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Careers Spark - Utilization Review Nurse Resume Example

Raitna Udmoears
XXXX XXXXXXX XXXXX, Lawrenceville, GA 30044 XXXX XXXXXXX XXXXX, 30044, Lawrenceville GA XXXXXXXXXX | XXXXXXXXXXXXXXXXXXXXXXXX
Professional Summary

Patient-oriented RN licensed in Georgia.  

Expert in patient advocacy, assessment, triage, record review and medical instruction.  

Seasoned professional seeking a position that will build upon my past experiences and offer new opportunities. 






Skills
  • Critical Thinker
  • Team player 
  • Loyal 
  • Calm
  • Organized
  • Motivated 
Experience
Kaiser Permanente Administrative Regional Office Advice Nurse | Atlanta, GA | September 2015 - Current Telephonic triage for adult, pedatric, geriatric, behavior health and ob/gyn  health plan members utilizing assessment protocols and critical thinking skills. 
Careers Spark Utilization Review Nurse | San Diego, CA | March 2015 - August 2015 Assemble information regarding patients clinical background and referral needs. 

Ensure proper authorization guidelines are met based on MCG guidelines.

Conduct telephonic patient referrals. 

Maintain ongoing tracking and documentation of referrals to promote awareness and patient safety. 

Hospice of San Joaquin Case Manager | Stockton, CA | May 2006 - April 2015 Assess patient for appropriateness under the Medicare hospice benefit. 

Patient assessment and development of plan of care.

Care coordination with interdisciplinary team. 

Supervision of licensed vocational nurses and home health aides. 
Manteca Care Charge Nurse | Manteca, CA | March 2004 - April 2006 Provide quality skilled nursing care to rehab patients. 

Supervision of licensed vocational nurses and certified nurse assistants.
Rehab Focus Home & Health Inc RN | Stockton, CA | May 2003 - March 2004 Skilled nursing services provided to homebound patients. 

Assessment,  medication management,  wound care and medical instruction. 
Dameron Hospital Association RN Staff Nurse | Stockton, CA | June 2002 - June 2003 Hands on nursing care-orthopedic unit 
Pegasus Risk Management Case Manager | Modesto, CA | August 1999 - May 2000 Telephonic case management for individuals injured on the job to promote timely return to work status 
Education
Associate of Science: Nursing St Mary's University - Lot P Moraga, CA | 1983 Associate of science degree in nursing 
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Resume Details

This is a real resume for a Utilization Review Nurse in Lawrenceville, Georgia with experience working for such companies as Kaiser Permanente Administrative Regional Office, Careers Spark, Hospice Of San Joaquin. This is one of the hundreds of Utilization Review Nurse resumes available on our site for free. Use these resumes as templates to get help creating the best Utilization Review Nurse resume.

Previous Companies:

  • Kaiser Permanente Administrative Regional Office
  • Careers Spark
  • Hospice of San Joaquin

Previous Job Positions:

  • Utilization Review Nurse
  • Case Manager
  • Charge Nurse
  • RN Staff Nurse

Schools:

  • St Mary's University - Lot P

Level of Education:

  • Associate of Science

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