Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Colleen Adams

Lowell

Summary

Personable and dedicated professional with keen eye for detail and passion for ensuring high standards of patient care. Well-versed in healthcare protocols and safety practices, bringing strong organizational and analytical skills. Committed to improving patient outcomes through meticulous attention to procedural compliance and quality control.

Overview

3
3
years of professional experience
1
1
Certification

Work History

Quality Assurance Nurse

ez URS
07.2024 - Current
  • Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care.
  • Consults with physician advisors to ensure clinically appropriate determinations
  • Skills
  • Facilitated interdisciplinary collaboration for the development and implementation of evidence-based practice guidelines, promoting consistency in patient care delivery.
  • Microsoft word
  • Microsoft excel
  • Microsoft outlook
  • Knowledgeable with EHR and system requirements for authorization
  • Effective and proper communication with clients
  • Mitigated potential legal issues related to improper admission or discharge decisions by consulting with physicians regarding complex cases that required further clarification.
  • Implemented continuous improvement program for utilization review process, leading to better healthcare management.
  • Evaluated patient histories, complaints, and current symptoms.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.

Utilization Review Nurse

Intercare Workers Compensation
10.2022 - 07.2024
  • Utilization Review Nurse
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Facilitated workgroup meetings with medical personnel to find effective solutions to issues.


Education

LVN - Vocational

Ivy Tech Community College
Gary, IN
12.2007

Associate of Science - Registered Nurse

North Palm College
Florida
05-2026

Skills

  • Microsoft excel
  • Microsoft outlook
  • Knowledgeable with EHR and system requirements for authorization
  • Effective and proper communication with clients
  • Quality improvement
  • Healthcare management
  • Clinical expertise
  • Audit preparation
  • Quality improvement reports
  • Strong clinical judgment
  • Team collaboration
  • Organizational skills
  • Effective communication
  • Electronic health records
  • Clinical documentation
  • Microsoft office
  • Interpersonal skills
  • Analytical thinking
  • Training staff
  • Time management abilities

Certification

  • LVN Indiana Nurse Licensure Expires: 2026-10
  • LVN Compact State Licensure Expires: 2026-03
  • LVN California Nurse Licensure Expires: 2025-03

Timeline

Quality Assurance Nurse

ez URS
07.2024 - Current

Utilization Review Nurse

Intercare Workers Compensation
10.2022 - 07.2024

LVN - Vocational

Ivy Tech Community College

Associate of Science - Registered Nurse

North Palm College

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Colleen Adams