Summary
Overview
Work History
Education
Skills
Licenses
Timeline
Generic

Deborah Cullen

San Jose,CA

Summary

Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.

Overview

25
25
years of professional experience

Work History

Clinical Review Specialist

Medix Staffing
04.2024 - 10.2024
  • Assessed, monitored and authorized inpatient and outpatient service coverage.
  • Made accurate, timely and consistent coverage determinations for Medicaid claims and clearly communicated to internal departments.

Nursing Supervisor

Texas Health Presbyterian Hospital
02.2019 - 04.2024
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
  • Maintained proper staff levels within budget parameters to deliver high levels of care to every patient.
  • Discussed patient care and treatment with care team members to optimize intervention plans and care delivery.
  • Followed all HIPAA rules and regulations regarding patient confidentiality.
  • Investigated and independently resolved complaints from staff, physicians, and patients by leveraging clinical judgment and unit management expertise.

House Supervisor

Mayhill Hospital
01.2018 - 02.2019

Assisting

  • Collaborated with physicians regarding patient conditions, updates and necessary care changes.
  • provided support to the patient during the admission process between administration, intake and nursing staff
  • ensured coordinated delivery of patient care in accordance with established standards of care, mental health practice and hospital policy, goals and objectives.

Program Director

ALT Recovery Group
09.2013 - 06.2017
  • Collaborated with various teams to uncover issues, identify applicable solutions, and offer guidance.
  • Provided ongoing direction and leadership for program operations.
  • Maintained and updated project related documents.
  • Developed medication assisted treatment program from ground up, laying out framework, policies and procedures and defining roles.
  • Ensured compliance with all local, state and federal guidelines As liaison between DEA, NM State Treatment Authority, CARF, SAMHSA and other regulatory bodies.


Charge Nurse/Relief House Supervisor

Mesilla Valley Hospital
09.2005 - 09.2013
  • Supervised acute psychiatric adult/geriatric/chemical dependency units.
  • Managed psychiatric detention unit for adult inmates with acute psychiatric diagnoses needing stabilization before entering general population or standing trial.

School Nurse

Las Cruces Independent School District
08.2000 - 05.2007
  • Served as liaison between families, school personnel, and other healthcare providers on behalf of students.
  • Oversaw health services for school students and faculty.
  • Performed health screening for students and faculty by conducting vision and hearing evaluations.
  • Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
  • Implemented emergency protocols in medical emergencies to promote safety for students and staff.
  • Educated students on various health topics to promote overall health and wellbeing.

School Nurse

Gadsden Independent School District
07.1999 - 08.2000
  • Served as liaison between families, school personnel, and other healthcare providers on behalf of students.
  • Oversaw health services for students and faculty.
  • Developed care plans and made referrals as necessary for students with health concerns or injuries.
  • Participated in development of school safety plans to address areas of concern.

Education

Bachelor of Science - Nursing

New Mexico State University
Las Cruces, NM
05.1998

Skills

  • Performance Improvement
  • Clinical Research
  • Medical Billing
  • Medical Coding
  • HIPAA knowledge
  • Clinical assessment
  • Regulatory guidelines
  • Attention to Detail
  • Epic Systems

Licenses

Texas Compact RN

#940900

California RN

#95367135

Timeline

Clinical Review Specialist

Medix Staffing
04.2024 - 10.2024

Nursing Supervisor

Texas Health Presbyterian Hospital
02.2019 - 04.2024

House Supervisor

Mayhill Hospital
01.2018 - 02.2019

Program Director

ALT Recovery Group
09.2013 - 06.2017

Charge Nurse/Relief House Supervisor

Mesilla Valley Hospital
09.2005 - 09.2013

School Nurse

Las Cruces Independent School District
08.2000 - 05.2007

School Nurse

Gadsden Independent School District
07.1999 - 08.2000

Bachelor of Science - Nursing

New Mexico State University
Deborah Cullen