Utilization Review Nurse

• Dec 2018 - Present

Medical and behavioral health utilization review and case management.Liaison with insurance companies to ensure timely authorization of services.Facilitated interaction with insurance companies such as notice of admission, clinical documentation submission, concurrent reviews, InterQual reviews, peer-to-peer reviews, issuing lack of response letters, and identify barriers to discharge.Ensure insurance contractual requirements were met.Monitored denial rates and… Medical and behavioral health utilization review and case management.Liaison with insurance companies to ensure timely authorization of services.Facilitated interaction with insurance companies such as notice of admission, clinical documentation submission, concurrent reviews, InterQual reviews, peer-to-peer reviews, issuing lack of response letters, and identify barriers to discharge.Ensure insurance contractual requirements were met.Monitored denial rates and contributing factors. Show more Show less

Unit Manager

• Dec 2017 - Present

24/7 accountability in the clinical and staffing management of a 60-patient unit requiring over 20 nursing staff personnel. Assisted in the process of change management necessitated by being acquired by a new parent company by educating, coaching, and proving feedback to staff.Performed risk management duties focused on overseeing performance improvement initiatives and decreasing negative patient outcomes.Assisted with annual AHCA survey and plan of correction for… 24/7 accountability in the clinical and staffing management of a 60-patient unit requiring over 20 nursing staff personnel. Assisted in the process of change management necessitated by being acquired by a new parent company by educating, coaching, and proving feedback to staff.Performed risk management duties focused on overseeing performance improvement initiatives and decreasing negative patient outcomes.Assisted with annual AHCA survey and plan of correction for deficiencies. Participated in the recruitment, interviewing, hiring, and training of new employees. Show more Show less

Registered Nurse

• Mar 2015 - Aug 2017

Performed full scope of psychiatric nurse duties such as assessing, planning, implementing, and evaluating care and services. Utilized EMRs in Epic and Powerchart as necessary.Performed various therapeutic services such as crisis intervention, groups, and 1:1 therapy utilizing brief therapy, solution-focused therapy, and cognitive-behavioral therapy approaches. Supported coworkers and treatment team as needed.

Registered Nurse, Per Diem

• Mar 2015 - Nov 2015

Performed physical and mental health assessments, hearing/vision screenings, immunization administration.Provided ongoing evaluation of medication regime and monitored effectiveness.Participated in milieu management, ensured safety for all staff and clients, and performed interventions as necessary.Familiar with DSM and psychotropic medications, possible side effects and treatments.

Registered Nurse - Charge Nurse Experience

• Mar 2014 - Mar 2015

Managed staff and patients on a 44 bed adult psychiatric unit utilizing the charge nurse/medication nurse team approach with 1 charge nurse, 2 med nurses, and 5 mental health specialists.Facilitated discharges and admission with an average of 3 admissions per shift. Ensured facility protocols were followed.Participated in treatment team meetings.Ensured required documentation for events such as injuries or patient restraints was appropriately completed.… Managed staff and patients on a 44 bed adult psychiatric unit utilizing the charge nurse/medication nurse team approach with 1 charge nurse, 2 med nurses, and 5 mental health specialists.Facilitated discharges and admission with an average of 3 admissions per shift. Ensured facility protocols were followed.Participated in treatment team meetings.Ensured required documentation for events such as injuries or patient restraints was appropriately completed. Patient chart auditing. Show more Show less

Case Manager

• Oct 2009 - 20112 years

Identify community resources to aid clients.Provided case management services for up to 120 clients.Completed necessary documentation for eligibility, funding, and compliance with state and federal regulations. Assisted with multidisciplinary treatment team to address needs of clients with various disabilities.

Case Manager

• May 2008 - Sep 2009

Provided behavioral intervention based on assessed needs for patients and routinely performed patient care duties.Provided a safe and therapeutic milieu and assisted in the admission, provision of patient care, discharge and transfer of patients and documented specified interventions.Coordinated community resources to insure client's community integration.Led Mental Illness and Substance Abuse (MISA) groups.

Counseling Intern

• Aug 2008 - Aug 2009

Provided individual and group therapy to patients with chronic mental illnesses, chemical dependency, and developmental needs.Completed psychosocial interviews for every client and maintained weekly notes to track client progress.Administered psychological assessments.

Health Insurance Assistant

• Aug 2005 - Dec 2006

Assisted with Medicare/Medicaid logistics with numerous different companies. Provided various office services.

Undergraduate Research Assistant - Volunteer

• Aug 2001 - May 2004

Computer Lab Assistant - Psychology Department

• Aug 2001 - May 2004

Counseling Intern

• Jan 2002 - May 2002

Telephone triage services for crisis hotline.In person counseling services for clients.