Experienced with patient care, critical thinking, and effective communication. Utilizes medical knowledge to support patient recovery and manage complex conditions. Strong understanding of healthcare protocols and compassionate care delivery.
Overview
13
13
years of professional experience
1
1
Certification
Work History
RN Flow Coordinator
LCMC Health Corporate
New Orleans, LA
02.2025 - Current
Delivered high-quality patient care through comprehensive assessments and effective communication with interdisciplinary teams.
Proactively manage bed capacity, monitoring assignments and anticipate future needs to maintain efficient work flow.
Primary contact for incoming transfers from other facilities and coordinating logistics.
Monitor hospital wide patient movement to ensure compliance with quality standards and safety protocols.
Case Manager/ UR Dept Risk Manager
Crescent Regional Medical Center
09.2021 - Current
Assessing treatment needs while developing, monitoring, and evaluating treatment plans and progress.
Facilitate interdisciplinary approaches and monitoring staff performance.
Advanced computer skills with EHR software, word processing and spreadsheet utilization.
Experience in clinical documentation improvement.
Discharge planning.
Quality management.
UM Clinical Consultant - Inpatient Care Review Registered Nurse
Aetna Insurance Co.
10.2017 - 09.2021
Applying critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services.
Coordinates and communicates with providers, members, and other parties to facilitate optimal care and treatment often collaborating with medical directors and other internal departments.
Utilize technical skills to multitask through multiple systems at a rapid pace to process Precept requests timely and accurately.
Proficient using MCG guidelines, QNXT software as well as having knowledge of NCQA requirements.
Registered Nurse, Telephone Case Manager
Catalyst Health Network
11.2015 - 10.2017
Provide outreach to members and perform pre-admission counseling and post discharge assessments to promote optimal health and prevent hospitalization.
Maintains active communication by answering telephone calls from the hospitalization utilization team, PCP office, and other medical providers regarding the member’s condition and/or hospital utilization.
Monitor and follow up with members after initial visit to make appropriate referrals to medical professionals and community outreach agencies.
Registered Nurse - Utilization Management / Care Coordinator / Case Manager
Blue Cross Blue Shield
04.2015 - 11.2015
Reviewed clinical information for concurrent review and extended length of stay.
Effective counseling in health maintenance and disease management.
Develops measurable goals for issues identified in the health risk assessment.
Reviewed precertification requests for medical necessity; referring cases to the Medical Director as needed.
Uses clinical knowledge to assimilate information from multiple sources to develop an accurate picture of the member’s condition to identify needs.
Utilizing multiple systems at the same time, while maintaining compliance.
Registered Nurse Team Leader
John Peter Smith Hospital
09.2013 - 04.2015
Charge nurse on medical surgical/telemetry floor. Oversaw average of 30-50 patients per shift.
Demonstrated ability to lead and motivate outstanding healthcare teams.
Delegated staff nurse duties.
Strong leader for nursing personnel assigned to the unit/shift.
Liaised between patients and physicians to ensure patient comprehension of treatment plans.
Self-directed with high level of personal accountability.
Skills
Medication and IV administration
Medication administration
Direct patient care
Patient assessments
Documentation and charting
Strong clinical judgment
Patient education and counseling
Certification
Driver's License
CPR Certification
Certified Case Manager
RN License
LPN
Compact State Nurse License
LVN
Timeline
RN Flow Coordinator
LCMC Health Corporate
02.2025 - Current
Case Manager/ UR Dept Risk Manager
Crescent Regional Medical Center
09.2021 - Current
UM Clinical Consultant - Inpatient Care Review Registered Nurse
Aetna Insurance Co.
10.2017 - 09.2021
Registered Nurse, Telephone Case Manager
Catalyst Health Network
11.2015 - 10.2017
Registered Nurse - Utilization Management / Care Coordinator / Case Manager
Registered Nurse, Operating Room at Texas Health Presbyterian Hospital RockwallRegistered Nurse, Operating Room at Texas Health Presbyterian Hospital Rockwall
Registered Nuse, Emergency Room at Detroit Medical Center, Sinai Grace HospitalRegistered Nuse, Emergency Room at Detroit Medical Center, Sinai Grace Hospital