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Nurse Navigator Resume Example

Resume Score: 80%

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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
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

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

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