Alexandra Coppola
@alexandracoppola
Dedicated registered nurse with expertise in utilization management and patient care.
What I'm looking for
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
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
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
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,
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
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
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
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
Availability
Location
Authorized to work in
Job categories
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