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Atinuke Dorsainvil

@atinukedorsainvil

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Results-driven Utilization Review Nurse with extensive healthcare experience.

United States

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What I'm looking for

I am looking for a role that values collaboration, quality patient care, and offers opportunities for professional growth.

I am a results-driven Utilization Review Nurse with extensive experience in managing healthcare services and ensuring regulatory compliance in remote environments. My expertise lies in conducting comprehensive utilization reviews for acute and post-acute care utilizing evidence-based criteria, including InterQual and Milliman guidelines. I have a demonstrated success in analyzing medical records to determine medical necessity and appropriateness, optimizing resource utilization, and improving patient outcomes.

As a strong communicator and collaborator, I am committed to delivering high-quality patient care and enhancing interdisciplinary coordination. My professional journey includes roles at Johns Hopkins Health Plans and CVS Health, where I conducted timely and thorough utilization reviews, collaborated with interdisciplinary teams, and ensured compliance with regulatory standards. I am passionate about patient advocacy and quality improvement initiatives, always striving to enhance healthcare delivery.

Experience

Work history, roles, and key accomplishments

Current

Utilization Review Nurse

Current

Johns Hopkins Health Plans

Jul 2024 - Present (1 year)

Conducted timely and thorough utilization reviews to evaluate medical necessity and efficiency of healthcare services according to InterQual guidelines and organizational policies. Collaborated with interdisciplinary teams to optimize patient outcomes and effectively manage healthcare costs.

Utilization Review InterQual Guidelines Quality Improvement Regulatory Compliance

Utilization Review Nurse

CVS Health

Oct 2019 - Present (5 years 9 months)

Conducted comprehensive utilization reviews to assess the necessity and appropriateness of healthcare services, ensuring adherence to established clinical guidelines. Analyzed patient records and treatment plans to determine required levels of care and identify opportunities for enhancement.

Utilization Review Clinical Guidelines Resource Allocation Healthcare Delivery Communication Regulatory Compliance

Labor and Delivery RN

Northside Hospital

Jan 2017 - Present (8 years 6 months)

Delivered comprehensive maternal nursing care, including prenatal, labor support, postpartum, and neonatal assessments. Monitored fetal well-being using electronic fetal monitoring and collaborated with healthcare providers to create tailored birth plans.

Fetal Monitoring Quality Improvement Interdisciplinary Collaboration

Education

Degrees, certifications, and relevant coursework

Chamberlain College of Nursing

Bachelor of Science in Nursing, Nursing

Completed a comprehensive nursing program, gaining foundational knowledge and practical skills essential for patient care. Focused on evidence-based practices and clinical applications in various healthcare settings.