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Ebony Brown

Utilization review nurse

Dallas, United States

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Description

Registered nurse with 17 years of medical-surgical, telemetry, progressive care, and critical care experience. Competent in using various computer charting systems such as McKesson, Epic, Eclypsis, Cerner, and Meditech. Trained to work in the cardiovascular intensive care unit taking care of patients with acute myocardial infarctions, post-operative pacemaker implantations, cardiac valve replacements, thoracic/ abdominal aortic aneurysm repairs, LVAD implantations, and patients who have undergone coronary artery bypass grafts. Certified to maintain patients with IABP, LVAD, lumbar drain, CRRT, Impella device, and ECMO. Charge RN with effective leadership skills. Transitioned away from bedside nursing as of March 1, 2019 into the role of utilization review (UR) nurse for Baylor Scott and White Health assisting to secure revenue by reviewing clinical documentation for medical necessity, communicating with physicians and other medical professionals, assisting to coordinate care with social workers and case managers, communicating with insurance companies about patient care and providing them with the necessary clinical documentation they need to approve cases for reimbursement. Also, assisting to fight denials from insurance companies for financial reimbursement of received medical services.

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