Katie Argo
Tracy City,TN
Summary
Dedicated and detail oriented Cardiology Clinical Reviewer with extensive experience in assessing clinical data, ensuring compliance with medical standards, and supporting organization goals. Proven expertise in training new hires, fostering a collaborative learning environment to enhance team performance. Adept at auditing and monitoring clinical projects to ensure accuracy, efficiency, and regulatory compliance. Strong analytical skills combined with a commitment to maintaining the highest standards in patient care and data integrity. Highly organized, results-driven, and committed to excellence in healthcare evaluation and operations.
Overview
11
11
years of professional experience
Work History
Cardiology Clinical Reviewer
Evicore
08.2020 - Current
- Developed strong working relationships with interdisciplinary teams, fostering a collaborative approach to patient care.
- Improved patient care by conducting thorough clinical reviews and providing accurate assessments.
- Built relationships, gained alignment for clinical support and articulated questions to receive appropriate level of support from superiors and peers.
- Served as a reliable resource for team members seeking guidance or clarification on complex cases, fostering a supportive and collaborative work environment.
- Collaborated with healthcare providers to ensure optimal patient care, addressing any discrepancies or concerns.
- Completed detailed documentation for each case reviewed, ensuring clarity for future reference and potential audits.
- Used medical and clinical review guidelines and parameters to maintain consistency in MD review process, appropriate utilization levels and compliance with facility policies and procedures.
- Participated in ongoing professional development opportunities to continually expand knowledge and refine skillset as a Clinical Reviewer.
- Provided training support for new hires entering the role, sharing best practices gleaned from extensive clinical review experience.
RN, BSN, MNN, CLC
Erlanger East Hospital
11.2016 - 08.2020
- Provided nursing care to mothers and newborns from delivery through discharge while following Baby-Friendly Guidelines.
- Provided nursing care to post-operative gynecological patients.
- Responded appropriately to patient's status changes by thorough physical assessment and monitoring of vital signs and timely communicated findings to physicians.
- Supported new mothers and families by providing education tailored to their unique learning needs.
- Trained as charge nurse and preceptor for new employees and students.
- Trained in EPIC charting system.
Nurse Unit Manager
Manchester Health Care Center
10.2013 - 11.2016
- Supervised and directed a team of 15 or more employees to ensure quality patient care.
- Coordinated patient admissions, transfers, and discharges.
- Collaborated with physicians, nursing staff, dietary, administration, and families to ensure the best plan of care was in place for each individual patient.
- Assessed patient and family complaints and review the best plan of action to resolve the situation.
- Assessed the building and medication carts to assure cleanliness and organization per facility protocol.
- Trained and worked as a wound care nurse.
Education
Bachelor of Science - Nursing
Berea College
Berea, KY05-2013
Skills
- Microsoft Excel
- Microsoft Powerpoint
- Microsoft Publisher
- Smartsheet
- Isaac/CDP charting systems
- Cardiology/Gastrointestinal specialties
- Clinical judgment
- Attention to detail
- Multitasking
- Problem-solving abilities
- Detail-oriented
- Self motivation
Timeline
Cardiology Clinical Reviewer
Evicore
08.2020 - Current
RN, BSN, MNN, CLC
Erlanger East Hospital
11.2016 - 08.2020
Nurse Unit Manager
Manchester Health Care Center
10.2013 - 11.2016
Bachelor of Science - Nursing
Berea College
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