Experience

Magnolia Health Plan Inc.

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

• Registered Nurse

  • 2018 - Present

  Registered Nurse Thoroughly assess telephonic reviews of prior authorization requests to ensure proper care is communicated to all patients. This includes fielding up to 150 reviews weekly and offering recommendations to the appropriate Physician and/or Medical Director for alternative determinations. Deliver timely and accurate medical necessity and level of care reviews to Medical Directors to assure that the overall needs of all patients are being met. Daily collaboration with staff across multiple provider networks as well as case management personnel to coordinate proper member care through the use of digital and telephonic communication tools. Provide daily instruction to 8-10 network providers on the proper utilization of the medical management processes. This includes providing clear direction, proactively communicating any changes to the processes, and providing timely feedback to all steps requiring additional clarity. Serve as a SME (Subject Matter Expert) for all non-clinical staff providing immediate consultation for all clinical related inquiries. Show less



St. Dominic Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Registered Nurse

  • 2017 - 2018

  Direct caretaker for up to 6 patients on a daily basis. Responsibilities included managing all daily activities, administering medications, providing patient assessments, blood administration, and admitting/discharging patients. Provided pre/post operation care to patients. This included the monitoring of vital signs, drain output, providing site assessments, and reporting any pain assessments and abnormalities to the physician or nurse practitioner. Consistently delivered clear and concise communication to the Staff Nurse, Case manager, Physician, and Physician Assistant regarding the patient’s condition and needs. Show less



Cottage Grove Nursing Center

• Unit Supervisor / Weekend Supervisor

  • 2016 - 2018

  Led a team of 6 nurses and 10 CNAs that cared for 30+ patients daily. Tasks included: *Scheduling, training, and managing all administrative related tasks for all direct reports *Ensuring that proper wound care was provided, oversaw the administering of intravenous medications, and counseled on providing clear communication to the family of the patients. Worked closely with the Director of Nursing, Therapist, Physicians, Nurse Practitioners, and Pharmacists to ensure adequate patient care. Show less



Lakeland Nursing and Rehabilitation

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

• Unit Nurse Manager-Restorative Nurse-Weekend Supervisor

  • 2013 - 2017

  Responsible for scheduling, training, and managing all administrative related tasks for 15 direct reports. (LPNs, CNAs, and RNs) Assisted over 30 residents daily by helping them improve physical, mental, and psychosocial functions. This included medication administration and wound care as well. Responsible for scheduling, training, and managing all administrative related tasks for 15 direct reports. (LPNs, CNAs, and RNs) Assisted over 30 residents daily by helping them improve physical, mental, and psychosocial functions. This included medication administration and wound care as well.



Emeritus

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Resident Director

  • 2009 - 2013

  Provided leadership and direction for 50 direct reports while assisting with the caring of over 90 residents. Responsibilities included: *Interviewing and hiring of new staff members and leading them through orientation *Onboarding of all Nurses, providing comprehensive ‘on-the-job’ training and guidance *Scheduling and managing time off requests *Communicating and enforcing company policies and procedures *Managing medication administration *Directing and coordinating the resident care plan from move-in to discharge Served as interim Executive Director and Memory Care Director when appointed. Show less