clinical documentation to determine medical necessity and appropriate levels of care.
Collaborated with providers, insurance representatives, and case managers to support efficient care delivery.
Completed authorization and pre-certification reviews using evidence-based guidelines.
Identified utilization trends and opportunities for improved healthcare outcomes.
Assisted with discharge planning and resolution of care-level discrepancies.
Intensive Care Unit Registered Nurse McLeod Health Dillon, SC Mar 2008 – Jul 2012
Provided critical-care nursing for patients with complex medical conditions.
Administered IV, oral, and subcutaneous medications while monitoring patient responses.
Managed critical monitoring equipment, catheters, and life-supporting therapies.
Recognized changes in patient status and initiated appropriate interventions.
Advocated for patients and collaborated with multidisciplinary healthcare teams.
PRN Registered Nurse / Supervisor Loris Extended Care Center Loris, NC Jun 2008 – Feb 2010
Provided skilled nursing care in a long-term care setting.
Supervised nursing staff and coordinated patient-care activities.
Completed assessments, documentation, medication administration, and care planning.
Collaborated with physicians and healthcare professionals to support resident outcomes.
EDUCATION
Associate Degree in Nursing (ADN) — Southeastern Community College, Whiteville, NC May 2008
High School Diploma — Colonial High School, Orlando, FL May 1987
LICENSURE & CERTIFICATIONS
Registered Nurse License — State of North Carolina
Basic Life Support (BLS) Certification
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