Jill Skinner
Perry,GA
Summary
Dynamic Utilization Review Nurse with extensive experience at Atrium Health Navicent at Home, excelling in documentation and records analysis. Proven ability to enhance patient care quality through meticulous reviews and effective collaboration. Skilled in medical coding and fostering teamwork, ensuring compliance and minimizing financial risks in fast-paced healthcare settings.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Utilization Review Nurse/Coding Specialist
Atrium Health Navicent at Home
11.2012 - Current
- Conducted utilization reviews for medical necessity and appropriateness of care.
- Collaborated with healthcare teams to gather information for utilization assessments.
- Provided administrative support in organizing case files for audits and reviews.
- Adapted quickly to evolving workflows within a fast-paced healthcare environment.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Improved patient care quality by conducting thorough utilization reviews and making recommendations for optimal treatment plans.
- Minimized financial risk associated with denials or payment discrepancies through diligent validation of medical necessity and accurate documentation.
- Increased staff efficiency by providing ongoing education on proper documentation techniques necessary for accurate claims processing.
- Followed procedures to effectively comply with HIPAA laws and prevent information breaches.
- Analyzed medical records for accurate ICD-10 coding and compliance with regulations.
- Coordinated with healthcare providers to clarify documentation and ensure precise coding.
- Completed OASIS (Outcomes and Assessment Information Set) assessment review to ensure documentation is accurate and compliant based on CMS rules and regulations for Home Health.
Home Health Registered Nurse
Atrium Health Navicent at Home
05.2011 - 11.2012
- Administered medications and treatments according to established protocols and patient care plans.
- Monitored vital signs and reported changes to interdisciplinary team for timely interventions.
- Educated patients and families on disease management, self-care techniques, and health promotion strategies.
- Documented patient progress in electronic health records, ensuring accuracy and compliance with regulations.
- Trained and mentored new nursing staff on best practices for home healthcare delivery.
- Conducted comprehensive assessments of patients' physical, emotional, and environmental needs during home visits.
- Coordinated with physicians, therapists, social workers, and other healthcare professionals to ensure seamless continuity of care for patients.
Intensive Care Registered Nurse
Coliseum Medical Center
05.2007 - 07.2010
- Administered complex medication regimens and intravenous therapies in high-pressure environments.
- Monitored patients' vital signs and reported significant changes to the healthcare team promptly.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Educated patients and families on critical care processes, treatments, and post-discharge planning.
- Performed ACLS and responded to Code Blue emergencies in the ICU as well as throughout the hospital.
Lead Staff Nurse
Southwest Georgia Nephrology Associates
03.2009 - 01.2010
- Supervised daily nursing operations, ensuring adherence to best practices and patient care standards.
- Assessed need for, obtained, and interpreted lab tests.
- Primary care, assessment and evaluation of nephrology patients.
- Oversaw and managed 3 LPN's in patient care activities whil maintaining a high level of staff morale and professionalism.
- Liaised between patients and physicians to ensure patient comprehension of treatment plans.
Education
Bachelor of Science - Nursing
Georgia Southwestern State University
Americus, GA05-2007
Bachelor of Science - Health Promotion
Georgia Southern University
Statesboro, GA05-2004
Skills
- Documentation and reporting
- Utilization review
- Records analysis
- Clinical assessment
- Patient care plans
- Home health care
- Medical coding
- Teamwork and collaboration
- Time management
- Attention to detail
Certification
Registered Nurse-Georgia since June 2006
Timeline
Utilization Review Nurse/Coding Specialist
Atrium Health Navicent at Home
11.2012 - Current
Home Health Registered Nurse
Atrium Health Navicent at Home
05.2011 - 11.2012
Lead Staff Nurse
Southwest Georgia Nephrology Associates
03.2009 - 01.2010
Intensive Care Registered Nurse
Coliseum Medical Center
05.2007 - 07.2010
Bachelor of Science - Nursing
Georgia Southwestern State University
Bachelor of Science - Health Promotion
Georgia Southern University
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