Three years of experience in utilization management at UAB hospital. Maintain strong reputation for achieving high levels of appropriate patient reviews under Interqual criteria. Previously provided six years of excellent nursing care in various clinical/bedside nursing roles. Seeking leadership role with a rural health system committed to delivering effective healthcare that meets the social and cultural needs of the rural communities that it serves.
Committed to compliance reporting
Familiarity with disease management programs
Computerized charting specialist
Strong medical ethic
Staffing management ability
Confident public speaker
Personal and professional integrity
Relationship and team building
Education and Training
Master of Science: Nursing and Health Systems AdministrationpresentUniversity of Alabama at Birmingham, School of NursingBirmingham, AL
Member of Nursing Graduate Student Association
Associate of Applied Science: Nursing2008Three Rivers Community CollegePoplar Bluff, MO
Member of Student Nurses Association
BBA: Management1996Baylor UniversityWaco, TX
Member of Society for Human Resource Managers
Member of Kappa Chi Alpha sorority
Utilization Management Specialist07/2014 to CurrentUNIVERISTY OF ALABAMA AT BIRMINGHAM HOSPITALBirmingham, Alabama
Review each patient for appropriate Level of Care utilizing Interqual verification; verify that documentation and orders entered by providers are appropriate and accurate; perform concurrent stay reviews to determine medical necessity for continued length of stay in order to remain in compliance with CMS regulations.
Perform quality checks in order to adequately prepare for RAC/MAC audits.
Interact with the Medical, Nursing, and Ancillary department staff to facilitate quality based, cost effective patient outcomes.
Work with the Medical Staff to ensure that patient care is provided in the most appropriate setting as well as the multidisciplinary team to ensure wise utilization of resources.
Clinic Nurse01/2013 to 06/2014UNIVERSITY OF ALABAMA AT BIRMINGHAMBirmingham, Alabama
Complete management of all patient health concerns and collaborating with the doctors on the appropriate course of action to adequately provide the proper care for each patient.
Primary disease management for Parkinson's disease, Dystonia, Essential tremor, and multiple other movement disorders.
RN Health screener06/2012 to 11/2012MOLLEN IMMUNIZATION CLINICSScottsdale, Arizona
PRN Independent Contract RN for local health fairs.
Clinical Care Coordinator/Charge Nurse12/2011 to 05/2012BAPTIST MEDICAL CENTERMontgomery, Alabama
Supervised the continuity of complete patient care from admission to discharge, and coordinated staffing within the unit.
PRN Med/Surg Staff RN11/2011 to 02/2012RUSH FOUNDATION HOSPITALMeridian, Mississippi
Complete patient care for both critical and non-critical individuals with multiple co-morbidities
Critical Care/Med-Surg Travel RN04/2011 to 11/2011JACKSON NURSE PROFESSIONALSOrlando, Florida
Administration of appropriate care with regard to the personal and medical needs of the individual patient and the needs of the facility.
RN Health Screener02/2011 to 12/2012FAVORITE HEALTHCARE STAFFING, INCOverland, Kansas
Provided on-site health screenings for various industrial companies
RN Health Screener02/2011 to 12/2012CIGNA ONSITE HEALTH SCREENINGBloomfield, Connecticut
Provided on-site health screenings for companies that utilized Cigna insurance for their employees
Staff RN03/2010 to 01/2011LANDMARK HOSPITALCape Girardeau, Missouri
Acute Care Staff RN for this 28 bed LTAC facility.
Complete patient care for both critical and non-critical individuals with multiple co-morbidities.
Staff RN/Assistant Charge RN06/2008 to 05/2010SOUTHEAST MISSOURI HOSPITALCape Girardeau, Missouri
Complete patient care for non-critical individuals with multiple co-morbidities.
Student Nurse & PRN Nursing Assistant02/2007 to 06/2008POPLAR BLUFF REGIONAL MEDICAL CENTERPoplar Bluff, Missouri
Complete non-skilled nursing care for critical and non-critical individuals with multiple co-morbidities.
Activities and Honors
Sigma Theta Tau Honor Society of Nursing; Dec. 2016 - Present
Cambridge Who's Who of Executives, Professionals, and Entrepreneurs; May 2011
Medical Reserve Corps of Alabama; Current
Alabama Emergency Response Volunteer; Current
Fosters/Ralph Volunteer Fire Department Firefighter and First
Responder: Fosters/Ralph Fire District, Alabama; Feb. 2011 - Dec. 2013
Show-Me Response Volunteer: Missouri; 2009-2011
First Aid Provider for SEMO Hospital sponsored events; Cape Girardeau, Missouri; 2008-2010
BLS certified; expires 01/2019
Acute Care, CMS, disease management, documentation, RAC/MAC, Nursing, patient care, quality, staffing, Interqual, Excel, Word, PowerPoint