Registered Nurse (RN) with 5+ clinical progressive care/critical care experience seeking to review patient documentation to evaluate medical necessity, appropriateness and efficiency of healthcare services as a utilization review nurse.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Full Time - ICU
Trinity Health- Mercy Fitzgerald Hospital
Darby, PA
09.2025 - Current
EMR: Epic
Interpreted clinical assessments, laboratory results, hemodynamic data, and diagnostic findings to identify changes in patient condition and support treatment decisions.
Evaluated patient response to therapies and collaborated with interdisciplinary teams to optimize care plans and achieve desired outcomes.
Maintained accurate EMR documentation supporting regulatory compliance, quality initiatives, and continuity of care.
Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
Applied evidence-based practice standards and organizational protocols to promote patient safety, resource utilization, and quality outcomes.
Educated patients and families on health management, treatment options, and preventive care.
Increased quality of care by participating in ongoing professional development opportunities such as workshops, conferences, and online courses.
Travel Nurse- Stepdown Nurse
Peconic Bay Medical Center (Flex Staffing)
Long Island, New York
10.2024 - 06.2025
Floors Floated: Telemetry 1:6, Medical Surgical 1:7, ED Holding 1:6
EMR: Soarian
Assessed complex patient conditions and communicated significant clinical findings to providers to facilitate timely intervention.
Interpreted telemetry, laboratory, and diagnostic data to support clinical decision-making and treatment planning.
Collaborated with multidisciplinary teams to coordinate patient care and support efficient transitions across care settings.
Maintained compliance with organizational policies, documentation standards, and quality improvement initiatives.
Adapted quickly to diverse healthcare systems, workflows, and EMR platforms while maintaining high-quality patient care.
Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
Assisted in triaging patients, prioritizing care based on medical needs and urgency of conditions.
Evaluated patient progress following cardiac, neurological, and surgical procedures to support safe recovery and treatment progression.
Interpreted diagnostic studies and clinical assessments to identify trends requiring intervention or escalation of care.
Collaborated with interdisciplinary teams to develop, implement, and adjust individualized treatment plans.
Participated in emergency response and rapid response events utilizing critical thinking and clinical judgment.
Supported quality and patient safety initiatives through evidence-based practice and accurate clinical documentation
Maintained excellent time management skills during periods of high patient turnover while consistently delivering compassionate and patient-centered care.
Developed relationships with patients and families to understand medical history and care needs.
Travel Nurse Contracts with American Mobile Nursing (AMN)
Kaiser Permanente in California
Multiple Locations
12.2022 - 06.2023
Locations: Redwood Medical Center, Oakland Medical Center, San Diego Medical Center, Santa Rosa Medical Center
Units: Medical Surgical 1:5, Telemetry: 1:4, Progressive Care Unit 1:3
EMR: Epic
Provided care for medically complex patients across multiple acute care environments while adapting to varying organizational standards and workflows.
Assessed patient status and treatment effectiveness using clinical assessments, diagnostic findings, and evidence-based guidelines.
Collaborated with healthcare teams to coordinate care, address barriers to recovery, and support discharge readiness.
Ensured accurate documentation supporting compliance, reimbursement requirements, and continuity of care.
Promoted patient safety through adherence to quality metrics, organizational policies, and clinical best practices.
Mentored new nursing staff, fostering professional development and adherence to organizational standards.
Staff Nurse- Pulmonary Stepdown Unit
Cleveland Clinic
Cleveland, OH
01.2021 - 10.2021
Floors Floated: Neuro Progressive Care 1:4-5, Medical Surgical Floor 1:5
EMR System: Epic
Interpreted laboratory findings, arterial blood gases, and clinical assessments to identify changes in patient condition and facilitate treatment adjustments.
Evaluated patient responses to high-risk therapies and communicated findings to providers to support evidence-based decision-making.
Coordinated care among physicians, pharmacists, respiratory therapists, and ancillary services to optimize treatment outcomes.
Maintained compliance with documentation standards, organizational policies, and regulatory requirements.
Supported quality improvement initiatives and patient safety measures through evidence-based clinical practice.
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Remote RN Clinical Consultant Contractor at Judge Healthcare for Vatica HealthRemote RN Clinical Consultant Contractor at Judge Healthcare for Vatica Health