Melanie Martin
@melaniemartin
Experienced ICU Registered Nurse with over 5 years in healthcare.
United StatesWhat I'm looking for
I am an experienced and highly adaptable ICU Registered Nurse with over 5 years of clinical experience in high-acuity hospital environments. My expertise lies in performing medical necessity reviews, ensuring appropriate levels of care, and coordinating cost-effective service delivery. I am skilled in documentation improvement, concurrent reviews, and the utilization of ancillary services across various payers, including Medicare and commercial insurance.
Throughout my career, I have proven my ability to collaborate effectively with interdisciplinary teams to facilitate timely care transitions and appeal denials, ensuring compliance with CMS and regulatory standards. My experience includes delivering high-quality care across Level 1–4 trauma centers, specializing in Neuro, Trauma, Medical, Surgical, and Cardiac units. I am committed to providing exceptional patient care while maintaining the highest standards of quality and regulatory compliance.
Experience
Work history, roles, and key accomplishments
Travel Registered Nurse
Different Travel Agencies
Apr 2020 - Present (5 years 2 months)
Delivered high-quality care across Level 1
–4 trauma centers with ICU specialization in Neuro, Trauma, Medical, Surgical, and Cardiac units. Conducted initial and concurrent reviews for inpatient and outpatient cases to support care appropriateness and alignment with payer criteria.
Registered Nurse MSICU
UPMC Mercy
Jan 2019 - Jan 2021 (2 years)
Delivered critical care to patients with complex medical needs while ensuring compliance with quality and regulatory benchmarks. Participated in chart reviews to ensure documentation integrity, aligning records with billing and DRG classifications.
Health Caregiver
HomeInstead Senior Care
Feb 2015 - Jul 2016 (1 year 5 months)
Delivered compassionate, hands-on personal care and medication assistance to elderly clients in home settings. Developed individualized care routines aligned with medical directives and family expectations.
Contact Center Specialist
University of Pittsburgh Medical Center (UPMC)
Mar 2015 - Jul 2015 (4 months)
Maintained 100% accuracy in reviewing and inputting patient demographic and insurance data, ensuring seamless patient care coordination. Utilized Electronic Health Records (EHR) systems (Epic, Medipac) to manage clinical and administrative data efficiently.
Administrative Associate
Exico Incorporated
Feb 2014 - Jan 2015 (11 months)
Served as the primary administrative liaison, managing executive calendars, internal communications, and scheduling with discretion and efficiency. Conducted competitive market research to identify growth opportunities and support strategic decision-making.
Education
Degrees, certifications, and relevant coursework
UPUniversity of Pittsburgh
Bachelor of Science, Nursing
Completed a Bachelor of Science in Nursing. Gained comprehensive knowledge and practical skills essential for a nursing career.
United States International University
Bachelor of Science, International Business Administration
Obtained a Bachelor of Science in International Business Administration. Developed a strong foundation in global business practices and administration.
Availability
Location
United StatesAuthorized to work in
Job categories
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