Motivated, personable business professional. Diplomatic and tactful with professionals and non-professionals at all levels. Accustomed to handling sensitive, confidential records. Demonstrated use of intraqual guidelines.
Flexible and versatile - able to maintain a sense of humor under pressure. Poised and competent with demonstrated ability to easily transcend cultural differences. Excellent team-building skills.
2006 to 2011
Concurrent, retrospective and telephonic reviews for in-hospital stay. Utilizing Intraqual guidelines. Corresponding closely with various health plans and other health care professionals to coordinate patient care. Utilizing ECIN for discharge planning needs. Coordinating discharge planning with various facilities.
2001 to 2010
2003 to 2006
Concurrent reviewer for in-hospital stay. Precertify for specialist visits, hospital stay, surgery and other diagnostic testing. Utilizing Milliman and Robertson Guidelines. Corresponding closely with various health plans and other health care professionals to coordinate patient care.
Computer experience includes: Microsoft Word, Excel, and Med Web.
2001 to 2003
LPN Clinical Instructor in the lab setting regarding nursing responsibilities/duties; medication administration, bathing, transferring, admission and physical assessment of the patient. Lectures regarding the nursing process, documentation and nursing fundamentals.
Assisting LPN students in the clinical setting with nursing responsibilities.
1997 to 2000
Assess the quality and appropriateness of post-discharge care and services.
Triage patient calls, making appropriate interventions to prevent avoidable hospitalization and other high cost services.
Works closely with various health plans, physicians and other health care professionals to coordinate patient care.
Excellent communication skills. Which fosters an effective relationship with the patients.
Medical Intensive Care Unit as a staff nurse caring
1993 to 1997
Worked in the cardiac catherization lab, where I performed Per and Post assessments of patients having various examinations. Assisted with procedures such as cardioversions, Trans-esophageal Echocardiogram (TEE), Echocardiograms, Pericardialcentesis. Performed 12- Lead EKG's. Assisted with high-risk cardiac catherizations, worked closely with physicians and radiology technicians. Prepared and infused critical care medications. Administer sedative and reversal medications.
1986 to 1993
In CCU working with Post-Open-Heart Surgery and other critical care patients. Charge nurse and Unit Advisor on the Cardiac Step-Down Unit.
B.S. in Nursing obtained
AD in Nursing
◆ Use of Intraqual
◆ Microsoft Word
◆ Working knowledge of Excel
◆ Powerpoint Presentations
◆ Customer Service
◆ Achieved Level 3 ACE Clinical Ladder for 4 years
◆ General Office Skills
◆ Professional Presentations
◆ Education/Teaching skills
◆ ACLS Instructors
◆ Patient Advocate