Allison L Ridilla
New Alexandria
Summary
Dedicated, skilled RN with a broad range of healthcare experience. Academic background includes a Bachelor of Science in Nursing from the University of Phoenix. Licensed as a Registered Nurse in the state of Pennsylvania
Overview
38
38
years of professional experience
Work History
Staff Nurse, Labor/Delivery/Recovery/Triage
Magee Women's Hospital
01.1988
Staff Nurse, Orthopedics/Medical/Surgical Unit
Forbes Regional Hospital
01.1987
Clinical Reviewer
Novitas-Solutions
07.2018 - Current
- Clinical Reviewer concentrating on Medicare claims
- Experienced in government audits and probes
- Self-directed
- Microsoft Office and Electronic Medical Record navigation
- Telephonic education and support
- Telework skilled
- Excellent organizational and time management skills
- High metrics performer
Registered Nurse Case Manager/Health Coach
UPMC Health Plan
11.2008 - 02.2018
- General, orthopedic, maternity and pediatric case management
- Member Management and customer service satisfaction related to coverage and billing issues
- Instrumental in the planning, implementation and success of the first Maternity Case Management program for the Commercial line of business
- Commercial and Medical Assistance product case manager/health coach specializing in the maternal population-low and high risk from first trimester to postpartum
- Coordination of care for the maternity population with a focus on high risk members
- Telephonic, computer, chat and telecommuter skills
- In-depth teaching, coordination of care and patient support via telephone, resources and mailings
- Assisted with the implementation of Healthwise Educational platform for the Health Plan charting system
- Team environment
- Insurance navigation/support (Commercial, Medical Assistance) experience
- Ensuring quality member care per providers/health care institutions
- Breastfeeding support, education and troubleshooting
- Focus on quality of care for each member served
Staff Nurse Labor, Delivery, Antenatal, Triage, OR and Post-Partum
Western Pennsylvania-Allegheny Health System
06.2008 - 11.2008
- Staff RN in a Tertiary care setting providing care for the maternal population, low and high risk
- Maternal/fetal monitoring, IV therapy, numerous medication infusions
- Phlebotomy skills
- Assisted with Epidural administration, pain control
- Provided education for the maternal population on a daily basis
- Multi task oriented
- Computer based charting systems
Private Duty Nursing care of a brain injured adolescent
Interim Health Care
01.2006 - 01.2008
- Complete bedside care, stander, Hoyer lift, wheelchair use
- G-tube care
- Coordination of care with physicians, Children's Institute
- Holistic care of the family unit
School Nursing-Substitute/Assistant/Certified School Nurse
01.2003 - 01.2008
- Management of the school aged population
- Electronic charting/Immunization recording
- Asthma education
- Coordination of care for medically fragile population
- Assessment and care plan for ADA population
- Working with families to ensure compliance and proper coordination of care for students with medical needs
- Certified long-term substitute position high school/middle school
Private Duty Nursing care of a medically complex child
01.2003 - 01.2005
- G-tube care for medically fragile child-cardiac and hepatic congenital anomalies
- In school care for ADA required assistance
- Cardiac assessment skills
- PICC line care, in home antibiotic administration
- Assessment and care planning including the family dynamics
- Assistance with feeding intolerance via the Children's Institute
Office Nurse in an obstetrical/gynecological practice
Dr. Francis L DeFabo
01.1995 - 01.2000
- Managed the obstetrical patients' records and plan of care
- Managed the front office; computers, patient records, triage of patient phone calls, appointments and the scheduling of surgeries
- Provided education to patients regarding obstetrical/gynecological care
Staff nurse, Labor/Delivery/Recovery/Postpartum/Newborn nursery/Level II Nursery
Latrobe Area Hospital
01.1988 - 01.1994
Education
Bachelor of Science - nursing
UNIVERSITY OF PHOENIX
Phoenix, Arizona01.2006
Diploma - Registered Nurse program
WESTERN PENNSYLVANIA SCHOOL OF NURSING
Pittsburgh, Pennsylvania01.1987
Skills
- Cleaning and organization
- Cleaning skills
- Customer relations skills
Licensure And Certification
Registered Nurse, RN291293L, Pennsylvania, Active
Timeline
Clinical Reviewer
Novitas-Solutions
07.2018 - Current
Registered Nurse Case Manager/Health Coach
UPMC Health Plan
11.2008 - 02.2018
Staff Nurse Labor, Delivery, Antenatal, Triage, OR and Post-Partum
Western Pennsylvania-Allegheny Health System
06.2008 - 11.2008
Private Duty Nursing care of a brain injured adolescent
Interim Health Care
01.2006 - 01.2008
School Nursing-Substitute/Assistant/Certified School Nurse
01.2003 - 01.2008
Private Duty Nursing care of a medically complex child
01.2003 - 01.2005
Office Nurse in an obstetrical/gynecological practice
Dr. Francis L DeFabo
01.1995 - 01.2000
Staff Nurse, Labor/Delivery/Recovery/Triage
Magee Women's Hospital
01.1988
Staff nurse, Labor/Delivery/Recovery/Postpartum/Newborn nursery/Level II Nursery
Latrobe Area Hospital
01.1988 - 01.1994
Staff Nurse, Orthopedics/Medical/Surgical Unit
Forbes Regional Hospital
01.1987
Bachelor of Science - nursing
UNIVERSITY OF PHOENIX
Diploma - Registered Nurse program
WESTERN PENNSYLVANIA SCHOOL OF NURSING
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