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Skills

  • Document control for credentialing files
  • Audit preparation and compliance
  • Insurance enrollment facilitation
  • Effective communication with healthcare providers
  • Effective written and verbal communication
  • Multi-state credentialing coordination
  • Building and maintaining vendor relationships
  • Electronic health record (EHR) systems
  • Candidate Sourcing
  • Efficient physician license verification

Work Experiences

  • Upgraded a legacy HRIS system to new technology to minimize business impact.
  • Furthered
  • Prepared specimens for analysis and established proper testing priorities in a chronological order.
  • Acted as a patient advocate and implemented total patient care as part of a nursing team covering 8-10 high-acuity patients per shift.
  • Made a contribution
  • Managed and supervised residents while planning community events and programs using the "8 Dimensions of Engagement."
  • Administered IV therapy, treadmill stress tests, and nerve conduction tests in the cardiac unit.
  • Motivated
  • Assessed
  • Diagnosed and treated patients with a variety of chronic and acute illnesses, including myocardial infarction, arrhythmias, asthma, COPD, and pneumonia.

Summaries

  • Providing initial credentialing of providers for more than 9 years.
  • Highly knowledgeable in initiative and standard medical devices, with experience ranging from competitive offerings to cutting-edge developments, instructional training, and on-site guided applications.
  • Patient-centered, with a passion for procedure healthcare and experience working in interdisciplinary teams to assist patients in achieving and maintaining their care goals.
  • Patient care, education, and counseling are all areas in which she excels.
  • Clinical Director with experience managing personnel, finances, facility operations, and admissions while delivering high-quality care.
  • Service-driven
  • Committed to the long-term care industry, with expertise in Medicaid statutes and management information systems.
  • Medical Assistant with over 8 years of experience working in a busy medical office with a variety of patients.
  • Restocking supplies, updating records, and coordinating referrals are all skills that this cheerful pediatric nurse possesses.
  • An enthusiastic individual with a strong understanding of practitioner initial credentialing.

Accomplishments

  • Created and maintained a credentialing database for over 18 healthcare providers, improving access to data and cutting administrative inquiries by 35%.
  • Clinical Skills: Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration.
  • Improved student outcomes 10%.
  • Supervision: Headed onboarding process for new nursing staff.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Patient Care: Delivered compassionate care that exceeded hospital requirements. Successfully provided quality care to category patients in method environment.
  • Developed peer review processes for 9 providers, improving audit readiness and reducing risks during compliance checks.
  • 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.
  • Increased provider satisfaction by improving the turnaround time for credential applications from several months to three years.
  • Charting: Developed and organized 300+ charts for all new and current patients, routinely updating information for physician reference.

Affiliations

  • Project Management Institute
  • Health Data Management Association (HDMA)
  • Administrative Council on Credentialing & Enrollments (ACCE)
  • National Association of Social Workers
  • National Healthcare Credentialing Network (NHCN)
  • International Association of Administrative Professionals
  • Lions Club
  • Credentialing and Healthcare Providers Association (CHPA)
  • Rotary International
  • National Committee for Quality Assurance (NCQA)

Certifications

  • Certified Nurse Practitioner
  • Certified Home Health Aide
  • Certified Public Accountant
  • Basic Life Support (BLS)
  • Graduate Certificate in Clinical Pathology
  • Advanced Cardiac Life Support (ACLS)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Alcohol Counselor I (CACI)
  • Trauma Nurse Core Course (TNCC)
  • Cisco Certified Network Associate (CCNA)

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