Mar 2025 – Present · 1 yr · United States

• Provide tracheostomy care, tube feedings, wound management, and
• comprehensive nursing assessments.
• Coordinate with multidisciplinary teams to ensure optimal patient care and family
• education.
• Maintain meticulous documentation i

Feb 2022 – Present · 4 yrs 1 mo · United States

• In my role as an Acute Dialysis Nurse at DaVita Kidney Care, I planned and provided patient care for adult and geriatric patients in the hospital ICU and med/surg floor setting. I independently provided quality direct patient care and renal replacement therapies, analyzed patient assessments, and communicated emergencies to supervisors, hospital staff, and physicians.

Apr 2020 – Jun 2021 · 1 yr 2 mos · Greater Minneapolis-St. Paul Area

• Client liaison
• Monitor on-site staff and communicate needs effectively with staffing partners
• Effectively facilitating clinic for administration of 2900 COVID-19 vaccinations daily.
• Over-site of daily reporting including test performed, inventory, challenges, and concerns
• Facilitate staff and team motivation.
• Manage training for new on-site team members.
• Share feedback, generate ideas and insights to improve the process and experiences.
• Implement actions to maximize efficiencies and productivity.
• Ensure all compliance and safety standards are met.

Aug 2018 – Jul 2019 · 11 mos · Eagan, Minnesota, United States

• Conduct pre-certification and continued stay reviews, care coordinate and discharge plan of Medicaid population for appropriateness of inpatient acute and rehabilitative care setting reviews to ensure compliance utilizing applicable criteria, medical policy, and member eligibility, benefits, and contracts.
• Ensures access to medically necessary, quality healthcare in a cost-effective setting according to contract.
• Assist to establish a continuous performance and quality improvement effort and monitoring and reporting system.
• Consult with medical directors to ensure medical appropriateness of setting, quality, and cost effectiveness care throughout the medical management process.
• Train and manage staff on systems and company process.
• Collaborate Peer-to Peer review process when appropriate to prevent delay in care.
• Collaborate with providers to assess member’s needs for discharge planning. Facilitate member care transition throughout the healthcare continuum Facilitate accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.

Jan 2018 – Jun 2018 · 5 mos · Rochester, Minnesota

• Act as a liaison and facilitate information and/or service requests between clients, staff, Primary
• Care Providers (PCP) and specialty providers, e.g., psychiatrists, cardiologist, diabetologist.
• Assist with enrollment in various services.
• Provide patients with screening tools.
• Interact and coordinate with Primary Care and Comprehensive Mental Health Providers to
• facilitating referrals, as necessary.
• Coordinate and monitor scheduling and maintenance of appointments and services.
• Enhance patient engagement by helping patients feel comfortable, impacting patient characteristics and improving the therapeutic relationship by using a variety of techniques.
• Educate patients about their illness and give them tools to advocate when making treatment
• decisions.
• Provide support to patients and assists with self-management support.
• Engage patient’s family care to enhance the patient’s social support.
• Develop relationships with community organizations that offer resources to meet patient needs
• more fully.
• Understand the ethical and legal issues common to integrated care.
• Develop trusting relationships with patients, families, and other team members.
• Proactively reach out and follow up contact with patients; discuss adherence and barriers.
• Assist in developing facility wide policies and procedures and provide education and training to
• staff and clients.
• Assist to establish a continuous performance and quality improvement effort and monitoring and
• reporting system.

Sep 2016 – Dec 2019 · 3 yrs 3 mos · Greater Minneapolis-St. Paul Area

• Receive, check and store shipped supplies appropriately and in a timely manner.
• Set up flu clinic specific to clients’ needs.
• Administer flu shots skillfully and appropriately, as well as obtain BP, BMI, height, and weight checks
• when team gets backed up.
• Demonstrate excellent standards of patient care with concern, confidentiality, and initiative.
• Maintain the standards of accurate and complete documentation and reporting.
• Keep lines flowing smoothly and paperwork intact.
• Ship supplies and complete reporting and documentation back to office in a timely manner.

Sep 2016 – Dec 2017 · 1 yr 3 mos

Dec 2015 – Aug 2016 · 8 mos · Eden Prairie, Minnesota, United States

• Collaborate with third party administrator, case manager, claims auditor, underwriting, vendors to
• discuss and place appropriate cost containment measures.
• Co-manager complex medical cases with Transplant/Dialysis coordinators.
• Cardiac SME
• Train and manage new staff
• Perform experimental/ investigational file review for claims.
• Identify all actual and potential risk for cost estimator requests.
• Provide discussion answer questions for underwriting as needed.

Nov 2013 – Dec 2015 · 2 yrs 1 mo · Plymouth, Minnesota, United States

• Review supervises, monitor treatment options proposed by external case manager.
• Perform medical necessity reviews on primarily medical targeted conditions with departmental policies and procedures maintain compliance with URAQ.
• Interpret insurance contract language as it applies to the review requested as well as claims.
• Fulfill compliance and production standards for case turn-around times, and completed cases related clinical determinations as well as appeals and denials.
• Interview, research and gather information to formulate a case management plan in collaboration with the client/family and treatment team.
• Train and manage staff on new process and protocols.
• Identifying short- and long-term goals and process for meeting goals.
• Demonstrated knowledge and understanding of client’s diagnosis, prognosis, care needs and outcome goals of the treatment/care and understanding of cost containment strategies regardless of limitations of policy/benefits available to the client.
• Empower client to make appropriate decision by providing education and resources.
• Determine need for case management intervention through gathering of relevant data and assessment of treatment, prognosis, and resource utilization.
• Claims and cost management. Select cases for management where client outcome can be positively influenced by telephonic case management for major disease categories and complex cases.
• Monitor quality of care, service and products delivered to client to determine if goals are being achieved. Maintain rapport and communication with client, family, and treatment team.
• Research and identify quality external medical care management services when necessary. Serve as a medical resource to internal and external customers and collaborate with physician reviewers in accordance with departmental policies and procedures.

Nov 2009 – Nov 2013 · 4 yrs · Minetonka, MN

• Communicate effectively and professionally with care team members of various facilitate telephonically and on site for changes in patient conditions and to review and discuss appropriateness of treatment plans when hospitalization stays occur.
• Obtaining clinical information of Medicare members and demonstrate critical thinking to determine appropriateness of continued lengths of stay.
• Confer with facility care team members, RMD and other associates to assist with quality treatment and discharge planning to facilitate decreased need for readmission.
• Forward questionable hospitalizations, treatment plans and care of members to the Quality team and financial recover as necessary.

Sep 2008 – Oct 2009 · 1 yr 1 mo

May 2006 – Aug 2008 · 2 yrs 3 mos · Robbinsdale, MN

• Oversee the daily functions and production of the anticoagulation, triage and refills departments.
• Implement education, policy and procedure for the staff and patients of North Clinic.
• Coach and counsel department staff.
• Oversee the daily functions and production of the anticoagulation, triage and refills departments.
• Implement education, policy and procedure for the staff and patients of North Clinic.
• Coach and counsel department staff.
• Confer with patient providers to determine best process and treatment.
• Address and resolve patient and employee concerns.