Jessica McNutt
Lexington,SC
Summary
Compassionate, performance-driven, and goal-focused registered nurse, offering over seven years of experience in healthcare, specifically critical care and utilization review. Recognized with the Award of Excellence for delivering exceptional care to patients and their families. Highly efficient in managing various responsibilities through excellent interpersonal, organizational, critical-thinking, and problem-solving skills. Articulate communicator with an aptitude for information technology and learning/acquiring new skills and knowledge quickly.
Overview
13
13
years of professional experience
Work History
Medical Reviewer II
Broadway Ventures
Amite, LA
10.2021 - Current
- Review Medicare claims in all stages (RCD, ADR, prior authorization, post pay, appeals) for a MAC.
- Assess contracts and medical information to make eligibility determinations.
- Maximize accuracy and completeness of medical records through in-depth audits and patient information reviews.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Safeguard medical records to maintain patient confidentiality.
Registered Nurse
Lexington Medical Center SICU/CVICU
West Columbia, SC
02.2018 - 11.2021
- Provided compassionate and quality care and support to critically ill patients and their families.
- Prepared, monitored, and adjusted specialized equipment such as continuous dialysis, arterial pressures, intracranial pressures, ventilators, and IV drips and respond to life-saving situations.
- Coordinated with various departments and physicians to ensure outstanding patient outcomes.
Student Nurse Technician
Palmetto Health Richland MICU
Columbia, SC
08.2016 - 11.2017
- Provided compassionate and quality care and support to critically ill patients and their families.
- Assisted the RNs, together as a team, in the care and support of critically ill patients and their families.
Office Manager
Main Street Wellness Center
Columbia, SC
08.2012 - 01.2016
- Promoted from administrative assistant to office manager.
- Excelled in a role requiring the ability to handle a variety of managerial and customer satisfaction tasks and resolve issues with expediency.
- Handled all communications with referrals, insurance companies and attorney offices.
- Managed office operations to ensure efficiency and productivity.
- Assisted with patient therapies.
Education
Associate Degree - Nursing
Midlands Technical College
2017
Skills
- Utilization review
- ICD-10/CPT/HCPCS Codes
- Life-sustaining machines
- Electronic Health Records Management
- Staff Development and Precepting
- Patient education and counseling
- Critical care
- Patient care planning
- Advanced Cardiac Life Support (ACLS) certification
- Strong medical ethic
- Invoicing and billing
- Data entry
- File and data retrieval systems
References
References available upon request
Accomplishments
Recipient of Employee Award of Excellence from Lexington Medical Center
Recipient of Highest GPA of Graduating Class Award from Midlands Technical College
Timeline
Medical Reviewer II
Broadway Ventures
10.2021 - Current
Registered Nurse
Lexington Medical Center SICU/CVICU
02.2018 - 11.2021
Student Nurse Technician
Palmetto Health Richland MICU
08.2016 - 11.2017
Office Manager
Main Street Wellness Center
08.2012 - 01.2016
Associate Degree - Nursing
Midlands Technical College
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