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Skills

  • Legal case review support
  • Home care
  • Monthly reporting for quality committees
  • Multilingual patient communications French
  • Conflict Resolution in Patient Care
  • Clinical Quality Improvement
  • Strong clinical judgment
  • Healthcare cost containment strategies
  • ICD-9 forms
  • Intravenous therapy

Work Experiences

  • Updated patient charts with data such as medications using ServiceNow in order to keep records current and support accurate treatments.
  • Achieved a perfect score on internal audits for 2018.
  • Analyzed patient clinical outcomes.
  • Observed and reported on the patient's condition, progress, and medication side effects to accurately document updates.
  • Prepared blood, tissue, and other laboratory specimens for testing in the lab.
  • Addressed patient care issues such as discharge delays, procedures that were postponed, and discharge equipment that was unavailable.
  • Championed a patient-centered approach to clinical reviews, resulting in improved patient feedback and a Top Performer by the Beacon Labs.
  • Championed a patient-centered approach to clinical reviews.
  • Maintained quality standards by conducting routine medication audits and adhering to internal and industry best practices.
  • Provided excellent care to patients with a variety of diagnoses and oversaw their treatment from start to finish.

Summaries

  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Clinical Review Nurse with a passion for health screenings and treating patients with framework and standard diseases.
  • Bringing a 9-year track record of nursing success and seeking a Clinical Review Nurse position with a system facility.
  • Dedicated, hardworking, and experienced procedure Registered Nurse with experience in patient care, medication monitoring, and treatment management.
  • In fast-paced emergency medicine settings, prioritizes clinical and operational tasks.
  • Proven track record of using critical thinking, analysis, and medical knowledge to provide exceptional care in high-pressure situations.
  • With expert healthcare knowledge, clear verbal and written communication skills, and sound clinical judgment, this person is team-oriented and dependable.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Considered to be a hard worker with a strong desire to succeed.
  • Applied risk adjustment coding in clinical review processes.

Accomplishments

  • Developed patient advocacy initiatives that improved patient satisfaction scores by 53% through streamlined care review processes.
  • Led quality assurance audits for 15 random patient cases each month, reducing clinical errors and improving overall documentation accuracy by 82%.
  • Worked collaboratively with insurance companies to ensure the approval of treatments, achieving a 69% reduction in patient care delays.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Collaborated with the IT department to enhance electronic medical record (EMR) integration, cutting administrative tasks related to patient case reviews by 62%.
  • Reviewed 7 inpatient and outpatient cases daily, optimizing care plans and reducing unwarranted treatment delays by 57%.
  • Ensured a 10 year track record of zero clinical review errors, contributing to an exemplary performance in quality audits.
  • Devised new patient follow-up mechanisms, ensuring a 81% improvement in continuity of care post-discharge.
  • Collaborated in the successful integration of standard to support clinical reviews, enhancing efficiency and reducing manual errors by 61%.
  • Collaborated with various department heads to improve response times for clinical review cases, shortening the average review period by 18 days.

Affiliations

  • National Association of Social Workers
  • Accreditation Commission for Health Care (ACHC)
  • Certified Professional in Healthcare Quality (CPHQ)
  • American Society of Safety Professionals
  • Project Management Institute
  • American College of Healthcare Executives (ACHE)
  • American Society of Law, Medicine & Ethics (ASLME)
  • Association of Rehabilitation Nurses (ARN)
  • Institute for Healthcare Improvement (IHI)
  • Academy of Managed Care Pharmacy (AMCP)

Certifications

  • Certified Ambulatory Care Nurse (RN-BC) by the American Nurses Credentialing Center (ANCC)
  • Certified in Care Transitions and Accountability (CCT) by the American Board of Managed Care Nursing (ABMCN)
  • Certified Professional in Healthcare Quality (CPHQ) by the National Association for Healthcare Quality (NAHQ)
  • Certified Occupational Health Nurse-Specialist (COHN-S) by the American Board for Occupational Health Nurses
  • SHRM Certified Professional (SHRM-CP)
  • Certified Nurse Life Care Planner (CNLCP) by the CNLCP Certification Board
  • Legal Nurse Consultant Certified (LNCC) by the American Association of Legal Nurse Consultants (AALNC)
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Public Accountant (CPA)
  • Certified Director of Nursing Services (C-DONA) by The American Association of Post-Acute Care Nursing (AAPACN)

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