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Alexandra Coppola

@alexandracoppola

Dedicated registered nurse with expertise in utilization management and patient care.

United States
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What I'm looking for

I am seeking a role that values collaboration and offers opportunities for professional growth in nursing.

As a registered nurse with a Bachelor of Science in Nursing, I have developed a strong foundation in patient care and clinical judgment. My experience spans various roles, including my current position as a Utilization Management Nurse Consultant at Aetna CVS Health, where I conduct comprehensive reviews of medical records to ensure the appropriateness of medical services. I collaborate closely with medical directors and case management teams to optimize patient care and reduce readmission risks.

Previously, I worked in urgent care, surgical specialties, and respiratory rehabilitation, where I honed my skills in triaging patients, performing treatments, and providing education. My commitment to effective communication and interdisciplinary collaboration has consistently led to improved health outcomes for my patients. I pride myself on my ability to work independently in fast-paced environments while maintaining a high standard of professionalism and care.

Experience

Work history, roles, and key accomplishments

AH
Current

Utilization Management Nurse Consultant

Aetna CVS Health

Jan 2024 - Present (1 year 6 months)

Conducted comprehensive reviews of medical records to assess the appropriateness and necessity of medical services utilizing clinical judgment and the application of CMS/MCG criteria. Collaborated frequently with medical directors for approvals, case review, and continuation of care discussions to ensure appropriate application of guidelines and efficient and effective utilization of services and

OC

Registered Nurse - Urgent Care

Optum Urgent Care

Mar 2018 - Jan 2024 (5 years 10 months)

Responsible for triaging all patients and conducting focused assessments, independently performing a variety of treatments and procedures including wound care, phlebotomy, and medication administration. Provided patient education regarding aftercare instructions, appropriate follow-up, and disease prevention. Accurately documented patient data while navigating multiple systems to ensure continuity

SG

Registered Nurse - Surgical Specialties Float

Summit Medical Group

Nov 2017 - Mar 2018 (4 months)

Utilized the nursing process to assess, plan, implement, and evaluate patient care within a variety of surgical specialty offices. Collaborated daily with physicians and healthcare team to develop and implement appropriate and individualized plans of care. Assisted physicians in a variety of diagnostic and surgical procedures, including prepping patients and equipment, obtaining informed consent,

SH

Registered Nurse - Respiratory Rehabilitation Unit

St. Clare’s Hospital

Oct 2016 - Oct 2017 (1 year)

Performed assessments of patients by collecting and reviewing clinical information and comparing information collected to established clinical criteria for developing interventions. Consulted clinical practice guidelines and clinical experience when developing plans for treatment and services. Communicated with case management to coordinate internal and external resources and assisted in coordinat

Education

Degrees, certifications, and relevant coursework

Thomas Edison State University logoTU

Thomas Edison State University

Bachelor of Science in Nursing, Nursing

Completed a comprehensive Bachelor of Science in Nursing program, focusing on advanced clinical skills and patient care. Gained expertise in various nursing practices and healthcare systems.

Passaic County College logoPC

Passaic County College

Associate of Applied Science in Nursing, Nursing

Acquired foundational nursing knowledge and practical skills through an Associate of Applied Science program. Prepared for entry-level nursing roles by studying patient assessment, medication administration, and basic care.

Ramapo College of New Jersey logoRJ

Ramapo College of New Jersey

Bachelor of Arts, International Studies, Anthropology Minor

Pursued a Bachelor of Arts in International Studies with a minor in Anthropology, exploring global cultures, political systems, and societal structures. Developed strong analytical and research skills applicable to diverse international contexts.

Tech stack

Software and tools used professionally

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Alexandra Coppola - Utilization Management Nurse Consultant - Aetna CVS Health | Himalayas