Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.

• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
• Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
• Managed quality care for patients with varied conditions, including heart failure, end-stage renal disease and coronary artery disease.
• Investigated and resolved issues affecting hospital operations and patient care, including power or system outages, patient or family grievances, security issues and employee issues.
• Observed and reported patient condition, progress and medication side effects to accurately document updates.
• Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over 6 patients daily.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
• Managed care for post-operative patients from initial recovery through discharge.

Audited charts and reviewed clinical documents to verify accuracy.

• Implemented care plans for patient treatment after assessing physician medical regimens.
• Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
• Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.
• Collected blood, tissue and other laboratory specimens and prepared for lab testing.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Taught employees how to control risks at front line, including how to interpret and apply sound policies.
• Investigated allegations to check validity and recommend actions to minimize risk.
• Kept operations in compliance with OSHA, state and federal regulations through regular safety inspections and hazards management strategies.
• Evaluated hospital-onset and healthcare-acquired infections by conducting root cause analysis.
• Set clear policies to improve success of infection control measures in all departments.
• Completed resident assessments in accordance with current regulations and guidelines.
• Instructed Workforce of 20+ employees daily.

Utilization Review Registered Nurse Workers Compensation Inc

• Evaluated progress of each patient and provided updates to insurance providers.
• Performed utilization reviews in accordance with state and federal regulations.
• Attended meetings with medical staff to finalize patient discharge plans.
• Responded to calls and emails from providers.
• Assessed physical and mental status of each patient.
• Coordinated in-hospital and outpatient care arrangements.
• Managed assigned workload within established performance standards.
• Participated in discharge planning process with hospital and inpatient facility staff, ensuring adequate and appropriate disposition and post discharge plans.
• Coordinated smooth transition and follow-ups from one level of care and service to another.
• Maintained all required documentation in information systems.
• Participated in case conferences, clinical in-services, and other educational opportunities.
• Recorded information in Claims Management system and communicated with Claims Adjuster to process valid medical treatment requests for authorization per policy.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Audited charts and reviewed clinical documents to verify accuracy.
• Resolved conflicts and negotiated mutually beneficial agreements between parties.
• Managed over 50 cases daily.
• NOTE: Employment short due to Family Illness.