Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Taylor Valko

Lower Burrell

Summary

Registered Nurse (BSN) with specialty experience in Transplant. Experienced with comprehensive client assessments, ensuring personalized care plans are in place. Utilizes strong communication and coordination skills to effectively manage client services and turn around times are met. Track record of fostering positive client relationships and achieving measurable improvements in client well-being. Experienced in assessing and educating detailed contract explanations regarding transplant services to patients and providers along with administering benefit programs and ensuring compliance with LifeSource contracts. Communicates alongside LifeSource contracting regarding single case agreements for transplant patients.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Transplant Case Manager

Cigna
04.2020 - Current
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Enhanced communication between clients and providers through consistent follow-ups and progress updates.
  • Expedited turnaround times for application determinations, conducting comprehensive assessments & utilization review to prevent delay in care.
  • Maintained strong relationships with patients & health care coordinators, providing timely responses to inquiries and ensuring clear communication throughout the transplant process.
  • Utilized knowledge of insurance principles, policies and procedures to make decisions on authorizations.

Senior Professional Staff Nurse - Transplant ICU

UPMC
03.2017 - Current
  • Provided targeted care and treatment for 2 Transplant patients in Intensive Care Unit
  • Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit patient health and recovery
  • Conducted patient assessments, recorded vitals, analyzed records and charts to define care requirements
  • Performed patient treatment according to urgency of condition while multitasking and delegating treatment needs to qualified staff to ensure effective and safe care to promote better outcomes
  • Trained and coached new employees on protocols and best practices to promote ideal patient outcomes

Professional Staff Nurse - General Medicine

UPMC
10.2015 - 03.2017
  • Managed up to 6 patients, while coordinating individualized care, monitoring vital signs, taking lab results, and educating family and patients
  • Observed and reported patient condition, progress and medication side effects to accurately document updates
  • Created individualized care plans for patients and worked with medical professionals to come up with treatment and discharge options
  • Educated patients and answered questions about health condition, prognosis and treatment
  • Performed patient treatment according to urgency of condition while multitasking and delegating treatment needs to qualified staff to ensure effective and safe care to promote better outcomes

Education

Bachelor of Science - Nursing

University of Pittsburgh - Johnstown
Johnstown, PA
04.2014

High School Diploma - undefined

Burrell High School
Lower Burrell, PA

Skills

  • Manages multiple dedicated accounts & escalated cases per supervisor direction
  • Case documentation ensuring client needs are met
  • Patient, family, and health care provider coordination of care and management
  • Utilization review & experience with medical coding
  • Coordinates with multidisciplinary teams
  • Certified Preceptor, Pharmacy/Pathwell SME, Adjunct Facilitator
  • Presents continued updated education to department

Certification

  • Certified Preceptor
  • Aspiring Leader Development Journey
  • Basic Life Support
  • Cardiopulmonary Resuscitation
  • Advanced Cardiac Life Support
  • Registered Nurse, BSN

Timeline

Transplant Case Manager

Cigna
04.2020 - Current

Senior Professional Staff Nurse - Transplant ICU

UPMC
03.2017 - Current

Professional Staff Nurse - General Medicine

UPMC
10.2015 - 03.2017

High School Diploma - undefined

Burrell High School

Bachelor of Science - Nursing

University of Pittsburgh - Johnstown

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Taylor Valko