Utilization Review & Infusion RN
Resume:
Skills
Experience
CLAUDIA LOPEZ
Registered Nurse
***- ***-**** ******.**@*****.*** Glendale, AZ
Experienced nurse skilled in patient assessments, intravenous therapy, and clinical documentation review, with a focus on delivering compassionate care and effective patient education. Adept at utilizing electronic medical records and supporting prior authorization processes. Eager to leverage expertise in a Utilization Review Nurse role to enhance patient outcomes and streamline care transitions.
• Patient education • Patient assessments
• Electronic medical records • Discharge and Transition planning
• Patient care implementation • Telephonic Triage
• Prior Authorization support • Clinical Documentation Review
• Clinical Assessment
Infusion Nurse
PALO VERDE CANCER SPECIALIST, Phoenix, AZ
July 2022 - Present
Coordinate and administer Chemotherapy/Immunotherapy medications that follow ONS standards and practice policies.
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Collaborate with multidisciplinary teams to optimize care plans and ensure appropriate resource utilization.
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• Monitor patients' reactions to treatments and coordinate with healthcare team.
• Maintain an efficient patient flow through infusion room.
• Triage phone calls, provide clinical guidance and document interactions in EMR
• Facilitate referrals, diagnostic testing, treatment scheduling and follow-up care. Educated patients and families regarding infusion therapy treatments, side effects, medication management, and safety protocols.
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• Monitored patients during infusion therapy sessions for adverse reactions or changes in condition.
• Utilized critical thinking skills to assess and respond to emergent situations quickly and accurately.
• Exhibited strong problem-solving skills when faced with complex challenges.
• Implemented evidence-based practices for safe delivery of infusion therapies.
• Communicated effectively with other healthcare professionals both verbally and in writing. Review and maintain accurate clinical documentation to support treatment plans and insurance requirements.
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• Assist with obtaining authorizations and coordinating services with payers and specialty programs. Education
Certifications
Languages
Registered Nurse
LAS PALMAS DEL SOL HEALTHCARE, El Paso, TX
July 2018 - Present
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches. Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes.
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Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
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• Intravenous Therapy
• Precepting
• Chronic Disease Management
• Participate in utilization review, discharge planning and transition of care.
• Patient Education and Counseling
• EMR Documentation and Compliance
Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
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Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.
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Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
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Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
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Educated patients and families on medical-surgical procedures, therapeutic regimens and pain management techniques.
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Facilitated discharge planning by connecting patients with appropriate services, providers and community resources.
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Kept accurate records and charts related to medications and treatments according to policies, procedures, and physician orders.
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Bachelor of Science in Nursing
The University of Texas At El Paso, TX
May 2018
• BLS Certification • RN License
• Fundamentals of Chemotherapy
English
Advanced
• Spanish
Intermediate
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