Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
References
Timeline
Generic

Nakia Thornsbury

Flatgap

Summary

Motivated professional eager to embrace new challenges. Demonstrates strong work ethic, adaptability, and exceptional interpersonal skills. Proven ability to work independently and rapidly acquire new competencies.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Utilization Review Nurse

Highlands ARH Regional Medical Center
Prestonsburg
11.2022 - Current
  • Experienced Utilization Review Nurse with a strong background in evaluating patient care plans for medical necessity and efficiency.
  • Skilled in collaborating with healthcare teams to ensure compliance with established protocols and regulatory standards.
  • Utilizes evidence-based guidelines to assess treatment options and recommend appropriate levels of care.
  • Strong communication skills, enabling effective interaction with healthcare providers, patients, and payers alike.
  • Committed to continuous improvement and professional development in Utilization Management practices.
  • Passionate about advocating for patients while maintaining cost-effectiveness and quality care in healthcare settings.
  • Referred cases to secondary review for failure to meet criteria.
  • Documented all utilization review activities, findings, and decisions in patient records and databases.
  • Determined medical necessity and cost-effectiveness of services through utilization review processes.
  • Managed appeals for denied services, providing additional information to support medical necessity.
  • Maintained up-to-date knowledge of health plan benefits, policies, procedures, regulations, coding guidelines.
  • Assessed patient medical records to determine the appropriateness of requested services and procedures.
  • Generated reports related to utilization management activities such as length of stay trends, denials rates.
  • Collaborated with case managers to facilitate timely discharge planning and transition of care.

Education Coordinator

Highlands ARH Regional Medical Center
Prestonsburg
01.2022 - 11.2022
  • Dedicated Education Coordinator with over five years of experience in hospital training programs.
  • Proficient in evaluating training needs and designing tailored educational solutions to enhance patient care.
  • Strong communication skills, fostering collaboration between departments to ensure seamless educational delivery.
  • Experienced in utilizing various instructional technologies to enrich the learning environment.
  • Prepared reports summarizing data collected from evaluations conducted after each educational event.
  • Collaborated with other departments within the organization to develop interdisciplinary educational initiatives.

Dialysis Registered Nurse

Fresenius Kidney Care Dialysis
Prestonsburg
10.2019 - 01.2022
  • Expert in assessing patient conditions and administering dialysis treatments in accordance with established protocols.
  • Strong advocate for patient education, helping individuals understand their treatment plans and manage their health.
  • Skilled in collaborating with multidisciplinary teams to develop individualized care plans for dialysis patients.
  • Proficient in monitoring vital signs and detecting complications or adverse reactions during dialysis sessions.
  • Committed to maintaining a safe and sterile environment, following infection control practices to prevent complications.

Cardiac Registered Nurse

Pikeville Medical Center
Pikeville
02.2016 - 10.2019
  • Expert in performing patient assessments, developing individualized care plans, and executing evidence-based interventions.
  • Skilled in monitoring and interpreting cardiac rhythms while providing comprehensive patient education to promote heart health.
  • Proficient in collaborating with multidisciplinary teams to achieve optimal patient outcomes in high-pressure environments.
  • Experienced in administering medications, IV therapies, and managing complex medical devices including telemetry and defibrillators.
  • Committed to continuous professional development, regularly attending workshops and training to stay current with advancements in cardiac care.
  • Strong advocate for patient-centered care, ensuring that patients and families are engaged in the treatment process.
  • Certifications include BLS, ACLS, and CCRN, underscoring a commitment to excellence in cardiac nursing.

Education

Bachelor of Science - Nursing

Western Governors University
Salt Lake City, UT
06-2020

Associate of Science - Nursing

American National University
Pikeville, KY
07-2015

Bachelor of Science - Health Promotion

Morehead State Univeristy
Morehead, KY
12-2011

High School Diploma -

Johnson Central High School
Paintsville
05-2007

Skills

  • Utilization review and management
  • Medical necessity assessment
  • Regulatory compliance expertise
  • Healthcare documentation standards
  • Interdisciplinary collaboration
  • Critical thinking skills
  • Effective communication
  • Time management strategies
  • Problem-solving techniques
  • Continuous improvement practices

Accomplishments

  • 2007 Raymond Thomas Memorial Scholarship recipient.

Certification

BLS: Current

InterQual Certified: current

References

References available upon request.

Timeline

Utilization Review Nurse

Highlands ARH Regional Medical Center
11.2022 - Current

Education Coordinator

Highlands ARH Regional Medical Center
01.2022 - 11.2022

Dialysis Registered Nurse

Fresenius Kidney Care Dialysis
10.2019 - 01.2022

Cardiac Registered Nurse

Pikeville Medical Center
02.2016 - 10.2019

Bachelor of Science - Nursing

Western Governors University

Associate of Science - Nursing

American National University

Bachelor of Science - Health Promotion

Morehead State Univeristy

High School Diploma -

Johnson Central High School

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Nakia Thornsbury