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
Patient education and counseling
Foley catheter & colostomy care
Monitoring laboratory values
Psychiatric and mental health care
Organization and planning
Patient advocacy
Taking & monitoring vital signs & blood sugars
AIMS screening
Intake and discharge
Basic Life Support & First Aid Certification
Palliative care and Pain Management
Coordinating referrals & setting appointments
Chemotherapy & Biotherapy Administration
Remicade, IVIG, Iron transfusions & Zyprexa Relprevv Administration
IV insertion & care
Central, Arterial & PICC line care
IV, PCA & Feeding pumps
BAC screening/drug screen collection
Culturally sensitive
Inpatient and outpatient care
Infectious disease control
Charge Nurse
Wound cleaning/care & removing stitches & staples
Electronic Health Records & Charting (Avatar & Order Connect)
Preparing for procedures (CT, MRI, surgery, chest tubes)
Education and Training
North Dakota State College of ScienceWahpeton, NDExpected in 04/2015 ā āPharmacy Technician:Pharmacy Technology - GPA:
University of MaryBismarck, NDExpected in 05/2004 ā āBachelor of Science:Nursing - GPA:
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.
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 - Medical Claims Review Nurse North Warren, PA, 09/2008 - 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.
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 - Registered Nurse City, STATE, 05/2004 - 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.
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