Nurse Navigator Resume Example Group And Pension Administrators

NURSE NAVIGATOR

Professional Summary

Objective

Experienced Registered Nurse with current experience as a Nurse Navigator helping clients navigate their health plan. Capable of working with a diverse patient population and fostering relationships. Exceptionally talented at coordinating with healthcare professionals to advance patient care and educating patients to achieve the best heath outcome. Summary of

Qualifications

Registered Nurse, License #894406, State of Texas, February 2016
Registered Nurse, License #041488799, State of Illinois, December 2019
RN to BSN Program at WGU – Completion 08/2020
Knowledge of nursing practice laws, regulations, and standards of safety
Firm understanding of nursing fundamentals, pharmacology, and disease process
Experience with complete computer documentation from admission to discharge
Experience with Smart Sheet
Strong critical thinking and problem-solving skills
Ability to prioritize and delegate tasks in a fast-paced environment
Excellent communication skills
Excellent leadership skills
Effective educator of disease process and medications
Ability to adapt easily to change of environment and work schedule
Expert user of the internet as a search tool
Knowledge in motivational interviewing
Soft Skills Training

Skills

Knowledge for nursing practice laws and regulations
Strong critical thinking and problem solving skills
Strong organizational skills
Grief support training
Familiar with ICD-9 forms
Expert in Medication Administration
Patient consultation
EMR / EHR
Patient and family advocacy
Strong clinical judgment
Case Management
Preventative health

Fluent in Hindi, Urdu
Excellent Communication Skills
Excellent Leadership Skills
Ability to work in fast paced environment
Excellent ability to prioritize tasks
Expert user of Microsoft Word and Outlook
Expert User of Milliman Guidelines
Online training experience
Employee training
Soft Skills Training
Familiar with motivational interviewing

Work History

Nurse Navigator04/2019 to Current
Group and Pension Administrators – Dallas, TX

Telephone triage of members conducting clinical assessment to identify member needs for medical services.
Conducted research of providers for medical services using resources for quality and cost effective care.
Utilize clinical knowledge, expertise and approved educational resources to provide verbal and/or written educational resources to patients regarding medical diagnosis, medications, procedures and/or treatments.
Maintain compliance with GPA's policy and procedures by accurately documenting in provided software and timely documentation of time slips.
Maintain compliance with HIPPA, ERISA, and Department of Labor regulations.
Communicate proactively and effectively with members, peers, customers, and managers
Delegate appropriate support activities to support staff with appropriate oversight.
Participation in training sessions to help train 6 new employees
Proficient in understanding insurance benefits and effective with explanation to patient.
Facilitated timely scheduling of appointments, diagnostic testing and procedures to advocate for patients, expedite plan of care and promote continuity.
Coordinated appropriate and efficient delivery of healthcare services to promote optimal outcomes by assessing and matching unmet needs with referrals and support services.

Staff Nurse02/2016 to 04/2019
Medical City Plano – Plano, TX

Over 3 years Experience in Antepartum, Postpartum, And Newborn Nursery.
Precepted over 7 new nurses, providing guidance on unit functions and individual roles, hospital policies and procedures and nursing best practices.
Administered medications and treatment to patients and monitored response to treatments while working with healthcare teams to adjust care plans.
Completed head-to -toe physical assessments and interpreted diagnostic tests, leveraging information to facilitate care planning, implementation and management.
Coordinated with patients to understand their needs and plan treatment according to personal beliefs.
Advised caregivers and family members in providing emotional and psychological care.
Managed quality and delivery of care.
Prepared patients for surgery, educating patients and family members on surgical procedures for Cesarean delivery.
Advocated for patients by communicating their care preferences to practitioners, ensuring interventions met their goals for treatment and identifying insurance coverage.
Counseled families and patients through postpartum issues.
Disease Management in antepartum for preterm labor, preeclampsia, gestational diabetes, as well as management of postpartum magnesium administration, postpartum hemorrhage and other postpartum conditions.
Closely worked with case management for patient referrals and discharge care planning.
Worked as bereavement counselor in situations of pregnancy loss, ordering and providing appropriate literature and memory boxes to offer grieving patient.

Sr. Pharmacy Technician12/2001 to 02/2008
Walgreens Pharmacy – Garland, TX

Supervised pharmacy technicians and coordinated day-to-day assignments.
Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
Reviewed and verified customer information and insurance provider information.
Answered incoming phone calls and addressed questions from customers and healthcare providers.
Maintained proper drug storage procedures, registries, and records for controlled drugs.
Resolved non-routine issues like third-party billing, computer system and customer service issues.
Correctly completed pharmacy paperwork, including daily and weekly reports.
Provided specialized services to help patients manage conditions such as diabetes, asthma, smoking cessation and high blood pressure.
Communicated regularly with physicians, nurses, insurance companies and managed care organizations.
Set up and modified patient profiles to include current information such as medications and insurance details.

Education

Bachelor of Science: Nursing09/2020Western Governors University- Salt Lake City, UT

Associates of Applied Science: Nursing12/2015Collin College- McKinney, TX

Resume Overview

Companies Worked For:

Group and Pension Administrators
Medical City Plano
Walgreens Pharmacy

School Attended

Western Governors University
Collin College

Job Titles Held:

Nurse Navigator
Staff Nurse
Sr. Pharmacy Technician

Degrees

Bachelor of Science : Nursing 09/2020
Associates of Applied Science : Nursing 12/2015

Nurse Navigator Resume Example

Resume Score: 80%

DISCLAIMER

Resume Overview

Create a job alert for [job role title] at [location].

Similar Resumes