Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jaclyn Hedden

Shelbyville

Summary

Diligent professional with proven knowledge of hands on clinical care in many areas, utilization management, and emergency response. Aiming to leverage my abilities to successfully fill the registered nurse role on your team.

Overview

14
14
years of professional experience

Work History

Utilization Review Nurse

Humana
03.2019 - 02.2025
  • Reviewed initial hospital admission patient cases and follow specific guidelines to ensure each case is reviewed correctly within a timely manner
  • Expected to review no less than 13 cases a day
  • Prepare cases for physician review including language for specific letters.

Registered Nurse

Hillcreek Rehabilitation and Care
09.2010 - 03.2019
  • Providing direct patient care, including assessing health conditions, administering medications, monitoring vital signs, creating care plans, and educating patients about their health
  • Collaborating with other healthcare providers to ensure optimal patient outcomes across various healthcare settings
  • Correctly identifying physician orders and carrying out wound care needs.

Education

Associate of Science - Nursing

Galen College of Nursing
06.2017

Nursing - undefined

ATA College
Louisville, KY
09.2010

Skills

  • 100% on all audits
  • Fast learning with Amazing work ethic
  • Microsoft word/Excel
  • Team player/always willing to help
  • Hands on with Inpatient care, palliative care, Hospice, LTAC, LTC
  • Milliman guidelines
  • 10 Years as a CNA prior
  • 6 Years RN in clinical setting
  • Active RN License in KY/Compact; IL, NV
  • Consistently exceeded daily and weekly metrics
  • Time management
  • Communication skills, proficient in documentation and reporting
  • Insurance verification
  • Documentation and reporting
  • Prior authorization
  • 6 Years utilization review RN
  • RN licensed in multiple states/compact

Timeline

Utilization Review Nurse

Humana
03.2019 - 02.2025

Registered Nurse

Hillcreek Rehabilitation and Care
09.2010 - 03.2019

Nursing - undefined

ATA College

Associate of Science - Nursing

Galen College of Nursing

Similar Profiles

CREATE PROFILE
Jaclyn Hedden