Facilitates delivery of appropriate benefits while reviewing clinical records for medical necessityUtilizes clinical expertise ensuring appropriate benefit utilizationCommunicates and collaborates with interdisciplinary teamCompletes discharge planning and referrals as needed, maintain a member centric focus

Independently applied clinical judgement and critical thinking skills to assess, plan, and implement careIdentified discharge planning needs, and monitored referrals made to other facilities for appropriate discharge dispositionCollaborated with interdisciplinary team daily, in the coordination of all aspects of patient careDocumented assessments, progress notes, authorizations, and other pertinent clinical information in patient chart

Provided direct quality care to patients, including daily monitoring, recording, and evaluating of medical conditions of up to seven patientsExperienced in complex pulmonary disorders, complex decubitus/pressure ulcers, multiple system failure, post-operative complications, surgical wounds, infectious disease, renal disease/renal failure, cardiovascular disease, head injuries, trauma, vascular disease, and gastrointestinal diseaseHands on experience with patients requiring high observations in ventilator management and weaning to include heart conditions that require cardiac drips, and hemodynamic stability

Applied abundant knowledge of general nursing procedures and techniques involved in patient careContinual ability to recognize critical and significant changes in patientsClearly transcribed physician’s orders to patient charts, flow sheets, and medication records.

Provide direct care of patient’s status post cardiovascular procedures and surgeries to include open heart surgeryAssess and care for patients on cardiac drips; closely following unit protocolsEducate patients and families on disease process, medications, and follow up careEnter and maintain assessments, notes, and clinical information utilizing