Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities. Hardworking and reliable RN with strong ability in communication. Offering remote work experience and excellent patient assessment and management skills. Highly organized, proactive and punctual with team-oriented mentality. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Clinical Review Nurse
HOMECAREANSWERS
OGDEN, UT
09.2018 - Current
Assessed clinical data from multiple sources including but not limited to medical records, lab results, radiology reports, medication administration records.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Maintained updated knowledge through continuing education and advanced training.
Reviewed Home Care Agency patient records/OASIS documents for accuracy
Suggested ICD coding based on medical records in compliance with coding guidelines
Clinical Nurse Reviewer
McBee Associates Inc.
, PA
06.2015 - 08.2018
Assessed patient data, diagnoses, treatments and outcomes to determine appropriateness of care and cost effectiveness.
Performed clinical reviews of medical records to ensure accurate coding and compliance with Medicare regulations.
Analyzed claims data for accuracy, identifying discrepancies as needed for further investigation.
Educated providers on current coding guidelines and best practices for documentation accuracy.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Interpreted laboratory results, imaging studies and other diagnostic tests used in diagnosis or treatment planning.
Understood and followed oral and written directions.
Prioritized and organized tasks to efficiently accomplish service goals.
Maintained updated knowledge through continuing education and advanced training.
RN Supervisor
TOE RIVER HEALTH DISTRICT
SPRUCE PINE, NC
02.2000 - 11.2016
Ensured that all documentation met legal requirements before submission.
Analyzed data collected from various sources such as surveys or incident reports in order to improve operational efficiencies.
Reviewed and completed admission and discharge assessments.
Enforced organization policies and exercised non-biased judgment while leading nursing staff in fiscally sound patient care, recordkeeping and professional communication.
Audited and completed charts, evaluations and medical forms.
Evaluated patient records regularly to identify opportunities for improvement in service delivery.
Attended conferences related to healthcare management topics such as budgeting or human resources administration.
Resolved conflicts among nursing staff in a timely manner while promoting positive working relationships.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Cultivated positive relationships with patients and families, addressed concerns or complaints, monitored patient satisfaction survey data and maintained confidentiality of patient information.
Facilitated interdisciplinary meetings between physicians, nurses, social workers, therapists, dietitians, and pharmacists to discuss treatment plans for individual patients.
Participated in continuing education courses related to advances in nursing practice.
Hired, trained, and supervised multiple nursing unit team members, facilitated professional growth of subordinates and modeled effective and compassionate nursing techniques.
Monitored inventory levels of medical supplies and equipment, ordering additional items as needed.
Recruited, hired and trained new medical and facility staff.
Conducted performance evaluations for nursing staff on a regular basis.
Served as an active member on committees focused on improving quality initiatives at the facility level.
Provided clinical leadership and direction for nursing staff, ensuring that all tasks were completed in accordance with accepted standards of care.
Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
Directed, supervised and evaluated medical, clerical or maintenance personnel.
Assisted with onboarding of new nurses by providing orientation materials and training sessions.
Investigated incidents involving patients or staff members, documenting findings as necessary.
Completed day-to-day duties accurately and efficiently.
Maintained updated knowledge through continuing education and advanced training.
Worked with cross-functional teams to achieve goals.
Provided excellent service and attention to customers when face-to-face or through phone conversations.