Results-driven Utilization Review Registered Nurse with expertise in clinical assessment and quality improvement. Proven ability to develop comprehensive care plans that enhance patient outcomes and optimize resource management.
Overview
2027
2027
years of professional experience
Work History
Utilization Review Registered Nurse
Merit Health Central
Jackson, MS
2022 - Current
Conducted comprehensive utilization reviews to ensure appropriate patient care and resource allocation.
Developed and implemented strategies to optimize patient outcomes through effective resource management.
Collaborated with interdisciplinary teams to assess patient needs and treatment plans effectively.
Reviewed medical records for compliance with regulatory standards and facility policies.
Case Manager
Merit Health Central
Jackson, MS
03.2008 - 08.2022
Developed individualized care plans based on client needs and resources available.
Monitored client progress and adjusted care plans to improve outcomes effectively.
Coordinated client assessments to determine eligibility for services and support plans.
Facilitated communication between clients, healthcare providers, and community resources.
Collaborated with multidisciplinary teams to enhance service delivery and client engagement.
Telemetry Registered Nurse
Merit Health Central
Jackson, MS
07.2006 - 08.2008
Monitored patient telemetry data to identify critical changes in heart rhythms and conditions.
Administered medications and treatments according to established protocols and physician orders.
Collaborated with interdisciplinary teams to develop and implement comprehensive care plans.
Educated patients and families on post-discharge care requirements and medication management.
Supervisor
Merit Health Central
Jackson, MS
2000 - 08.2008
Supervised daily operations, ensuring compliance with healthcare regulations and protocols.
Trained and mentored staff, fostering professional development and enhancing team performance.
Coordinated patient care activities, streamlining workflows to improve service delivery efficiency.
Implemented quality assurance measures, enhancing patient safety and satisfaction metrics.
Facilitated communication between departments, promoting collaboration and timely information sharing.
Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
Critical Care Registered Nurse
Merit Health Central
Jackson, MS
06.1987 - 07.2006
Administered critical care interventions to stabilize patients in high-acuity environments.
Monitored vital signs and documented patient responses to treatments accurately.
Conducted thorough assessments to identify changes in patient conditions promptly.
Collaborated with multidisciplinary teams to develop and implement comprehensive care plans.
Led emergency response efforts during critical incidents, ensuring effective team coordination.
Trained new nursing staff on protocols, procedures, and best practices in critical care.
Educated patients and families on treatment processes and recovery expectations.