PROFILE:
Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes Registered Nurse with Bachelor's of Science in Nursing with years of clinical and documentation skills . Hope to use past experiences of reviewing of medical documentation and clinical medical research for information for prior authorization, to answer denials and apply appeals to insurance companies Currently seeking position to utilize critical thinking with a focus on professional growth in the business aspect of HealthCare.
Worked in a school setting providing primary to triage care to students 10-65 a day out of student population of 900 Holy Cross High School up to 700
Developed individualized treatment plans for young diabetes patients.
Trained for three pump companies (Medtronic Tandem and Omnipod )and three CGM companies (FreeStyle Libre, Medtronic and Dexcom ) Led group classes on pumps and CGM provided one on one constellations help patients discover best for their lifestyle helped train in use and emergency back up.
Did clinical documentation review and reviewed clinical research to file prior-authorization , find clinical information to answer denials and support appeals for patients of the practice
Coordinated care for all visits based on staff ability and availability
Assessed patients physiologic and psychosocial health status