Rachel Belen BSN RN
Utilization Review Nurse at Cohere Health- Claim this Profile
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Bio
Credentials
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Basic Life Support for Healthcare Providers (BLS)
American Heart Association -
Registered Nurse State License (Compact State)
Florida Board of Nursing
Experience
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Cohere Health
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United States
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Software Development
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400 - 500 Employee
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Utilization Review Nurse
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Aug 2023 - Present
• RN Reviewer working in a fully remote position that performs prospective reviews (prior authorizations) and retrospective reviews to determine the medical necessity of inpatient admissions, outpatient services and procedures, and other clinical requests by providers per established criteria and protocols • Reviews Commercial and Medicare lines of business and participates in quality improvement activities to ensure appropriate cost-effective care, consistent application of clinical criteria, and optimal patient outcomes Show less
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DaVita Kidney Care
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United States
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Hospitals and Health Care
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700 & Above Employee
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Registered Nurse
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2021 - 2022
• Registered Nurse responsible for the holistic care of patients, including admissions and discharge planning, while working in collaboration with the interdisciplinary care team in the busy outpatient dialysis clinic setting • Coordinated care for patients with complex medical and psychosocial needs and provided disease management education and coaching to optimize health outcomes • Trained in hemodialysis process and delivery systems, kidney theory, infection control, fluid management, and vascular access management and techniques to provide sterile and efficient delivery of care • Experienced at patient intake, hemodialysis management, pre- and post-dialysis care, lab value monitoring, monitoring and care of CVC/fistula/grafts, team dynamics, and effective communication Show less
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AdventHealth
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United States
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Hospitals and Health Care
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700 & Above Employee
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Registered Nurse - MultiSystem ICU (MSICU) & COVID-19 ICU
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2020 - 2021
• Registered Nurse who coordinated and implemented primary nursing care to adult and geriatric patients on the Multisystem ICU (MSICU) and COVID-19 ICU at AdventHealth in Orlando, Florida • Trained in central line care, arterial line management, accessing and de-accessing VAPs, chest tube management, use of neuromuscular blockades, continuous sedation care, enteral feedings, and care of the non-verbal patient • Adept at advanced airway support, ventilator management, hemodynamic monitoring, ECG interpretation, vasoactive IV infusions, RSI provider support, code response and management, COVID-19 infection prevention procedures, and critical thinking Show less
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Education
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University of Central Florida - College of Nursing
BSN - Nursing
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