Linda Nord
Green Bay,WI
Summary
Self-motivated professional promoting attention to detail and the drive to resolve issues effectively. Calm and poised in the most stressful environments. Seeking the opportunity to join new organization in the role of Denial Management Nurse.
Overview
25
25
years of professional experience
Work History
Behavioral Health Utilization Review Nurse
Humana
Louisville, KY
04.2021 - Current
- Review patient admissions and conduct concurrent and retrospective reviews of behavioral health cases to evaluate appropriateness of care provided using the following criteria: Milliman Care Guidelines (MCG), Local Coverage Determination (LCD), and American Society of Addiction Medicine (ASAM) at all levels of care.
- Refer cases to secondary review for failure to meet MCG, LCD, and ASAM criteria at all levels of care.
Telephonic Preadmissions RN, Surgery
Aurora Health Care
Green Bay, WI
08.2017 - 04.2021
- Instructed patients and family members on pre-and post-operative care of patients undergoing surgery.
RN - Psychiatry
Bellin Psychiatric Center
Green Bay, WI
01.2015 - 01.2018
- Completed all duties within the licensure of psychiatric floor nurse for a variety of mental health conditions including detoxification from drugs and alcohol.
- Worked with patients of all ages.
Telephonic Triage RN, Internal Med
Aurora Health Care
Green Bay , WI
08.2015 - 08.2017
- Managed triage phone calls by providing appropriate advice or referring callers to their primary care provider or other specialists when necessary.
RN - Surgery
Aurora Health Care
Marinette, WI
09.2002 - 08.2015
- Performed all job duties within the scope of Registered Nurse at outpatient surgery center including preadmissions, sedation, and recovery room.
RN - Psychiatric Admissions/Discharge Coordinator
Bay Area Center for Behavioral Medicine
Menominee, MI
01.1999 - 09.2002
- Coordinated behavioral health admissions at inpatient level with regard to legal status and set up aftercare for patients post discharge.
- Stepped in as charge nurse on psychiatric floor when needed.
Education
Bachelor of Science - Nursing
Concordia University Wisconsin (CUW)
Mequon05.1996
Skills
- Interpersonal and Written Communication
- Documentation and Reporting
- Utilization Review
- Compassionate and Caring
- Attention to Detail
- Critical Thinking
Timeline
Behavioral Health Utilization Review Nurse
Humana
04.2021 - Current
Telephonic Preadmissions RN, Surgery
Aurora Health Care
08.2017 - 04.2021
Telephonic Triage RN, Internal Med
Aurora Health Care
08.2015 - 08.2017
RN - Psychiatry
Bellin Psychiatric Center
01.2015 - 01.2018
RN - Surgery
Aurora Health Care
09.2002 - 08.2015
RN - Psychiatric Admissions/Discharge Coordinator
Bay Area Center for Behavioral Medicine
01.1999 - 09.2002
Bachelor of Science - Nursing
Concordia University Wisconsin (CUW)