Registered Nurse Resume Example
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REGISTERED NURSE
Summary
Accomplished Registered Nurse with 15+ years of experience in Psychiatry, Oncology & Medical Claims Review with proven skills in patient care, medication administration, leadership/mentoring abilities and treatment implementation. Detail oriented, organized, hardworking & dependable. Experienced in caring for diverse types of patient populations, with and without medical insurance coverage. Dedicated to enhancing quality of care, safety and efficiency.
Skills
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Experience
Guardian Elder Care | Waynesburg , PARegistered Nurse08/2013 - 02/2020
- Administered oral & IM medications, tracked dosages, documented patient responses & suggested ways to combat side effects.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
- Monitored and recorded patient concerns, vital signs, Clozapine lab values and drug dosages & AIMS screening.
- Answered patient & family questions and completed referrals to community agencies.
- Trained and mentored new RNs on psychotropic medication injections and pediatric client assessments.
- Delivered high-quality and compassionate treatment to all patients.
- Managed all psychotropic medication injections including scheduling & compliance, insurance coverage & prior auths & maintaining adequate supplies.
- Assessed patient conditions, monitored behaviors and updated physician with observations and concerns.
- Helped pediatric patients understand and feel at ease with the nursing assessment process.
- Utilized EHR system (Avatar) & created a guideline for co-workers.
- Documented all injections, medication refills, phone messages and lab results in Avatar and Order Connect.
- Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
- Refilled medications & verified insurance benefits.
- Received and verified incoming drug inventories, reported discrepancies and logged items into inventory system.
- Filled prescriptions and prepared prescription labels.
- Ensured proper entry of patient prescriptions in Order Connect (OC) & dispensed medications in accordance with physician orders.
Guardian Elder Care | North Warren , PAMedical Claims Review Nurse09/2008 - 07/2013
- Applied medical criteria and clinical judgement to evaluate and establish determinations.
- Collaborated with providers to obtain required clinical information.
- Referred medical claims to secondary review for failure to meet criteria.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Reviewed and verified benefits and eligibility.
- Remained up-to-date with insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans.
- Analyzed patient medical and surgical records to determine medical necessity, appropriate levels of coverage and assist with approval or denial decisions.
- Collaborated closely with other departments to resolve claims issues.
- Evaluated accuracy of provider charges, including dates of service, procedures, level of care and diagnoses.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Guardian Elder Care | Surveyor , PARegistered Nurse11/2007 - 09/2008
- Administered oral, subcutaneous, IM & IV medications and monitored patient reactions.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care & support while maintaining safety.
- Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
- Documented all therapies to keep patient charts up-to-date.
- Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
- Assisted physician with "doctor call" and minor procedures.
- Coordinated and completed "sick call" for inmates.
- Managed HTN clinic.
Medcenter One Hospital | City , STATERegistered Nurse05/2004 - 11/2007
- Charge Nurse
- Administered chemotherapy & monitored responses.
- Monitored laboratory values & communicated abnormal results with physician.
- Monitored ANC levels & assessed patients for neutropenia.
- Administered biotherapy, IVIG, Remicade & Iron transfusions & monitored responses
- Emotionally supported and promoted a kind, compassionate environment, utilizing active listening and effective communication skills for patients receiving treatment.
- Answered questions & provided patients with information on range of subjects, not limited to side effects from chemotherapy and benefits of proper nutrition during treatment.
- Managed central, arterial and PICC lines.
- Administered oral, subcutaneous, IM and IV medications to patients and monitored responses.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Conducted & documented patient assessments.
- Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
- Communicated with primary care physicians to relay patient condition, behaviors and needs.
- Educated caregivers and families on end-of-life planning and patient care options.
- Coordinated care for up to 6 patients per shift.
- Observed strict safety measures, including infection control & checking medication dosages.
- Set up IV & feeding pumps, PCA, reviewed physician orders and assimilated patients to unit.
Education and Training
North Dakota State College of Science | City, StatePharmacy Technician in Pharmacy Technology04/2015
University of Mary | City, StateBachelor of Science in Nursing05/2004
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School Attended
- North Dakota State College of Science
- University of Mary
Job Titles Held:
- Registered Nurse
- Medical Claims Review Nurse
Degrees
- Pharmacy Technician in Pharmacy Technology
Bachelor of Science in Nursing
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