Yyyyyy x. yyyyyy Box Elder, XXXXXX xxxxxx

Patient-Focused Leader Seeking Growth-Oriented RN Utilization Manager Role

Professional Specializations in Medical / Surgical, Labor & Delivery, Postpartum & Dental Care

Top performer who provides compassionate direct patient care for all ages based on industry and / or facility standards of practices, and exhibits up-to-date knowledge of national care trends. Ambitious self-starter who proactively observes patients, reports changes, and handles reactions to medications or treatments. Excellent communicator who handles confidential responsibilities while seamlessly liaising between physicians and healthcare teams to achieve patient care goals, and builds a highly beneficial patient rapport with individuals of various ethnic and / or socioeconomic backgrounds.

Large-Scale Clinic Nursing

Whole Person Nursing Practices

Individualized Patient Treatment Plans

Emergency Procedures / High-Risk Patients

Appointment Setting / Insurance Authorizations

Counseling & Education

Medication Administration

Immunization Administration

Patient / Physician Relationships

Electronic Medical Records (EMR)

~ Achieved Perfect Attendance in Most Recent RN Job Position. ~

~ Played a Vital Role in Winning a 4^th Quarter Team Award in January 2016. ~

~ Increased the Percentage of Physical Therapy and MRI Referrals from 45% to 100%. ~

~ Decreased the Number of Patients with 10+ Visits Annually via Synergistic Provider Support. ~

~ Personally Saved Government $222,580.76 in Last Three Months with Goal to Save $1 Million in One Year ~

Capitalize on the opportunity to process 1,000+ referrals per month while identifying, evaluating, and intervening with patients seeking care outside of a local area; educating providers about appropriate referrals; and tracking high utilizers / high-risk patients to ensure new enrollees are given an appropriate provider. Expertly review referrals for Right of First refusal recapture opportunities, and handle referrals to disease management, case management, and BHOP as required. Proactively identify beneficiaries for recapturing of services provided by clinic. Promote appropriate care for a cost-effective patient care experience, and re-evaluate and re-measure outcomes annually.

Promote excellence in patient care within fast-paced clinic operations, including assessing key conditions and initiating treatment per physician goals, as well as leading preventative measures for obtaining best patient outcomes. Expertly care for patients with chronic and acute medical conditions, behavioral problems, cancer, endocrinology issues, obstetrics, operative gynecology, pregnancy and delivery, preventative health, and urinary tract disorders. Facilitate comprehensive health histories and review individualized medical charts; perform obstetrical exams and fetal monitoring; perform port care for cancer patients; and administer immunizations, counseling, and education. Play a vital role in assisting physician with diverse treatments and procedures ranging from IUDs to biopsies to determine cancer.

Optimize operations efficiency by accurately scheduling patient appointments, chemotherapies, surgeries, labs, and radiology procedures. Interpret patient information and make sound decisions regarding required actions, including coordinating care with physicians and healthcare associates. Proactively respond to messages from patients to discuss care and treatment and ensure complete confidentiality. Ensure seamless healthcare processes by sending prescriptions to pharmacy for patient. Demonstrate knowledge of code procedures and correctly utilize diagnosis codes. Write and process patient referrals to Tricare while coordinating efforts with insurance and billing departments.

RN Utilization Manager Ellsworth Air Force Base 2015 2016

Clinic Nurse Black Hills Obstetrics & Gynecology Helen Frederickson, M.D. 2001 2015

Charge Nurse L&D ￨ Postpartum Care ￨ Med / Surg Jackson County Memorial Hospital 1995 2001

Associate of Applied Science (Phi Theta Kappa, Perfect Attendance) Western Oklahoma State College

Certified Dental Assistant Lake Area Vocational Technical School

Certified RN Maternal Newborn Nursing (RNC) ￨ Perinatal Continuing Education Program (PCEP)

CPR Certified ￨ Neonatal Resuscitation Program (NRP) ￨ Fetal Monitoring ￨ Certified Breastfeeding Counselor (CBC)