Trisha Trapp, MSN, BSN, RN
3543 Southridge Lane, Bismarck, ND 58504
701-400-2568 [email protected]
3543 Southridge Lane, Bismarck, ND 58504
701-400-2568 [email protected]
Qualifications Profile
Dedicated and patient-focused Registered Nurse with proven strengths in acute patient care, staff development, patient/family advocacy and implementation of superior quality of service.
Strong commitment to lifelong learning; future-oriented, anticipating the role of the nurse in the future with a focus on adapting curriculum and teaching methods in response to innovations in nursing science and ongoing changes in the practice environment.
Highly motivated with a strong knowledge base in theories of teaching, learning, and evaluation; able to assess learner needs; innovative and have a passion for teaching.
Advanced organizational, interpersonal and communication skills with demonstrated ability to build and maintain positive, productive relationships with individuals of all levels.
Resourceful problem-solver with sharp analytical skills and the ability to apply sound, logic judgment and critical thinking skills essential to implement innovative solutions to complex situations.
Blending a nursing style of professionalism, capability and compassion to creatively persuade and encourage patients to actively pursue and achieve optimal results.
Professional Experience
AETNA, INC, BISMARCK, ND August 2009-Present
Quality Management Clinical Claims Review Nurse Consultant, Special Investigations Unit
Responsible for the review and evaluation of clinical information and documentation to prospectively investigate and analyze suspicious provider claims. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Independently coordinates the clinical resolution with internal/external clinician support as required.
Medcenter One, Bismarck, ND August/2007-August/2009
Pre-Authorization Nurse, Pre-Admission Center
Obtain insurance authorization for medical services by providing appropriate medical information in compliance to the wide variety of rules, regulations, policies and guidelines of the healthcare industry. Process pre-authorization, prior approvals and referral requests for multiple insurance carriers while maintaining close communication with the Medical Director regarding out-of-network referrals. Provide accurate and concise documentation maintained in a referral database and generate statistical reports as needed. Educate patients, family and clinical staff as needed regarding the pre-authorization and referral process.
Medcenter One, Bismarck, ND May/2004-November/2009
Staff Nurse, Children's Hospital
Delivering a complete range of RN services by utilizing the nursing process to perform assessments, formulate diagnoses, plan goal oriented care, implement intervention and evaluate progress of care in an individualized approach. Preparing equipment and assisting physicians during patient examinations and treatments. Assume the authority, responsibility and accountability for collaborating with appropriate interdepartmental teams. Decisively and confidently generating independent judgment regarding priority of work, adapting to rapid change, and intervening promptly in crisis/emergency situations.
Educational Background
Master’s in Nursing Education, MSN (2011) GRAND CANYON UNIVERSITY – Phoenix, AZ
Bachelor of Science in Nursing, BSN (2005) Medcenter One College of Nursing – Bismarck, ND
Associate Of Applied Science, AAS (2003) BISMARCK STATE COLLEGE – Bismarck, ND
Dedicated and patient-focused Registered Nurse with proven strengths in acute patient care, staff development, patient/family advocacy and implementation of superior quality of service.
Strong commitment to lifelong learning; future-oriented, anticipating the role of the nurse in the future with a focus on adapting curriculum and teaching methods in response to innovations in nursing science and ongoing changes in the practice environment.
Highly motivated with a strong knowledge base in theories of teaching, learning, and evaluation; able to assess learner needs; innovative and have a passion for teaching.
Advanced organizational, interpersonal and communication skills with demonstrated ability to build and maintain positive, productive relationships with individuals of all levels.
Resourceful problem-solver with sharp analytical skills and the ability to apply sound, logic judgment and critical thinking skills essential to implement innovative solutions to complex situations.
Blending a nursing style of professionalism, capability and compassion to creatively persuade and encourage patients to actively pursue and achieve optimal results.
Professional Experience
AETNA, INC, BISMARCK, ND August 2009-Present
Quality Management Clinical Claims Review Nurse Consultant, Special Investigations Unit
Responsible for the review and evaluation of clinical information and documentation to prospectively investigate and analyze suspicious provider claims. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Independently coordinates the clinical resolution with internal/external clinician support as required.
Medcenter One, Bismarck, ND August/2007-August/2009
Pre-Authorization Nurse, Pre-Admission Center
Obtain insurance authorization for medical services by providing appropriate medical information in compliance to the wide variety of rules, regulations, policies and guidelines of the healthcare industry. Process pre-authorization, prior approvals and referral requests for multiple insurance carriers while maintaining close communication with the Medical Director regarding out-of-network referrals. Provide accurate and concise documentation maintained in a referral database and generate statistical reports as needed. Educate patients, family and clinical staff as needed regarding the pre-authorization and referral process.
Medcenter One, Bismarck, ND May/2004-November/2009
Staff Nurse, Children's Hospital
Delivering a complete range of RN services by utilizing the nursing process to perform assessments, formulate diagnoses, plan goal oriented care, implement intervention and evaluate progress of care in an individualized approach. Preparing equipment and assisting physicians during patient examinations and treatments. Assume the authority, responsibility and accountability for collaborating with appropriate interdepartmental teams. Decisively and confidently generating independent judgment regarding priority of work, adapting to rapid change, and intervening promptly in crisis/emergency situations.
Educational Background
Master’s in Nursing Education, MSN (2011) GRAND CANYON UNIVERSITY – Phoenix, AZ
Bachelor of Science in Nursing, BSN (2005) Medcenter One College of Nursing – Bismarck, ND
Associate Of Applied Science, AAS (2003) BISMARCK STATE COLLEGE – Bismarck, ND