Experience

ALN Medical Management

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Utilization Review Team Lead

  • May 2021 - Present

  In this role, my experience in psychiatric health care settings, child and adolescent behavioral health conditions and members with special needs is required. I have a working knowledge and daily use of utilization review procedures, and familiarity with mental health community resources including all levels of care. I work diligently to provide authorizations as well as clinical advise and recommendations to the treatment team in order to best meet the needs of the patients and maximize reimbursements.



New Directions Behavioral Health (now Lucet)

• United States
• Mental Health Care
• 200 - 300 Employee

• Utilization Manager

  • Nov 2015 - May 2021

  In this role, my experience in psychiatric health care settings, child and adolescent behavioral health conditions and members with special needs is required. I have a working knowledge and daily use of utilization review procedures, and familiarity with mental health community resources including all levels of care. I work diligently to provide authorizations as well as clinical advise and recommendations to the treatment team in order to best meet the needs of the patients and maximize reimbursements.



St. James Behavioral Hospital

• Utilization Management

  • Jul 2014 - Nov 2015

  Establish and maintain mechanisms for monitoring the utilization of hospital resources. Perform reviews for admission, continued stay, transfer/discharge and extended stay. Establish and maintain mechanisms for monitoring the utilization of hospital resources. Perform reviews for admission, continued stay, transfer/discharge and extended stay.



Sage Rehabilitation Hospital

• RN Supervisor

  • Apr 2014 - Jul 2014

  Direct care and supervision of up to 7 patients in a rehabilitation environment. Providing appropriate care for patients in transition from acute care to home or a lower level of care. A large percentage of patients require post surgical treatments for conditions and procedures including total hip replacements, knee replacements and care of patients post MVA with multiple trauma and comorbidities Direct care and supervision of up to 7 patients in a rehabilitation environment. Providing appropriate care for patients in transition from acute care to home or a lower level of care. A large percentage of patients require post surgical treatments for conditions and procedures including total hip replacements, knee replacements and care of patients post MVA with multiple trauma and comorbidities



Supplemental Health Care

• United States
• Staffing and Recruiting
• 700 & Above Employee

• Travel RN

  • Jan 2014 - Apr 2014

  Direct care of up to 6 patients on a 20 bed Med/Tele Unit. Provide appropriate care to a diverse patient population utilizing my knowledge and experience in the nursing process. Direct care of up to 6 patients on a 20 bed Med/Tele Unit. Provide appropriate care to a diverse patient population utilizing my knowledge and experience in the nursing process.



Trinity Healthcare Staffing Group

• United States
• Staffing and Recruiting
• 1 - 100 Employee

• Travel RN

  • Sep 2013 - Dec 2013

  Direct care of up to 6 patients on Nephrology Unit. All aspects of clinical knowledge and critical thinking as an RN has been a huge part of this assignment. Acute and chronic renal failure, dialysis and a host of comorbidities including CHF, MI, arrhythmias, DM, etc., are just part of the experience of this unit. Extensive telemetry knowledge, monitoring and treatment are required. This has been a great multifocal assignment allowing me to use and define my clinical knowledge and expertise. Direct care of up to 6 patients on Nephrology Unit. All aspects of clinical knowledge and critical thinking as an RN has been a huge part of this assignment. Acute and chronic renal failure, dialysis and a host of comorbidities including CHF, MI, arrhythmias, DM, etc., are just part of the experience of this unit. Extensive telemetry knowledge, monitoring and treatment are required. This has been a great multifocal assignment allowing me to use and define my clinical knowledge and expertise.



Promise Healthcare, Inc.

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Director of Nursing

  • Jan 2011 - Jun 2013

  Direction and oversight of over 100 clinical staff in a 54 bed LTAC including a 6 bed High Observation Unit. Some responsibilities include maintaining infection control standards, TJC standards and surveys, National Patient Safety Goals and monthly and quarterly PI and quality data collection and reporting. During the first 6 months of employment, I was able to eliminate all agency staff and cost while maintaining NHPPD and overtime hours below benchmark. I am most proud of achieving a "culture" among my staff of being above average caregivers and team players. Their drive and success has directly led to mine.



Flannery Oaks Guest House

• United States
• Retail
• 1 - 100 Employee

• Assistant Director of Nursing

  • Aug 2010 - Jan 2011

  My responsibilities included the supervision of over twenty CNA's and 12 nurses in the twenty-four hour care and assistance of more the one hundred and ten residents. Was responsible for the follow up and reporting of all incidents and infections with a plan of action. I provided oversight and documentation on all wounds and wound care present in facility. Was responsible for compiling and assisting with the presentation of quarterly QI data. This position allowed me to work closely with attending physicians and practitioners in the coordinating of care of the residents.



Acadiana Management Group

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Director of Case Management

  • Apr 2009 - Aug 2010

  Responsible for directing and coordinating the clinical continuum of care and the appropriate utilization of clinical and financial resources. Ensuring that the patient maximized his functional status through in-patient services, coordinate appropriate follow up care and monitor the outcomes the patient has achieved at discharge. I have supervised and monitored a GSW during this time insuring proper counseling, psychological, pastoral, and state and federal resources are being utilized appropriately to benefit patients from all disciplines and levels of care.



Gulf States Health Svc

• United States
• Hospitals and Health Care

• RN Liaison

  • Oct 2008 - Mar 2009

  The evaluation of patients at home, acute care settings and long term care to ensure that criteria is met for the placement into an LTAC facility. Relationships are initiated and maintained with case managers, social workers, doctors and nurse practitioners that are influential in the patient referral process. Once criteria for LTAC are met, precertification is obtained from insurance companies as well as Medicare and Medicaid to provide benefits for patient stay. In the role, I have been able to train and supervise an LPN to assist in the above-mentioned processes.



North Oaks Health System

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Telemetry RN

  • Nov 2007 - Oct 2008

  Provide appropriate nursing care for up to 7 telemetry patients on a busy unit with high patient acuity and turnover. Provide appropriate nursing care for up to 7 telemetry patients on a busy unit with high patient acuity and turnover.