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Skills

  • Legal guidelines understanding
  • Client advocacy
  • Strong presentation skills
  • Patient-focused care
  • Process improvement
  • Team Leadership
  • Intravenous therapy
  • Data collection and management
  • Dosage calculation
  • Policy and program development

Work Experiences

  • Taught employees about state and federal statutes, rules, and regulations that govern home care services.
  • Was in charge of developing and implementing nursing care plans.
  • Was in charge of scheduling patient admissions and discharges.
  • Double-checked that all forms/reports for each resident's admission, transfer, and/or discharge were completed correctly.
  • Oversaw and managed 11 clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.
  • Responded to Code Red pages and made sure that patients were taken care of.
  • Collaborated and communicated effectively with physicians to ensure client satisfaction and adherence to established standards.
  • Devised and met financial and growth objectives.
  • Designed and maintained computerized record management systems for storing, processing, and generating data and reports.
  • Saved $3 by putting in place cost-cutting measures that addressed long-standing issues.

Summaries

  • Expert in all aspects of nursing, with a track record of developing strong nurse leaders who are committed to bettering patient care and delivery models.
  • Looking for a position as a leader in an integrated delivery system.
  • Trying to get a similar job with a growing insurance company.
  • Professionally, she is known for being a strong advocate and communicator.
  • Registered Nurse with over 16 years of experience in the initiative industry providing comprehensive patient care.
  • Measuring vitals, collecting medical specimens, treating wounds, and assisting with non-invasive medical procedures are all skills she possesses.
  • Well-versed in all aspects of patient care, with a track record of success in responding quickly to emergency situations.
  • Measures vital signs, performs venipuncture, and reads and interprets heart monitors with ease.
  • Hands-on training in all aspects of patient care, including advanced knowledge of electronic charting systems such as process.
  • In system environments, a caring Quality Improvement Coordinator is passionate about maximizing patient care standards.

Accomplishments

  • Implementation: Assisted in implementation of new tracking system that resulted in improved patient care.
  • Supervision: Headed onboarding process for new nursing staff.
  • Clinical Skills: Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration.
  • Created performance tracking systems that enabled real-time monitoring of claims milestones, enhancing transparency and reducing errors by 57%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Documentation: Ensured charting accuracy through precise documentation.
  • Collaborated with underwriting to ensure appropriate policy application on outlier claims, reducing coverage eligibility disputes by 60%
  • Acted as a primary liaison between internal teams and third-party legal counsel to ensure timely and accurate communication on all claims matters.
  • Collaboration: Collaborated with physicians to plan and implement patient care.
  • Demonstrated a keen ability to quickly absorb and apply new legislation or industry regulation changes, ensuring compliance across all claims handled.

Affiliations

  • Claims and Litigation Management Alliance (CLM)
  • International Federation of Adjusting Associations (IFAA)
  • Association for Computing Machinery
  • International Accreditors for Continuing Education and Training (IACET)
  • Association of Information Technology Professionals
  • Rotary International
  • American Society of Safety Professionals
  • Risk & Insurance Management Society (RIMS)
  • American Institute For Chartered Property Casualty Underwriters (AICPCU)
  • National Society of Professional Insurance Investigators (NSPII)

Certifications

  • CPR certified through American Heart Association
  • CNA
  • Oncology Certified Nurse Practitioner
  • AHA Healthcare Provider CPR
  • Prehospital Trauma Life Support (PHTLS)
  • Associate in Claims - Management (AIC-M)
  • Cisco Certified Internetwork Expert (CCIE)
  • Nursing Home Administrator license
  • Associate in Claims (AIC) Certification
  • Salesforce

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