ANNA PACE
Smyrna,TN
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service. Reliable individual bringing 10+ years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
Overview
22
22
years of professional experience
Work History
Utiliization Management RN
Wellpoint
02.2023 - Current
- Remote
- Ensure medically appropriate, high quality, cost-effective care through assessing the medical necessity of inpatient admissions, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards accurately interpreting benefits and managed care products and steering members to appropriate providers, programs, or community resources
- Determine medical necessity using MCG criteria
- Consult with medical director to ensure high-quality, cost-effective, medically necessary treatment is provided to members
- Collaborate with case managers and discharge planning team to create a discharge plan and assist members in transitioning upon discharge, ensuring all needed services are made available to member.
LTSS CARE COORDINATOR - RN CLINICAN
Wellpoint
11.2021 - 02.2023
- Remote
- Enhanced patient care by developing and implementing comprehensive care plans
- Improved communication among healthcare providers, streamlining the coordination of services for patients
- Assessed patient needs and connected them with appropriate resources to ensure optimal health outcomes
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions
- Collaborated with interdisciplinary teams to provide comprehensive, patient-centered care
- Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations
- Facilitated appointments and transportation for patients, streamlining access to essential medical services
- Monitored progress towards patient goals, adjusting care plans as needed to achieve desired results
- Coordinated discharge planning, ensuring a smooth transition from hospital to home or other facilities
- Identified members for high risk complications and coordinated care in conjunction with the member and health care team
- Interfaced with Medical Director and Physician and/or Interdisciplinary Teams on the development of care management treatment plans.
ICU STAFF REGISTERED NURSE
Stonecrest Medical Center
02.2021 - 10.2021
- Provided high-quality patient care for wide variety of patients in busy 17-bed ICU unit
- Provided high-quality care for wide variety of critical care patients
- Improved patient outcomes by implementing evidence-based nursing practices and providing individualized care
- Enhanced patient safety by conducting thorough assessments, identifying potential risks, and addressing concerns promptly
- Contributed to reduction in hospital-acquired infections through strict adherence to infection control protocols and proper hand hygiene
- Promoted teamwork and collaboration with interdisciplinary teams for optimal patient care planning and implementation
- Monitored patient vital signs and notified attending physicians of changes
- Assisted physicians with emergent situations
- Communicated patient's condition to family members in compassionate and non-technical manner
- Administered medications as determined by patient's condition (IV, Sub-Q, etc.), including vasoactive/sedative drips
- Managed ventilated/sedated patients, arterial lines, central lines, and continuous ECG monitoring
- Provided end-of-life care for patient/family as appropriate in critical care setting
- Enhanced patient safety by conducting thorough assessments, identifying potential risks, and addressing concerns promptly.
COMBAT MEDIC/LPN
United States Army
04.2002 - 05.2009
- Throughout the United States and Iraq/Kuwait
- Enhanced patient survival rates by providing timely and accurate medical care on the battlefield
- Streamlined medical evacuations for wounded soldiers, resulting in faster transport to higher-level care facilities
- Administered life-saving interventions, including airway management and hemorrhage control, during high-stress combat situations
- Collaborated with fellow medics and healthcare professionals to develop comprehensive treatment plans for injured personnel
- Conducted thorough patient assessments, identifying injuries and illnesses requiring immediate attention
- Improved overall team efficiency by maintaining accurate records of supplies, equipment, and medical treatments administered
- Educated military personnel on first aid techniques and preventative medicine practices to reduce injury rates within the unit
- Served as a vital communication link between frontline units and supporting medical elements during combat operations
- Performed nursing duties in both field hospitals during wartime, as well as fixed hospitals state-side
- Actively participated in training exercises to maintain skill sets necessary for effective performance under pressure
- Contributed to mission success by maintaining a high level of personal fitness, weapons proficiency, and tactical knowledge
- Performed as a LPN in the DOD's only inpatient burn unit
- Became knowledgeable in performing burn wound care and treatments.
Education
Bachelor of Science - Nursing
Capella University
Minneapolis, MN08.2023
Associate of Applied Science - Nursing
Ohio University Southern Campus
Ironton, OH12.2020
Associate of Applied Science - Medical Technology
KCTCS
Ashland, KY12.2016
Skills
- Patient Education
- Care Plan Implementation
- Direct Patient Care
- Critical Care Nursing
- Clinical Documentation
- Home Health Care
- Long Term Services and Support (LTSS)
- Team Collaboration
- Critical Thinking
- MCG experience
- Time Management
- Effective Communication
- Patient Advocacy
- Critical Care
- Analytical Thinking
- Interdisciplinary Collaboration
- Clinical Assessment
- Policy Adherence
- Quality Improvement
- MCG experience
- Interdisciplinary Collaboration
- Good Telephone Etiquette
- Organization
- Attention to Detail
- MS Office
Timeline
Utiliization Management RN
Wellpoint
02.2023 - Current
LTSS CARE COORDINATOR - RN CLINICAN
Wellpoint
11.2021 - 02.2023
ICU STAFF REGISTERED NURSE
Stonecrest Medical Center
02.2021 - 10.2021
COMBAT MEDIC/LPN
United States Army
04.2002 - 05.2009
Bachelor of Science - Nursing
Capella University
Associate of Applied Science - Nursing
Ohio University Southern Campus
Associate of Applied Science - Medical Technology
KCTCS
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