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Quantum Health - Utilization Review Nurse Resume Example

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Ariana Alexander
XXXX XXXXXXXXX XXXXX XXXX XXXX XX X , Columbus , OH 43202 | (H) XXX XXX XXXX | XXXXXXXXXXXXXXXXXXXXX
Professional Summary

Service-oriented Utilization Review Nurse with greater than 30 years background in Acute, Rehabilitation and Insurance Nursing. Core competencies include Coordination  and Review of care provided to match set criteria for severity of illness/intensity of service; Proficiency with computer skills including multitasking with multiple programs;  and Ability to self manage and monitor productivity and quality expectations as well as excellent communication and time management skills. Handles tasks with accuracy and efficiency.

Skills
  • Critical Thinking/Complex Problem Solving
  • Coordination/Monitoring/Quality Control Analysis
  • Judgment and Decision Making/Time Management
  • Writing/ Computers and Electronics
  • Active Learning/Instructing/Learning Strategies
  • Administration and Management
  • Telecommunications
  • Troubleshooting
Experience
Utilization Review Nurse 09/2011 to 09/2014
Quantum Health Columbus, OH

Utilization Review including inpatient concurrent review, pre admission and discharge planning and coordinating with other departments for a safe and cost efficient experience for both plan members and Self Funded PPO employers.

Facilitation of post discharge needs with follow up.


Management of information utilizing various SPDs, Criteria and Computer programs.

Supervisor, Rehabilitation Program 06/2006 to 09/2011
First Community Village Columbus, OH
Supervised all aspects of care including nursing, therapy, education and home planning to assist acute rehabilitation patients return to a home level of care.
Staff Nurse 03/2002 to 02/2006
Ohio Health Columbus, OH
Staff/Charge nurse 40 bed med-surg unit specializing in oncology care including chemotherapy and inpatient needs.
Nurse Supervisor 07/1998 to 03/2002
St Raphael/ Catholic Dioces Columbus, OH
Worked under supervision of Mother Superior, Sr. Mary Rose Heery, in the end of life care of residents at St. Raphael and as on call nurse for home needs and end of life care.
Education
Associate of Science: Nursing May 1980 Ashland Community College/ University of KY - Ashland, KY
Bachelor of Arts: Education Jun 1978 University of KY - Lexington, KY
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Resume Details

This is a real resume for a Utilization Review Nurse in Columbus, Ohio with experience working for such companies as Quantum Health, First Community Village, Ohio Health. 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:

  • Quantum Health
  • First Community Village
  • Ohio Health

Previous Job Positions:

  • Utilization Review Nurse
  • Supervisor
  • Rehabilitation Program
  • Staff Nurse
  • Nurse Supervisor

Schools:

  • Ashland Community College/ University of KY
  • University of KY

Level of Education:

  • Associate of Science
  • Bachelor of Arts

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