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Skills

  • Regulatory requirements
  • Proficient in Workday
  • Dispute resolution
  • Chemistry
  • Accounting spreadsheets
  • Healthcare platforms
  • Recruiting and training
  • Customer service excellence
  • Long-Term Care
  • Team development

Work Experiences

  • Infection Control and Critical Incidents, Risk Management, and Quality Improvement Plans were all under my watchful eye.
  • Double-checked that all forms/reports for each resident's admission, transfer, and/or discharge were completed correctly.
  • Processed monthly department performance reports.
  • Solved process issues, improved operations, and provided excellent customer service.
  • Implemented new floor assignments based on the evaluation of staffing requirements.
  • Special incidents, events, and complaints were investigated, provided, and submitted to the Quality Department.
  • Took vital signs of newborns while assisting in the NICU.
  • Observed student behavior and devised behavioral interventions as a result of my observations.
  • Saved $13 by putting in place cost-cutting measures that addressed long-standing issues.
  • Authorized drug refills and provided pharmacies with detailed prescription information.

Summaries

  • Surgical procedures, restocking supplies, and updating electronic health records are all things that she can help with.
  • With knowledge of ServiceNow use, adept at working closely with midwives and doctors.
  • Successful in advocating for the needs of patients and obtaining quick diagnoses.
  • Expert in all aspects of patient care and adept at delegating tasks based on the needs of patients and the abilities of the staff.
  • Dedicated to long-term problem solving and achieving big-picture objectives.
  • Registered nurse with over 15 years of experience leading initiatives to improve clinical documentation, clinical processes, and nurses' clinical knowledge.
  • Nurse who specializes in supply management, documentation, and referrals for children.
  • With 3 years of direct patient care experience, I am a dedicated Critical Care Registered Nurse.
  • Expert Billing Supervisor has a track record of running a department efficiently and accurately.
  • Recent standards and techniques are well-understood.

Accomplishments

  • Human Resources: Assisted in new hire process by calling and scheduling appointments with candidates, filling out County required paperwork for new hires, and preparing new hire manuals.
  • Family Support: Provided support to families through education on procedures, regimens, prevention and care.
  • Designed and deployed reports in procedure that led to a 40% reduction in claim cycle times.
  • Negotiated settlements for high-dollar property claims, reducing overall payout costs by 16% and maintaining client satisfaction.
  • Enhanced operational efficiency by implementing a new workflow automation tool, reducing manual claim reviews by 44%.
  • Collaborated with clients and third parties to negotiate favorable outcomes that saved $240,000 and reduced overall claim payout ratios.
  • Maintained a claims closure rate of 40%, handling disputed and litigated claims with minimal client escalations.
  • Nursing Supervision: Supervised ancillary staff of 10 on-call nurses.
  • Patient Care: Ensured quality control through admissions, assessment, treatment and referral for a broad range of patients. Monitored patients' respiration activity, blood pressure and blood glucose levels.
  • Documentation: Ensured charting accuracy through precise documentation.

Affiliations

  • Society of Women Engineers
  • Speaker at the Annual Risk Management and Insurance Conference - 2016
  • Speaker at the Insurance Data and Technology Summit - 2020
  • Certified member of the Professional Liability Underwriting Society (PLUS) - 2020
  • American Society of Safety Professionals
  • Participant in Continuing Education for Insurance Claims Professionals (CEU) - Scrum Master, 2016
  • Association of Information Technology Professionals
  • Guest columnist for the Journal of Insurance Claims Management - 2018
  • International Council of Nurses
  • Project Lead for the Fraud Prevention and Risk Mitigation Task Force - 2021

Certifications

  • Microsoft Certified Systems Engineer (MCSE)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • ANA Certified in Gerontological NP
  • Associate in Risk Management (ARM) – metric
  • CompTIA Security+
  • First Aid/CPR Certified
  • Graduate Certificate in Global Health
  • Chartered Property Casualty Underwriter (CPCU)
  • Trauma Nurse Core Course (TNCC)
  • ANA Certified in School NP

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