Summary
Overview
Work History
Education
Skills
Timeline
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Krystina Crawford

Globe,Arizona

Summary

Krystina Crawford Licensed Practical Nurse with 8+ years of experience seeking to leverage proven skills into a position at your medical center. Has diverse expertise in caring for the ill, injured, and disabled. I also have 5+ years of experience as a certified nursing assistant prior to becoming an LPN. Possess a Certificate of Proficiency in Licensed Practical Nursing and current multi-state license.

Overview

14
14
years of professional experience

Work History

MDS Nurse

Haven Health Care Center
12.2021 - Current
  • Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
  • Verified prompt and accurate completion of MDS activities for billing.
  • Complied with federal and state regulations for completion and coordination of RAI process.
  • Assessed electronic medical record for required documentation to support MDS coding.

Utilization Review Nurse

Viva Healthcare
02.2012 - 03.2012
  • Worked in a phone que and fax portal with providers who were requesting pre-approval for services including surgery, medications, medical equipment, and etc..
  • Research and review clinical information from our medical providers to determine if they meet medical necessity to qualify for pre- approval for their services
  • Those that did not were forwarded to the medical director for final review
  • Documented(by typing) all key clinical information into a summary for review on every request
  • Followed Medicare rules and guidelines to authorize services for our Medicare members, as well as followed the guidelines for a variety of our commercial plans.

Licensed Practical Nurse

Heritage Healthcare Center
07.2009 - 02.2010
  • Supervised up to 4 CNA's per Shift
  • Prepare and administer medications by; oral, sublingual, intramuscularly, intradermal, subcutaneous, topical, dermal and inhalation routes
  • Mainly worked in the Alzheimer’s Unit working with residents with mild to severe dementia
  • Surgical wound care using a sterile and aseptic technique
  • Obtain and transcribe orders given from doctors and nurse practitioners.

Education

Practical Nursing

Eastern Arizona College
Globe, AZ
2009

High School Diploma -

Miami High School
Miami, AZ
2003

Skills

  • RAI manual
  • ICD-10
  • Care Coordination
  • Care Planning
  • CPT coding
  • Medicare and commercial guidelines (including Millimans, LCD, Interqual, and Aetna criteria)
  • Insurance claims review

Timeline

MDS Nurse

Haven Health Care Center
12.2021 - Current

Utilization Review Nurse

Viva Healthcare
02.2012 - 03.2012

Licensed Practical Nurse

Heritage Healthcare Center
07.2009 - 02.2010

Practical Nursing

Eastern Arizona College

High School Diploma -

Miami High School

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Krystina Crawford