Jenna Connick Foster
Metairie
Summary
Conscientious Utilization Review Nurse ensuring patients are in appropriate level of care and aiding facility in maximum reimbursement. Proficient expertise in Medicaid criteria and guidelines. Strong time management and critical thinking skills. Known for establishing great rapport with insurance providers and working well with others to establish best outcome for patients. Dependable utilization review nurse with over 15 years experience and offering 20 years experience in nursing.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Nurse Consultant
Connick & Connick, LLC
Metairie
01.2022 - Current
- Review medical records and prepare summarization of same
- Analyze medical records and provide informed opinions related to nursing and healthcare outcomes
- Identify deviations from the standards of care in medical malpractice matters
- Provide analysis of alleged causation and damages claims
- Educate attorneys on nursing standards of practice
Full Time RN - Utilization Management
Ochsner Medical Center
Jefferson
06.2011 - Current
- Review clinical documentation via Interqual or Milliman Care Guidelines to determine medical necessity
- Knowledge of nursing procedures and medical terminology
- Knowledge of state and federal regulatory requirements affecting care coordination services
- Proactively involved in all aspects of Utilization Management including admission reviews, concurrent reviews, discharge planning, and denials.
- Participate in daily multi-disciplinary rounds
- Initiate timely communication with payors to discuss plan of care and discharge planning needs
- Perform discharge assessments on all patients to prepare them for discharge and reveal any needs that may be required for discharge
- Assist with transfers to outside facilities
- Confer with in-house physician advisor to assess appropriate level of care
- Send reconsiderations and arrange peer to peer discussions for denied cases
- Assist mothers with applying for Medicaid for their child
- Proficient in Power Point, Excel, Word, Interqual, and Milliman Care Guidelines
- Communicate with physicians to discuss plan of care and verify patients are in appropriate status
Nurse Consultant
Middleberg Riddle Group
New Orleans
01.2021 - 01.2023
- Review medical records and prepare summarization of same
- Analyze medical records and provide informed opinions related to nursing and healthcare outcomes
- Identify deviations from the standards of care in medical malpractice matters
- Provide analysis of alleged causation and damages claims
- Educate attorneys on nursing standards of practice
Full Time RN/Charge RN - Pediatric Intensive Care Unit
Ochsner Medical Center
Jefferson
10.2005 - 06.2011
- Care of critically ill patients with age range of newborn to 18 years old
- Charge nurse - types of patients: pediatric congenital heart patients, heart transplants, liver transplants, kidney transplants, neuro patients, trauma patients, etc.
- Floated to NICU, Pediatric floor, and Mother/Baby Unit
- RN in Post Anesthesia Care Unit (2008-2009)
- Care of patients following general anesthesia and ICU overflow
- Types of patients: total knee replacements, total hip replacements, craniotomy, spinal fusions, kidney transplants, carotid endarterectomy, Whipple procedures, etc.
Part Time RN - Recovery/Adult Inpatient
Omega Hospital
Metairie
02.2007 - 07.2008
- Obtained H&Ps, post-op care, and assisted with pre-op
- Types of patients: total hip replacements, total knee replacements, breast flaps, spinal fusions, gastric bypass procedures
Registered Nurse - Pediatric Intensive Care Unit
Children's Hospital
New Orleans
06.2005 - 10.2005
Education
Bachelor of Science - Nursing
Our Lady of Holy Cross College
Skills
- Strong clinical knowledge
- Ability to assess medical records, compare them to criteria points, make informed decisions regarding level of care
- Strong critical thinking skills
- Meticulous review of documentation
- High overturn percentage of medical denials with documentation of reconsideration appeals
- Ability to resolve complex denials
- Time management
- Collaboration with interdisciplinary teams
Certification
Louisiana State Board of Nursing Registered Nurse, RN113021, 2005-present
References
- Donald Martin, RN Nurse Auditor, Former Utilization Review Manager, 1514 Jefferson Highway, New Orleans, LA, 70121, (504)251-5172
- Valerie Weidner, RN Utilization Review, Co Worker, 1514 Jefferson Highway, New Orleans, LA, 70121, (504)376-7443
- Jolie Montrieul, Nurse Practitioner, Family Nurse Practitioner at Premise Health, 1717 St. Charles Avenue, New Orleans, LA, 70130, (504)343-1109
Timeline
Nurse Consultant
Connick & Connick, LLC
01.2022 - Current
Nurse Consultant
Middleberg Riddle Group
01.2021 - 01.2023
Full Time RN - Utilization Management
Ochsner Medical Center
06.2011 - Current
Part Time RN - Recovery/Adult Inpatient
Omega Hospital
02.2007 - 07.2008
Full Time RN/Charge RN - Pediatric Intensive Care Unit
Ochsner Medical Center
10.2005 - 06.2011
Registered Nurse - Pediatric Intensive Care Unit
Children's Hospital
06.2005 - 10.2005
Bachelor of Science - Nursing
Our Lady of Holy Cross College