Bonnie Hill LPN
Ormond Beach,Florida
Summary
Tenured Licensed Practical Nurse with distinguished medical career delivering exemplary direct patient care in clinical, residential care and insurance environments. Comprehensive professional background as a Charge Nurse, Sub-Acute LPN, and Clinical Nurse Reviewer of radiologic imaging scans and Utilization Management. Passionate leader skilled at supporting top-performing clinical teams focused on impeccable service delivery and accountability for clinical outcomes. Effectively cultivate multidisciplinary, collaborative medical/healthcare team environments. In-depth expertise in chart handling, appointment scheduling, crisis intervention, treatment planning, wound care, MDS coding, and restorative nursing. Capable of staying focused and maintaining a calm demeanor in high-pressure situations while exhibiting high-quality, diplomatic patient services interaction.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Clinical Nurse Reviewer/ Utilization Management
WNS/Health Help Radiologic
01.2007 - 06.2024
- Specialize in the review, pre-certification and authorization of interventional cardiac, vascular imaging, Utilization Management , care coordination , for a Fortune 500 multi-insurance carrier
- Entrusted to conduct comprehensive reviews of PET, CT and MRI scans for interventional cardiac , vascular , Nuclear medicine and Oncology procedure authorizations.
- Proficient in Adverse denials , follows NCD/LCD , Medicare / Medicaid guideline .
- Contribute nursing expertise to a team of Medical Directors, Radiologists and RN’s, responsible for providing quality patient care and enforcing safety standards prior to imaging
- Have been actively working remotely for past 17 years.
- Proficient in EHR , Virtual nursing and customer service .
- Demonstrated expert knowledge of medical terminology, pharmacology, anatomy, and physiology while conducting accurate clinical assessments.
Charge Nurse | Clinical Nurse
ACTS Retirement Life Community St. Andrew’s Estates North and South
01.2002 - 01.2006
- Applied extensive specialized training from MDS and ARNPS in providing quality wound care and treatment planning services to patients
- Consistently ensured delivery of comprehensive care to patients in sub-acute, skilled nursing and restorative nursing units
- Oversaw a variety of clinical support tasks, including scheduling appointments, updating charts, ordering supplies, state surveys, doctor updating, MDS coding, infection control procedures, and addressing dietary issues.
Charge Nurse
Zacher Health Care
01.1993 - 01.2002
- Effectively supervised all aspects of patient care, encompassing medication administration, and treatment planning and task delegation.
Education
Nursing / Diploma
Millard Fillmore School Of Nursing
Buffalo, New York 06.1993
Skills
- Nursing Documentation
- Medical record review
- Documentation
- ICD-10
- Clinical assessment
- Utilization review
Certification
BLS Certified
Additional Information
LPN State of Florida License.
Single state LPN License , Texas, Ohio, and New York .
BLS certified .
Timeline
Clinical Nurse Reviewer/ Utilization Management
WNS/Health Help Radiologic
01.2007 - 06.2024
Charge Nurse | Clinical Nurse
ACTS Retirement Life Community St. Andrew’s Estates North and South
01.2002 - 01.2006
Charge Nurse
Zacher Health Care
01.1993 - 01.2002
Nursing / Diploma
Millard Fillmore School Of Nursing
BLS Certified
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