DEIRDRE HART, RN
Youngsville
Summary
Experienced healthcare professional with comprehensive clinical expertise and strong interpersonal and technical skills. Skilled in clinical review and interdisciplinary collaboration to ensure high-quality patient care. A results-driven leader focused on improving care delivery with a commitment to efficiency and quality outcomes.
Overview
5
5
years of professional experience
Work History
Utilization Review RN
Humana Military
08.2023 - Current
- Support the coordination, documentation, and communication of medical service decisions using clinical nursing expertise, which improved the accuracy of benefit administration determinations and enhance patient care outcomes
- Review and assess cases using clinical knowledge, communication skills, and independent critical thinking to interpret criteria and policies, resulting in more accurate treatment recommendations and an improvement in care alignment with best practices
- Apply clinical nursing skills to effectively coordinate, document, and communicate medical service decisions, resulting in streamlined benefit administration
- Coordinate, document, and communicate medical service decisions by leveraging clinical nursing skills to streamline benefit administration processes, resulting in improved patient outcomes and an increase in case efficiency
Clinical Nurse II
WakeMed Hospital
02.2021 - 07.2023
- Collaborated with a multidisciplinary team of medical professionals to evaluate patient data and develop personalized care plans, resulting in improved patient satisfaction and an increase in care plan adherence
- Monitored patient status, treatments, and outcomes within the EPIC EMR system to ensure accurate tracking and documentation, achieving a 100% compliance rate with HIPAA standards for data confidentiality
- Maintained current knowledge of health system initiatives by incorporating research and evidence-based practices into daily routines and patient care, leading to an improvement in care quality and alignment with the latest clinical standards
- Built strong relationships with management, team members, patients, and families to enhance communication and collaboration, resulting in an increase in workflow efficiency and higher patient satisfaction through education on best care practices
RN Case Manager
Duke University Hospital
10.2020 - 02.2022
- Managed and triaged COVID-19-related sick calls by conducting telephonic assessments and educating diverse populations on preventive health options, which contributed to a decrease in unnecessary ER visits and increased community awareness of health practices
- Counseled individuals on COVID-19 precautions, including self-isolation, self-monitoring, and recognizing when to seek medical attention, leading to an increase in compliance with safety guidelines and reduced transmission within the community
- Managed client interactions remotely through telephone, email, and online chat services, ensuring timely support and achieving a 95% client satisfaction rate by addressing concerns efficiently
Education
Diploma - Nursing
Watts School of Nursing
Durham, NC01.2020
Associate of Science - Health Science
University of Mount Olive
Durham, NC01.2020
Skills
- Preauthorization Review
- Case Management
- EPIC EMR
- Managed Care
- Clinical judgment
- Milliman Car Guidelines
- Effective Time Management
- Discharge planning
- Critical Thinking
- Care Coordination
- Client Support
- Basic life support
Timeline
Utilization Review RN
Humana Military
08.2023 - Current
Clinical Nurse II
WakeMed Hospital
02.2021 - 07.2023
RN Case Manager
Duke University Hospital
10.2020 - 02.2022
Associate of Science - Health Science
University of Mount Olive
Diploma - Nursing
Watts School of Nursing
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