Experience

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  Trinity health (hq michigan)

  Sept 2014 - Jun 2015

  Licensed practical nurse

  -Demonstrated strong clinical skills while providing direct client care with:• Dispensing medications to 13-15 residents in a unit• Vital signs• Wound care and application of dressings• Oxygen therapy-Direct supervision overseeing Resident Care Assistants and MedicationTechnician duties-Report changes in resident’s status to the Charge Nurse in a timely manner-Followed hospital guidelines as well as HIPAA standards in all patientdocumentation and interaction-Demonstrated understanding of Dementia, Alzheimer’s, and otherdegenerative disorders Show less

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  Glacier hills senior living community

  Dec 2014 - Nov 2015

  - Coordinate with other departments to ensure smooth transitions for admission/discharge of a patient.- Complete all admission paperwork within the appropriate timeframe, including physical assessment, physician orders, MAR, nursing treatments, and dietary recommendations.- Collaborate with the physician, patient, family, and interdisciplinary team to implement a care plan for the patient population related to facility standards.- Verify and review clinical summaries and orders with the physician upon admission.- Serves as a clinical and educational resource to other staff in the facility.- Follow facility guidelines and HIPAA standards in all patient documentation and interaction. Show less - Demonstrated strong clinical skills while providing direct client care with:• Dispensing medications to up to 19 residents in a unit• Vital signs• Wound care and application of dressings• Oxygen therapy- Direct supervision overseeing Certified Nursing Assistants- Report changes in resident’s status to Clinical Nurse Manager and/orPhysician in a timely manner- Process physician orders within Electronic Health Records- Followed facility guidelines as well as HIPAA standards in all patientdocumentation and interaction Show less

  • Admissions Nurse

    Sept 2015 - Nov 2015

  • Licensed Practical Nurse

    Dec 2014 - Nov 2015
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  Meridian

  Nov 2015 - Jan 2021

  Utilization review nurse

  -Review and abstract clinical nursing data of Medicare and Medicaid (IL, MI) insurance members for initial placement and subsequent stay in SNF, LTACH, Inpatient Rehabilitation, and Hospice facilities utilizing McKesson InterQual criteria. -Facilitate authorization process and contact providers with determination and authorization details. -Follow-up phone calls to providers to facilitate the safe discharge planning of insurancemembers. -Contact providers with determinations regarding cases denied by MDs within appropriate timeframes.-Forward data to the HEDIS department for quality utilization review as indicated. -Refer appropriate insurance members to case management for care coordination benefits. -Adhere to NCQA, HIPAA, federal and state guidelines, and regulations.-Facilitate the training of newly onboarded Transitional Case Managers to ensure their seamless integration into utilization review operational workflows. Show less

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  Mother mindset

  Feb 2020 - now

  Certified fertility doula

  - Provide compassionate and individualized support to clients navigating fertility journeys through virtual platforms.- Conduct thorough assessments of clients' needs, preferences, and emotional well-being to tailor support strategies.- Offer comprehensive education on fertility-related topics, including reproductive health and lifestyle factors affecting fertility.- Foster a nurturing and empathetic environment, offering emotional support to clients during the ups and downs of their fertility experiences.- Collaborate with clients to establish realistic fertility goals and create personalized plans to achieve them.- Conduct virtual workshops and provide resources on fertility-related topics to empower clients with knowledge and skills.- Stay updated on the latest research, trends, and best practices in fertility support.- Adhere to strict confidentiality standards, ensuring the privacy and security of client information. Show less

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  Medlinks staffing, llc

  Dec 2023 - Apr 2024

  Clinical data abstractor - hedis

  -High level of knowledge in HEDIS Measures for the current year and proficiency in abstracting measures from medical records.-Collaborate with the HEDIS team to gather member records, conduct medical record abstraction reviews, and perform in-depth research on these records.-Utilize critical thinking skills and data analysis within data/claims systems for thorough research and extraction of specific claim/provider information.-Employ various resources including local claims system membership, NPI registries, and Google for deep dive research.-Proficient in reading and interpreting physician handwriting, accurately inputting results into designated databases.-Work under supervision to achieve productivity goals, undergo module testing for HEDIS measures, ensure meticulous documentation, and effectively utilize company software. Show less