Guerlyne Dumelle

Reviewed and approved clinical cases and DME requests, processed Medicaid/Medicare authorizations, and ensured compliance with federal and state coverage criteria for timely patient care.

Reviewed medical records to determine medical necessity and level of care, completed pre-authorizations, and coordinated with providers to support appropriate coverage decisions.

Monitored hospice patients, administered medications, provided family counseling and symptom management, coordinated contracted vendors, and revised care plans to meet changing end-of-life needs.

Provided med-surg and telemetry nursing including IV therapy, medication administration, orthopedic perioperative assistance, patient education, and post-operative care to ensure safe recoveries.

Delivered primary nursing care for 4–6 med-surg/telemetry patients, managed IV/central lines, complex wound care, telemetry monitoring, and collaborated with multidisciplinary teams for optimal outcomes.

Provided direct nursing care in telemetry and hospice settings including IV/PO/SQ/IM medication administration, vital sign monitoring, aspiration management, and patient/family education to reduce readmissions.

Provided bedside care on telemetry/cardio step-down unit, interpreted EKGs, administered medications/IV fluids, performed pre/post-op care, and managed peripheral IVs and critical lab result interpretation.

Delivered med-surg and telemetry nursing care including IV administration, wound/drain management, perioperative support, and EMR documentation to ensure continuity and quality of care.

Provided comprehensive med-surg nursing care, assisted in JCAHO accreditation efforts, administered medications/IVs, collected specimens, and performed emergency interventions including BLS/ACLS.

Conducted outreach to contacts of COVID-19 cases, provided quarantine guidance, referred individuals for testing and social resources, and communicated public health protocols empathetically.

Monitored vital signs, administered medications and IVs, managed airway secretions, and supported care for renal, GI, and cardiac patients across med-surg settings.

Performed utilization reviews using internal criteria and Milliman Care Guidelines to assess medical necessity, monitor patient care, and support appropriate inpatient admissions.

Provided comprehensive care to neurology and trauma patients, developed treatment plans with multidisciplinary teams, and delivered independent leadership and patient-focused interventions.

Led infection prevention and control activities, conducted risk assessments, educated staff and community stakeholders, and coordinated reporting of reportable diseases to public health authorities.

Performed telephonic prior authorization reviews, applied clinical guidelines to determine appropriate care settings, completed medical necessity reviews, and coordinated with medical directors and provider networks.

Administered controlled substances and wound care, performed functional assessments, supervised CNAs, and ensured medication inventory control and adherence to aseptic techniques.

Completed a Bachelor of Science in Nursing at Chamberlain University, Downers Grove, culminating in 08/22.

Completed an Associate of Applied Science in Nursing at Concorde Career College, Miramar, in 06/17.

Graduated from the Licensed Practical Nursing program at Lindsey Hopkins Technical College in 12/10.

Completed an associate degree at Miami Dade College, conferred in 12/07.