Summary
Overview
Work History
Education
Skills
Certification
Work Preference
Timeline
Generic
Open To Work

ERICA GRAFF

Bismarck,ND

Summary

Experienced healthcare professional prepared for role with strong background in clinical review and patient care. Expertise in evaluating medical records, ensuring compliance with regulatory standards, and facilitating effective communication between healthcare providers. Known for collaborative approach, reliability, and adaptability to changing needs. Skilled in utilization review, case management, and healthcare documentation, with focus on achieving measurable results.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Clinical Reviewer

Noridian Healthcare Solutions
06.2018 - 09.2025
  • Responsible for the clinical evaluation of medical records and related documents to determine whether claims were billed and paid for in compliance with Medicare guidelines. Responsible for meeting performance and production standards and quality measures. Perform research to understand and apply guidance. Review and analyzes medical records across different lines of business. Responsible for performing quality assurance reviews for peers.

Registered Nurse (RN)

Baptist Home Inc
04.2018 - 04.2021
  • Responsible for assessing, planning, and implementing resident care. Order, prepare, administer, and document emergency medication and treatments per physician orders. Maintain accurate records. Transcribe physician orders. Review resident records for accuracy. Responsible for directly supervising, observing, guiding, coaching and performance counseling. Responsible for settling disputes involving residents, families, visitors and staff. Review residents plan of care.

Registered Nurse (RN)

Mid Dakota Clinic Prime Care
09.2016 - 02.2018
  • Set up exam rooms for clinician provide basic medical services assess health needs of patients implement nursing care plans maintain health records work as a team with other health care professionals

Registered Nurse

Custer Family Planning
06.2007 - 09.2016
  • Set up exam rooms and prepare clients for clinician. Provide basic medical services (vital signs, perform lab tests, administer medications, record and maintain patient information). Distribute prescribed medications as ordered by physician. Provide education and counseling to clients on family planning issues. Maintain clinic supplies. Process specimens and/or send to contract labs. Assist with office duties. Prepare statistical and data reports. Lead provider for community education. Utilize nursing process to identify clients concerns. Implement and evaluate client care. Preceptor for nursing students. Ability to work with minimal supervision

Registered Nurse

St. Alexius Medical Center
08.2004 - 01.2009
  • Preceptor for nursing students and hospital employees. Document observations, nursing interventions, therapeutic measures, administer and coordinate activities utilizing the DAR charting method. Participated and implemented individual treatment plans for patients with broad range of mental health issues. Set up and administered medications per physician orders. Provided nursing care to meet physical, emotional, spiritual, and social/cultural needs of patients. Provided care for adolescent, adult and geriatric population. Worked in teams with doctors, social workers, and occupational therapists. Assist with and /or provided services such as throat cultures, blood pressures, and tuberculosis screening and medical management. Facilitated groups and provided one-on-one assessments focusing on mental health and healthy lifestyles.

Education

Bachelor's Degree - Nursing

University of Mary
Bismarck, ND

Associate's Degree - Associate of Science

Bismarck State College
Bismarck, ND

Skills

  • Clinical judgment
  • Patient confidentiality
  • Clinical assessment
  • Medical coding
  • Teamwork and collaboration
  • Problem-solving
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking Abilities
  • Reliability
  • Critical thinking
  • Excellent communication
  • Organizational skills
  • HIPAA compliance
  • Adaptability and flexibility
  • Effective communication
  • Active listening

Certification

06/2004 Current Registered Nurse (RN) North Dakota Board of Nursing

Work Preference

Work Type

Full Time

Location Preference

Remote

Timeline

Clinical Reviewer

Noridian Healthcare Solutions
06.2018 - 09.2025

Registered Nurse (RN)

Baptist Home Inc
04.2018 - 04.2021

Registered Nurse (RN)

Mid Dakota Clinic Prime Care
09.2016 - 02.2018

Registered Nurse

Custer Family Planning
06.2007 - 09.2016

Registered Nurse

St. Alexius Medical Center
08.2004 - 01.2009

Bachelor's Degree - Nursing

University of Mary

Associate's Degree - Associate of Science

Bismarck State College

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