Danielle K. Riley
Montgomery,AL
Summary
Licensed Practical Nurse since 2020, with 14 years prior experience as a Certified Medical Assistant, working in various settings such as plasma facilities, long term care, and outpatient specialty clinics. Specialty experience consists of Women's Health/OBGYN, Endocrinology, Neurosurgery and Urology. I have a certificate in Health Information Management with a focus in cancer registry and am currently pursuing an Associate of Science degree in Health Information Management with a graduation date set for May 2024. My goal and strong desire is to leverage my clinical and administrative skills in continued best care practices for patients within a well respected organization.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Chronic Care Manager
Renova Health LLC
09.2022 - Current
- Responsible for improving patient wellness via Medicare Annual Wellness visits by assisting in providing comprehensive care plans and education to the patient in regards to their chronic conditions and through preventative initiatives
- Responsible for the reviewing of medical history, prescriptions, discussion of advance care planning and facilitating the coordination of preventative care testing as well as recording any and all health information as required for the Medicare Wellness visits.
Physician Substitute / Trainer
Octapharma Plasma
03.2022 - 08.2022
- Responsible for determining donor suitability for the donation of plasma and providing a safe environment for patients via monitoring, taking protective precautions before and during the plasma donation process, and reporting any issues during the donation process
- Responsible for the immediate care of any adverse events to donors and initiates or assists with emergency measures to include CPR, maintenance of airway, or the care of seizures
- Responsible, as a designated trainer, in providing guidance of SOPs to new trainees and ensuring compliance and understanding in facilitating their role within Octapharma
- Designated trainer as a physician substitute and screening employees only
Patient Care Coordinator
Jackson Urology Clinic East
10.2021 - 03.2022
- Responsible for helping in the set up of vasectomies, cystoscopies and assisting in the performance of Urocuff and catheterization procedures utilizing aseptic technique
- Assists in the consolidation of health records, x-rays, reports and other data to help prepare the physician in their daily visits with patients
- Assists with the organization of prior authorizations, prescriptions, record requests, chart prep and scanning as basic functions of the clinic and communicates regularly and effectively with others as a team member within the office.
Medical Staff Associate
CSL Plasma
02.2021 - 03.2022
- Responsible for determining donor suitability for the donation of plasma and providing a safe environment for patients via monitoring, taking protective precautions before and during the plasma donation process, and reporting any issues during the donation process
- Responsible for the immediate care of any adverse events to donors and initiates or assists with emergency measures to include CPR, maintenance of airway, or the care of seizures.
Licensed Practical Nurse
Crowne Healthcare
01.2021 - 01.2022
- Responsible for passing medications to multiple residents and within the memory care unit
- Responsible for skilled care such as colostomies, tube feedings, breathing treatments, wound care, blood sugar checks and administration of insulin
- Identifies areas of concern in the quality improvement process and implements quality improvement plans as discussed or recommended by the Registered nurse or DON
- Provides a safe environment through regular evaluation of condition changes and reporting of such changes
- Restocking of supplies during wound dressing changes and medication reconciliation completed at the end of shift.
License Practice Nurse
Baptist Health System
10.2020 - 01.2021
- Responsible for triaging, within the LPN scope of practice, incoming calls for a three-provider Endocrinology practice
- Manages workload to include prior authorization, faxing, distributing mail and faxes, scheduling appointments, monitoring incoming calls and notifying physicians urgently to abnormal results or reports.
Certified Medical Assistant
Parkview Regional Medical Center Heart Institute
05.2019 - 08.2020
- Responsible for obtaining accurate patient vital signs, EKGs and verifying personal information in accordance with HIPAA regulations, as well as entering them into Epic electronic medical records system
- Evaluates patient response during orthostatic changes and circulatory checks in office in preparation for their visit with the Cardiologist
- Responsible for assisting multiple providers and creating a good rapport with patients as they prepare for future follow-up appointments or procedures.
Prior Authorization Specialist / Certified Medical Assistant
Indiana University Health
07.2018 - 05.2019
- Primary resource for all office prior authorizations for medications and procedures requiring knowledge of data abstraction and ICD 10 codes in the processing or disputing of insurance determinations for coverage of tests or procedures.
- Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
- Responsible for obtaining patient vital signs and verifying personal information in accordance with HIPAA regulations, as well as entering them into EPIC electronic medical records system
- Responsible for lab draws, immunization administration, preparing exam rooms for minor procedures using aseptic or sterile technique, and restocking of exam rooms
Certified Medical Assistant
SSM Health System
04.2016 - 01.2018
- Responsible for obtaining patient vital signs and verifying personal information in accordance with HIPAA regulations, as well as entering them into EPIC electronic medical records system
- Assisted doctors in the Internal Medicine department which included pap smears and excision procedures
- Solely responsible for the performance and administration of EKGs, injections, ear flushes, and urine drug screens
- Office duties included the sending of refills, entering pre-visit labs in accordance with policy in attempt at maintaining patients’ health maintenance and any applicable scheduling of tests and appointments.
Certified Medical Assistant
WVU Brain and Spine, Parkway Brain & Spine
12.2016 - 09.2017
- Experience in a neurosurgery office rooming patients, removing staples and/or sutures postoperatively during follow-up, sending prescriptions electronically, pulling up radiographic images from surrounding medical facilities for review, taking vital signs, filing medical paperwork, answering switchboard telephone, and other administrative or medical duties as requested per the physician or advanced practitioner.
Certified Medical Assistant
Beloit Health Systems, Beloit Clinic
10.2008 - 04.2016
- Responsible for obtaining patient vital signs and personal information in accordance with HIPAA regulations, as well as assisting Doctors and other healthcare personnel to the best of my ability and within my scope of practice
- Responsible for routine clerical functions, the timeliness required for processing patients for clinic visits, and the coordination of communication with patients to licensed staff triage nurses as needed
- Four (4) years’ experience in Internal Medicine, 9 months experience in Family Practice, and three (3) years experience in Endocrinology.
Certified Medical Assistant
Dean Health System
01.2011 - 03.2012
- Responsible for obtaining patient vital signs and verifying personal information in accordance with HIPAA regulations, as well as entering them into EPIC electronic medical records system
- Assists doctors in OB/GYN, or Women’s Health department, which includes pap smears, LEEP and colposcopy procedures, Urodynamic testing, Essure procedures, ordering labs/tests, punch biopsies, and other procedures requiring sterile and aseptic techniques
- Assists a perinatologist once weekly with high risk pregnant patients
- Assists in procedures such as Amniocentesis, NST, and First Trimester Screening
- Performs routine clerical functions such as answering the phones or calling outbound to patients and ensuring chart completion along with the printing of health summaries at the conclusion of the visit
- 14 months total experience in OB/GYN.
Education
Associate of Applied Science - Health Information Management
Hutchinson Community College
Hutchinson, KS05.2024
Certificate - Cancer Registry
Hutchinson Community College
Hutchinson07.2023
Certificate - Practical Nursing
Ivy Technical College
Fort Wayne08.2020
No Degree - Medical Billing And Coding Specialist
Madison Area Technical College
MadisonCertificate - Medical Assisting
Blackhawk Technical College
Janesville06.2008
Clinton Senior High School
2004
Skills
- Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- EPIC, NextGen, and Cerner electronic medical records proficient
- Patient education via experience of specialties and Medicare Wellness Visits
- Patient Education
- Utilization Management/Prior Authorization
- Medication Reviews
Certification
- Licensed Practical Nurse with unrestricted Compact Licensure through the Alabama Board of Nursing
- Maintains CPR certification through Basic Life Support Certification
- Member of Phi Theta Kappa
- Passed the NCLEX with lowest number of questions possible
Timeline
Chronic Care Manager
Renova Health LLC
09.2022 - Current
Physician Substitute / Trainer
Octapharma Plasma
03.2022 - 08.2022
Patient Care Coordinator
Jackson Urology Clinic East
10.2021 - 03.2022
Medical Staff Associate
CSL Plasma
02.2021 - 03.2022
Licensed Practical Nurse
Crowne Healthcare
01.2021 - 01.2022
License Practice Nurse
Baptist Health System
10.2020 - 01.2021
Certified Medical Assistant
Parkview Regional Medical Center Heart Institute
05.2019 - 08.2020
Prior Authorization Specialist / Certified Medical Assistant
Indiana University Health
07.2018 - 05.2019
Certified Medical Assistant
WVU Brain and Spine, Parkway Brain & Spine
12.2016 - 09.2017
Certified Medical Assistant
SSM Health System
04.2016 - 01.2018
Certified Medical Assistant
Dean Health System
01.2011 - 03.2012
Certified Medical Assistant
Beloit Health Systems, Beloit Clinic
10.2008 - 04.2016
Associate of Applied Science - Health Information Management
Hutchinson Community College
Certificate - Cancer Registry
Hutchinson Community College
Certificate - Practical Nursing
Ivy Technical College
No Degree - Medical Billing And Coding Specialist
Madison Area Technical College
Certificate - Medical Assisting
Blackhawk Technical College
Clinton Senior High School
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