Jasmine Scott
Marrero
Summary
Results-driven Registered Nurse with 8+ years of diverse clinical experience, in medical necessity review, prior authorization, denial management, concurrent review, and interdisciplinary care coordination utilizing InterQual and MCG criteria. Skilled in collaborating with physicians, insurance providers, and multidisciplinary teams to optimize patient outcomes, ensure regulatory compliance, and support appropriate resource utilization. Recognized for strong clinical judgment, independent workflow management, and the ability to perform effectively in fast-paced, high-acuity environments.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse
Ochnser Medical Center
New Orleans, LA
06.2025 - Current
- Perform initial and concurrent utilization reviews using InterQual and MCG guidelines to determine medical necessity and appropriate level of care.
- Analyze clinical documentation to ensure compliance with payer requirements, regulatory standards, and evidence-based practice guidelines.
- Collaborate with physicians, case management teams, and insurance providers to facilitate timely authorization approvals and continuity of care.
- Coordinate peer-to-peer reviews between physicians and insurance companies to support authorization and reimbursement outcomes.
- Partner with Centralized Denials Management to support appeal efforts and maximize reimbursement for services rendered.
- Monitor inpatient length of stay and identify opportunities for efficient resource utilization and cost containment.
- Review an average of 25–30 cases daily
- Maintain >90% authorization approval rate
- Reduce denial turnaround times
Interventional Radiology Nurse
Ochsner Medical Center
Gretna, LA
05.2024 - 06.2025
- Conducted comprehensive patient assessments before, during, and after invasive cardiovascular and radiologic procedures.
- Demonstrated strong clinical judgment and rapid response capabilities in high-acuity procedural environments.
- Collaborated with multidisciplinary teams to coordinate safe patient transitions and continuity of care.
- Reviewed patient medical histories, diagnostic findings, and treatment plans to support procedural readiness and patient safety.
- Participated in departmental quality improvement initiatives and compliance efforts.
Travel ED Registered Nurse
Aya Healthcare (Temecula Valley Hospital)
Temecula, CA
08.2023 - 05.2024
- Delivered emergency nursing care in fast-paced, high-volume emergency departments across multiple healthcare settings.
- Monitored, documented, and communicated changes in patient condition using electronic medical record systems.
- Assisted in the management of trauma, stroke, cardiac arrest, conscious sedation.
- Collaborated with physicians, laboratory staff, nursing teams, and ancillary departments to ensure timely patient care and admissions.
- Maintained compliance with HIPAA, Joint Commission standards, and state regulatory requirements.
Travel ED Registered Nurse
Aya Healthcare (Loma Linda University Medical Center)
Murrieta, CA
09.2022 - 08.2023
- Administered emergency care to patients in critical situations, ensuring rapid response and effective treatment.
- Collaborated with multidisciplinary teams to develop and implement patient care plans tailored to individual needs.
- Monitored vital signs and assessed patient conditions, documenting changes in electronic health record systems accurately.
- Educated patients and families on post-discharge care, enhancing understanding of treatment protocols and recovery plans.
- Conducted thorough assessments to identify patient needs and prioritize interventions, improving overall care delivery efficiency.
Emergency Room Registered Nurse
Ochsner Medical Center
Gretna, LA
03.2020 - 09.2022
- Provided comprehensive emergency nursing care for patients with acute and critical conditions.
- Utilized strong assessment and clinical decision-making skills to prioritize and manage patient care effectively.
- Assisted with emergency interventions including trauma response, stroke care, cardiac emergencies, and procedural sedation.
- Served as liaison between emergency physicians, admitting teams, procedural departments, and ancillary services to coordinate patient flow and care transitions.
- Maintained accurate electronic documentation and ensured compliance with hospital and regulatory standards.
Education
ADN - Nursing
Delgado Community College Charity School Of Nursing
New Orleans, LA12-2019
Diploma - Nursing
Delgado Community College
New Orleans, LA12-2017
Bachelor of Science - Biology
Dillard University
New Orleans, LA05-2012
Skills
- Utilization Review & Utilization Management
- Concurrent & Retrospective Review
- Medical Necessity Determination
- InterQual & MCG Criteria
- Denials & Appeals Coordination
- Peer-to-Peer Review Coordination
- Care Coordination & Discharge Planning
- Medical Record Review & Clinical Documentation
- Medicare & Insurance Compliance
- Critical Thinking & Clinical Decision-Making
- HIPAA & Joint Commission Compliance
Certification
- Licensed RN-California Registered Nurse License No RN95277994 - Exp 05/2027
- Licensed RN Louisiana Registered Nurse Compact License No 210762 - Exp 01/2027
Timeline
Utilization Review Nurse
Ochnser Medical Center
06.2025 - Current
Interventional Radiology Nurse
Ochsner Medical Center
05.2024 - 06.2025
Travel ED Registered Nurse
Aya Healthcare (Temecula Valley Hospital)
08.2023 - 05.2024
Travel ED Registered Nurse
Aya Healthcare (Loma Linda University Medical Center)
09.2022 - 08.2023
Emergency Room Registered Nurse
Ochsner Medical Center
03.2020 - 09.2022
ADN - Nursing
Delgado Community College Charity School Of Nursing
Diploma - Nursing
Delgado Community College
Bachelor of Science - Biology
Dillard University