PROFESSIONAL NURSE EXPERIENCE
- Anthem Blue Cross Blue Shield- Tampa, FL June 2021-December 2021
-
Utilization Review Nurse (remote)
- Proactively involved in all aspects of Utilization Management including: recertification, concurrent review, discharge planning, and clinical case appeals
- Ensure patient admissions are in compliance with Medicare by using Milliman Care Guidelines
- Review electronic charts to provide documentation for admission/ stay criteria
- Confer with physicians to assess the appropriateness of the level of care
- Analyze appropriate data to identify trends/ problems relating to delays in the delivery of care and patient placement
-Develop relationships with physicians, healthcare service providers, customers, and Medical Directors to help improve health outcomes for members
- Apply clinical knowledge to work with facilities and providers for care coordination
- Consult with peer clinical reviewers and Medical Directors to ensure medical appropriate, quality, and cost effective care is provided throughout the medical management process
- Met 100% of turnaround time
- Cortex Health Inc.- Lehi, Utah/ Miami Dade County (FL) March 2021- May 2021
-
COVID RN (Temporary, Remote)
- Telephonically assist the Salt Lake County Health Department in scheduling COVID-19 vaccine appointments for residents 12 years of age and older
- Telephonically assist the Miami Dade County Health Department in scheduling appointments for homebound patients needing Covid-19 tests
- Take Inbound/outbound calls- both English and Spanish phone lines
-Escalate any concerns or side effects to the Salt Lake City Health Department
- Memorial Regional Hospital- Hollywood, Florida October 2019- December 2019
-
Cardiac Operating Room, Registered Nurse II
Adult and Pediatric Heart Surgery Team, Trauma, VAD and ECMO teams
-Circulating nurse for cardiac cases (adult and pediatric), VAD devices, ECMO, TAVR, and heart transplant cases
- Houston Methodist Hospital- Houston, Texas June 2017- July 2019
-
Fondren Brown (Walter Tower) Operating Room, Registered Nurse IIB
DeBakey Heart and Vascular Center
-Circulating and scrub nurse for cardiac- open and minimally invasive, VAD devices, TAVR, vascular-open and endovascular, thoracic- open and robotic, organ procurement, heart, lung, pancreas, and kidney transplant cases (scrub exposure in cardiac)
- Conducted clinical assessments and identified the individual needs of the patients, as well as, where further education was necessary so that their goals could be met.
- Assist the department Educator in precepting new employees; involved in hiring process
- Involved in: the department’s Shared Governance Committee, Mentor Committee, Pressure Ulcer unit champion, Newsletter Committee, HMH Clinical Practice and Quality Outcomes Council- hospital wide, Evidence Based Practice projects, created a cart for Deaths in the OR, represent the CVOR as a hospital committee member of the Peri-Operative Pressure Injury Prevention Committee, and a PatientTrak Super User for the unit.
- Assist surgeons with emergent bedside procedures: ECMO, IABP, Tracheostomies
- Work closely with Sale Representatives from multiple companies
STUDENT CLINICAL EXPERIENCE
Total hours: 900
Location of clinical and departments worked: available upon request.
OTHER WORK EXPERIENCE
- Arthritis-Osteoporsis Treatment and Research Center, Inc- Medical Office Coordinator
- National Center for Missing and Exploited Children- Missing Children’s Division (Family Abduction Unit)
- Computing Technologies, Inc- Visa Applicant Specialist 2
- Astar Education Institute- Admission Director
- George Mason University- Research Assistant
- Child and Family Counseling Group, PLC- Lead Administrative Assistant
