Detail-oriented professional with expertise in CMS compliance, clinical documentation, and patient scheduling. Proven ability to enhance patient care processes through effective communication and teamwork.
Overview
2027
2027
years of professional experience
3
3
Certifications
Work History
Prospective Payment Service Coordinator
Avera McKennan Hospital & University Health Center
Sioux Falls, South Dakota
2020 - Current
Maintained accurate medical records in electronic health record systems to support patient care.
Submitted patient records to CMS, ensuring timely processing and compliance.
Coordinated patient weekly conferences and compiled reports to uphold CMS compliance standards.
Patient Care Coordinator
Avera McKennan Hospital & University Health Center
Sioux Falls, South Dakota
2015 - Current
Supported patients in navigating insurance queries and verifying benefits to ensure access to necessary care.
Communicated with healthcare providers to ensure patient care continuity.
Coordinated patient schedules and appointments to enhance clinic efficiency and reduce wait times.
Collaborated with multidisciplinary teams to streamline patient care services.
Educated patients on treatment plans and follow-up procedures clearly.
Facilitated timely referrals to specialists and managed documentation to streamline patient transitions.
Addressed patient concerns promptly to enhance overall satisfaction levels.
Scheduled appointments for patients and coordinated follow-up visits.
Resource Nurse
Avera McKennan Hospital & University Health Center
Sioux Falls, South Dakota
08.2008 - 06.2015
Monitored patient conditions and reported changes to medical staff.
Collaborated with healthcare teams to coordinate patient care plans.
Managed medication administration and ensured compliance with safety standards.
Assisted in training new nursing staff on hospital protocols.
Provided support during emergency situations to maintain patient safety.
Documented patient information accurately in electronic health records system.
Facilitated communication between patients, families, and healthcare providers.
Operating Room Circulator
Avera McKennan Hospital & University Health Center
Sioux Falls, South Dakota
12.2006 - 11.2007
Coordinated surgical procedures and ensured proper workflow in the operating room.
Communicated effectively with surgical teams to maintain patient safety protocols.
Managed patient positioning and preparation for various surgical interventions.
Documented surgical events and maintained accurate records for patient care.
Monitored sterile fields to prevent contamination during surgeries.
Staff Nurse- Neuro/Cardio/Pulmonary Unit
Avera McKennan Hospital & University Health Center
Sioux Falls, South Dakota
07.2004 - 12.2006
Administered medications and monitored patient responses in critical care settings.
Collaborated with interdisciplinary teams to develop patient care plans.
Educated patients and families on treatment procedures and health management.
Maintained accurate patient records using electronic health record systems.
Provided emotional support and counseling to patients and their families.
Trained new nursing staff on hospital protocols and best practices.
Ensured compliance with safety standards and infection control practices at all times.
Provided direct patient care including wound dressing, administering medication and IV therapy.
Monitored vital signs and documented changes in a timely manner.
Maintained accurate records of patient progress notes, medications administered and other relevant data.
Assessed patients to determine their physical condition, health status and needs.
Education
Bachelor of Science - Nursing
South Dakota State University
Brookings, SD
05-2004
Skills
CMS compliance
Clinical documentation
Patient scheduling
Data analysis
Time management
Attention to detail
Certification
CRRN, Association of Rehabilitation Nurses, 2012
Timeline
Resource Nurse
Avera McKennan Hospital & University Health Center
08.2008 - 06.2015
Operating Room Circulator
Avera McKennan Hospital & University Health Center
12.2006 - 11.2007
Staff Nurse- Neuro/Cardio/Pulmonary Unit
Avera McKennan Hospital & University Health Center
07.2004 - 12.2006
Prospective Payment Service Coordinator
Avera McKennan Hospital & University Health Center
2020 - Current
Patient Care Coordinator
Avera McKennan Hospital & University Health Center
Provider Registration Specialist/ Customer Service at BLUE CROSS BLUE SHIELD OF MICHIGANProvider Registration Specialist/ Customer Service at BLUE CROSS BLUE SHIELD OF MICHIGAN