Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Multiple Kudos/Raves received for going above and beyond job duties at Noridian Healthcare Solutions
RegisteredNurse

Annie Ackley

Beverly,OH

Summary

Dynamic Registered Nurse with extensive experience at Noridian Healthcare Solutions, adept in case management and healthcare billing. Proven ability to advocate for patients while delivering culturally-sensitive care. Skilled in electronic health records management and fostering family advocacy, ensuring optimal patient outcomes through collaborative care planning and effective communication.

Overview

6
6
years of professional experience
1
1
Certificate

Work History

Registered Nurse

Noridian Healthcare Solutions
02.2022 - Current
  • Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Contacted providers, state agency offices and applicants to obtain information and records needed to conduct comprehensive clinical review of case and final determination.
  • Reviewed and documented relevant information into data system applications.
  • Determined and authorized services for patients in accordance with guidelines and regulations.
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Educated providers on proper guidelines and regulations in accordance with the law for approval of claims.

Registered Nurse

Nuclear Care Partners
03.2021 - 03.2025
  • Advised course of care and medication side effects to patient and caregivers in easy-to-understand terms.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Assessed and evaluated patient for management of patient's physical, mental and social needs.
  • Managed chronic illnesses to promote best health outcome for patient. Collaboration with other team members on care plan and patient goals, and implemented referrals.
  • Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
  • Conveyed treatment options, diagnosis information and home care techniques to patient and caregivers to continue care consistency.
  • Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.

CCU Registered Nurse

Ohio Health Grant Medical Center
03.2020 - 11.2020
  • Oversaw various aspects of telemetry by administering pa catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation, and chest tubes.
  • Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
  • Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
  • Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
  • Contributed to team efficiency, optimal patient flow, and accuracy of patient records.
  • Stabilized patients experiencing emergency complications by administering advanced life support.

Education

Bachelor of Science - Nursing

Chamberlain College of Nursing
Downers Grove, IL
06-2022

Associate of Science - Nursing

Ohio University
Athens, OH
12-2019

Skills

  • Culturally-sensitive care
  • Intravenous therapy management
  • Infectious disease control
  • Healthcare billing
  • Palliative and pain management (oncology)
  • Patient care planning
  • Professional bedside manner
  • High level of autonomy
  • Case management
  • Electronic health records management
  • Diabetes management
  • Family advocacy

Accomplishments

  • Surgical Preparation - Assisted in patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
  • Patient Advocacy - Explained treatment procedures, medication risks, special diets and physician instructions to patients.
  • Intensive Care - Responsible for unit of 18 patients, providing daily functions such as grooming, bathing, feeding and turning in bed.
  • Quality Assurance - Ensured and enforced medical office compliance with HIPAA, OSHA and CLIA regulations for maximum quality and control.

Certification

  • Advanced Life Support, 2022
  • Basic Life Support, 2025

Timeline

Registered Nurse

Noridian Healthcare Solutions
02.2022 - Current

Registered Nurse

Nuclear Care Partners
03.2021 - 03.2025

CCU Registered Nurse

Ohio Health Grant Medical Center
03.2020 - 11.2020

Bachelor of Science - Nursing

Chamberlain College of Nursing

Associate of Science - Nursing

Ohio University

Multiple Kudos/Raves received for going above and beyond job duties at Noridian Healthcare Solutions

During one of my first times on a discussion and education call, i unexpectedly had over 12 people on the phone with me, including a lawyer and a hospice medical director. Normally, there is only the physician or one other person. I was able to handle every question timely and professionally and prove the correct knowledge about their documentation and billing requirements. The co-worker on the phone with me who was taking notes submitted the rave in recognition of how hard that situation was and how well i handled the rare incident. 


Another one for service excellence, responsible stewardship, effective collaboration, and integrity. For stepping up into a "senior" role when others had questions and the seniors were not available. "Kind, supportive education and guidance to those on the team. A1 collaboration"


Another for "Annie went above and beyond by facilitating a difficult discussion and education session for me, which allowed me to focus on my family. The simple gesture of offering to facilitate the session was kind in itself, but to be faced with the difficulties that ensued were above and beyond what was anticipated. Annie's kindness and professionalism were greatly appreciated, and we are truly lucky to have her as a team member. "

Annie Ackley