Victoria Kritovich

Experience

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  Government Employees Health Association, Inc.

  Jan 2018 - Jun 2022

  Home Health Aide

  - Followed protocols for infection prevention and control.- Assisted home-bound individuals with personal hygiene and care needs to maintain health and dignity.- Documented provided care, submitting notes and information to supervisor.- Supported advanced Alzheimer's and Parkinson's clients for optimal health throughout deteriorating mental or physical wellbeing.

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  Merdian Memory Care Unit

  Jan 2019 - Nov 2021

  Medication Technician

   Tracked medication administration and frequently audited medication sheets. Assessed and administered medication program for 40+ residents. Managed 8+ caregivers to ensure every patient is getting their care met. Resolved emergency situations with calm, level-headed and knowledgeable approach

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  Virginia Mason Franciscan Health

  Mar 2021 - Mar 2023

  Emergency Services Registered Nurse

  A nurse working in emergency services (ER Nurse) plays a pivotal role in providing immediate and specialized care to patients who require urgent medical attention. Here is a description of what it's like to be a nurse working in emergency services:- Managed patient flows for unit, triage, handling admissions and processing discharge paperwork as charge nurse of Emergency Observation Department. - Trained and mentored student nurses, interns and new graduates in proper procedures and care techniques.- Administered oral, IV and intramuscular medications as part of patient treatments as well as diagnostic procedures.- Educated patients and caregivers on proper at-home care and treatment regimens.- Highly trained with EPIC systems. Show less

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  University of Washington

  Jun 2022 - Mar 2023

  Public Health Nurse & Informatics

  Role of Public Health Nurse is to address specific health issues, promote wellness, and improve the overall health of communities.- Project Management: Took leadership in starting Mental Health First Aide for public schools across Pierce County.- Presentation of Quality Improvement and statistics: Lead presentations in University of Washington - Public Health and mastered Microsoft 365/Excel/Informatics to create campaign.- Succeeded in getting a grant for MHFA program. - Performed Quality Research and gathered statistics to show decline of mental health in youth and preventions. Show less

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  LHC Group

  Mar 2023 - Sept 2024

  Home Health Nurse Case Manager

  Home health nursing is a specialized field of nursing where registered nurses (RNs) provide healthcare services to patients in the comfort of their own homes. Here’s a description of the role:- Patient-Centered Care: Respecting patient preferences (holistic approach) and developing a schedule that fits best for patient's needs. - Extreme Flexibility: Being available to patient's needs in case of emergency or questions any time of the day. - Case Management: As a home health nurse, I have cases of patients where I have to determine with patient and treatment team what are the best orders and interventions needed to get patient back or near baseline. - Electronic Health Records: All work is completed through electronic system and typing speed needs to be higher than average.- Usage of OASIS, Quality Improvement: Able to collect and report quality data to the Centers for Medicare & Medicaid Services (CMS). Show less

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  Washington State Department of Social and Health Services

  Sept 2024 - now

  Utilization Management RN

  - Maintain compliance with the Center for Medicare and Medicaid (CMS) regulations through proactive data analysis, utilization review, and case management.- Conducts reviews: admission, concurrent, private insurance, Title 19, outlier, retrospective, retroactive, recidivism, no Primary diagnosis, recertification, decertification, focus, ready for discharge and other review as needed- Coordinate the Annual Medical Care Evaluation (MCE) study as required by the code of Federal Regulation for the Utilization Management Committee (UMC) and prepare and present written and/or oral reports of MCE study to the UMC and other committees as required- Notify and communicate with different manage care agencies for authorization of patient admissions; provide clinical updates to managed care agencies for continued authorization- Provide non-certification letter to patients that do not meet medical necessity for continued inpatient hospitalization and recertification letters to patients that meet medical necessity and active treatment criteria after decertification, explaining reason for both decisions to the patient- Appealing to private insurance companies who deny payment by communicating with the insurance companies and mailing requested documentation for review Show less