Mariana Patten
Dearborn,MI
Overview
10
10
years of professional experience
Work History
Prior Authorization Nurse
Lancesoft Employee Care Group Team
04.2024 - Current
- Ensured accurate medical data entry for processing appeals by utilizing IDC-9, ICD-10, and CPT coding processes.
- Determined medical necessity of requests by performing first level appeals using CAS systems software.
- Advocated for patients with rejected claims from insurances, providing sufficient medical evidence for patient claims, confirming that patients achieve care.
Nurse for Medically Fragile Children
Delta T Group
01.2024 - 04.2024
- Provided direct care for 6 children, ages 3 to 18, that included tracheal suctioning, G-tube feedings, catheterizations, lifting and carrying, medication administration, and assisted with all activities of daily living (ADL's).
- Collaborated with teachers and teacher aides in a classroom environment to implement seizure precautions and maintaining accurate documentation to cultivate a healthy and safe environment for the children.
Clinic Nurse
Entech Medical Services
06.2014 - 02.2024
- Maintained meticulous patient records, ensuring compliances with regulatory standards and facilitated communication with pharmacies and health insurance companies to leverage available resources to benefit patients' wellbeing.
- Acted as triage nurse, handling medication inquiries and providing patent education over phone by utilizing EPIC and Athena system to efficiently schedule appointments.
- Oversaw weight management program and assisted in clinic during staff shortages to conduct vital sign assessments and prepared patients for their appointments with doctor.
Transportation Nurse for Medically Fragile Childs
Delta T Group
11.2023 - 01.2024
- Managed 12 medically fragile children riding the Detroit Public School bus, monitored their ventilator machines, G-tube feeding applications, and seizure watches, maintaining constant communication with EMS and guardians to prioritize student safety.
- Administered prescribed medication dosages to children based on doctor’s instructions.
- Ensured accurate documentation of each child’s medication regimen, effectively communicating with parents and teachers during morning and afternoon updates.
Education
Licensed Practical Nursing Technical Diploma -
Tom P Haney Technical Center
Panama City, FLAssociate of Arts - Liberal Arts And General Studies
Wayne State University
Detroit, MISkills
- Microsoft Office Suite and Google Suite
- HIPAA Compliance
- Medical Care Coordinator and Medical Clinical Assistant
- Tracheostomy Tube/Vent Care
- Gastrostomy Tube Feeding
- Medical Terminology and Transcription
- Medical Records and Data Entry
- CPR/AED First Aid
- Hyperbaric and Wound Care
- Immunizations
- Prior Authorizations and Insurance billing, ICD-9/10 and CPT Coding
- Athena, EPIC, and CAS systems
Timeline
Prior Authorization Nurse
Lancesoft Employee Care Group Team
04.2024 - Current
Nurse for Medically Fragile Children
Delta T Group
01.2024 - 04.2024
Transportation Nurse for Medically Fragile Childs
Delta T Group
11.2023 - 01.2024
Clinic Nurse
Entech Medical Services
06.2014 - 02.2024
Licensed Practical Nursing Technical Diploma -
Tom P Haney Technical Center
Associate of Arts - Liberal Arts And General Studies
Wayne State University
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