Leslie Adkins
Cottondale
Summary
Experienced Medical Review II Nurse with 6 years of experience. Skilled in assessing determining medical necessity of healthcare services. Recognized for consistently meeting or exceeding performance metrics. Proven ability to analyze patient's medical records and make clinical determinations.
Overview
19
19
years of professional experience
Work History
Medical Reviewer II
Palmetto Gba
Columbia, SC
03.2020 - Current
- Reviewed and analyzed medical documentation for accuracy and completeness.
- Maintained strict adherence to internal quality standards and external regulations, ensuring compliance in all aspects of the medical review process.
- Determined medical necessity and documented medical rationale to justify payment or denial of services
- Served on several team committees
Hospice Registered Nurse Case Manager
Amedisys Hospice Of Tuscaloosa
Tuscaloosa, AL
12.2016 - Current
- Educated patients and answered questions about health condition, prognosis and treatment
- Taught family members and caregivers various ways to manage patients' pain, how to check for vital signs and proper methods for dressing changes
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety
- Communicated with healthcare team members to plan, implement and enhance treatment strategies
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission
Hospice Case Manager
Alabama Hospice Care
Tuscaloosa, AL
04.2016 - 12.2016
- Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and active listening skills
- Offered listening ear to both patients and loved ones to ensure that emotional and mental, as well as physical needs were met
- Established hospice care services for elderly and disabled patients
Registered Nurse
Brookwood Baptist Health
Birmingham, AL
08.2007 - 04.2016
- Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information
Education
Associates Degree - Registered Nurse
Bevill State Community College
Hamilton, ALHigh School Diploma - undefined
Radford High School
Radford, VASkills
- Strong clinical judgment
- Teamwork
- Medical documentation
- Communication skills
- Attention to detail
- Utilization review
- Clinical assessment
- Time management
- Problem solving
Timeline
Medical Reviewer II
Palmetto Gba
03.2020 - Current
Hospice Registered Nurse Case Manager
Amedisys Hospice Of Tuscaloosa
12.2016 - Current
Hospice Case Manager
Alabama Hospice Care
04.2016 - 12.2016
Registered Nurse
Brookwood Baptist Health
08.2007 - 04.2016
High School Diploma - undefined
Radford High School
Associates Degree - Registered Nurse
Bevill State Community College