Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with an ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Rating Quality Review Specialist
Department Of Veterans Affairs, Veterans Benefits Admin
Lincoln, NE
02.2011 - Current
Developed strong team relationships through consistent communication and attentive service.
Earned recognition as a top performer consistently exceeding targets throughout my tenure as a specialist in the field.
Listened and responded to Journey level and Trainee Rating Veteran Service Representative questions and forwarded necessary information to superiors.
Followed all agency policies and regulatory procedures to deliver quality work.
Assisted with staff training to enforce quality and regulatory guidelines on a local and National level.
Attended training programs to deepen professional skillset and assisted in training fellow VBA employees on regulations necessary for quality rating decisions
Evaluated trainee staff performance and provided coaching to address inefficiencies.
Managed multiple workloads including various types of reviews, Congressional inquiries, training, and/or mentoring on a daily basis.
Collected, arranged, and input rating and trainee information into SharePoint and excel database systems.
Continued use of skillset and knowledge base as a Rating Veterans Service Representative into the role of Rating Quality Review Specialist
Rating Veteran Service Representative
Department Of Veterans Affairs, Veterans Benefits Admin
Lincoln, NE
12.2002 - 02.2011
Enhanced claim processing efficiency by streamlining workflow processes and implementing best practices.
Provided support to veterans by addressing inquiries during outreach events.
Conducted thorough research on claim-related issues, leading to more informed decisions on benefit entitlements.
Participated in professional development opportunities to enhance knowledge of VA regulations, policies, and procedures.
Developed strong relationships with internal stakeholders to foster a collaborative work environment focused on achieving results.
Worked closely with medical professionals to obtain necessary documentation for proper evaluation of disability claims.
Managed high caseloads efficiently while maintaining attention to detail and accuracy in disability evaluations.
Ensured consistent application of legal standards across all cases by adhering to established guidelines when rating disabilities.
Validated claim determinations through meticulous analysis of relevant evidence before finalizing decisions.
Contributed to team success by sharing expertise in VA benefits administration during training sessions and workshops.
Assisted colleagues as needed, demonstrating flexibility while contributing positively towards overall team performance.
Maintained confidentiality and sensitivity when dealing with personal information, adhering to privacy laws and ethical standards.
Maintained strong knowledge of advanced medical terminology to better understand services and procedures.
Delivered high-quality customer service to veterans, providing accurate rating benefit decisions.
Collaborated with interdisciplinary teams to accurately evaluate disability claims and determine appropriate ratings.
Maintained accurate records of all veteran interactions, resulting in streamlined communication and improved case management.
Registered Nurse, Research
Gastroenterology Specialties
Lincoln, NE
05.2002 - 11.2002
Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
Organized and managed care of patients undergoing various therapies and procedures.
Registered Nurse Case Manager
CorVel
Lincoln, NE
05.2001 - 05.2002
Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
Maintained detailed documentation of patient encounters, supporting accurate billing practices and data-driven decision making.
Provided timely feedback to healthcare providers regarding patient concerns, facilitating prompt resolution of issues and contributing to a positive patient experience.
Effectively communicated with physicians regarding patient needs, performance, medications and changes.
Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
Responded promptly and professionally to patient questions and concerns.
Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
Liaised with physicians and insurance companies regarding patient needs, performance and changes.
Registered Nurse-Burn Unit
St. Elizabeth Regional Medical Center
Lincoln, NE
03.2001 - 05.2001
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Implemented medication and IV administration, catheter insertion, and airway management.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
Evaluated patient histories, complaints, and current symptoms.
Managed patients recovering from medical or surgical procedures.
Education
Associate of Applied Science - Registered Nurse
Southeast Community College Area
Lincoln, NE
03.2001
Skills
Quality Assurance
Emergency Response
Quality Assessment
Training and development
Performance monitoring
Decision making
Interpersonal skills
Attention to detail
Time management
Certification
Emergency Medical Technician 2001-2007
Instructor Development Course Certified (IDC)
Additional Information
Former Volunteer Emergency Medical Technician (EMT)
Timeline
Rating Quality Review Specialist
Department Of Veterans Affairs, Veterans Benefits Admin
02.2011 - Current
Rating Veteran Service Representative
Department Of Veterans Affairs, Veterans Benefits Admin
12.2002 - 02.2011
Registered Nurse, Research
Gastroenterology Specialties
05.2002 - 11.2002
Registered Nurse Case Manager
CorVel
05.2001 - 05.2002
Registered Nurse-Burn Unit
St. Elizabeth Regional Medical Center
03.2001 - 05.2001
Associate of Applied Science - Registered Nurse
Southeast Community College Area
Emergency Medical Technician 2001-2007
Instructor Development Course Certified (IDC)
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