Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Marianne Pickel

Bayport,NY

Summary

Nurse leader and educator with 25+ years in nursing education, administration, and healthcare operations. Skilled in curriculum design, simulation-based teaching, and student mentorship, with current experience in EMR build and rollout. Tech-savvy, adaptable, and committed to advancing future health professionals and team success.

Overview

2026
2026
years of professional experience
1
1
Certification

Work History

AVP, Revenue Cycle, Denial Prevention

Northwell Health
2018 - Current
  • Oversee the daily operations of the centralized review processes including Denial Prevention and Centralized Denials for 16 hospitals, 9 nurse leaders and 75 registered nurses.
  • Manage, strategize, and coordinate the actions of the team in relation to clinical reviews, denials, and appeals.
  • Hire, train and develop direct reports. Develops and maintains departmental workflows, working documents and tools, policies and procedures, reports, trainings, and other work product as needed.
  • Leverage new and existing technology capabilities accordingly and integrate into operational processes.
  • Led cross-functional teams to implement strategic initiatives enhancing operational efficiency.

Adjunct Instructor – Nursing Fundamentals Lab

Suffolk Community College
01.2022 - 05.2022
  • Delivered instruction in fundamental nursing skills laboratories for pre-licensure nursing students.
  • Taught and supervised 10 student practice in patient assessment, infection control, vital signs, safe medication administration, and clinical documentation.
  • Evaluated student competencies through skills check-offs, return demonstrations, and structured feedback.
  • Served as a mentor and role model, emphasizing professional standards, patient safety, and clinical judgment.

Clinical Appeals Manager

Long Island Community Hospital
01.2005 - 01.2018
  • Recovered over $5M annually in denied claims.
  • Responsible for using clinical expertise, revenue cycle management, and revenue integrity to review patient accounts and medical records to help resolve denied services.
  • Clinical appeals of medical services denied in accordance with internal policy and procedures, as well as regulatory guidelines and timeframes.
  • Manage, and communicate denial/appeal activities to stakeholders; report suspected or emerging payer denial patterns.

Nurse Educator - Emergency Department

Long Island Community Hospital
1999 - 2005
  • Designed and delivered training programs for nurses, clinical staff, and interdisciplinary teams.
  • Applied adult learning principles to orientation, continuing education, and leadership development.
  • Presented in-services on regulatory compliance, patient safety, and evidence-based practice.

Nurse Administrator

Long Island Community Hospital
01.1997 - 01.1999

Emergency Department RN / Charge Nurse

Long Island Community Hospital
01.1995 - 1997

Emergency Department RN

Stony Brook University Hospital
01.1994 - 01.1997

Education

Master of Science - Nursing Administration

Capella University
Minneapolis, MN
01.2021

Associate of Applied Science - Nursing

Brookdale Community College
Lincroft, NJ
01.1993

Bachelor of Science - Health & Physical Education

Rutgers University
New Brunswick, NJ
01.1990

Skills

  • Fundamental nursing knowledge
  • Health Science Foundations
  • Healthcare administration
  • Utilization Management & Healthcare Systems
  • Patient Advocacy & Interdisciplinary Collaboration

Certification

  • Registered Nurse (RN) – NY # 461796

Timeline

Adjunct Instructor – Nursing Fundamentals Lab

Suffolk Community College
01.2022 - 05.2022

Clinical Appeals Manager

Long Island Community Hospital
01.2005 - 01.2018

Nurse Administrator

Long Island Community Hospital
01.1997 - 01.1999

Emergency Department RN / Charge Nurse

Long Island Community Hospital
01.1995 - 1997

Emergency Department RN

Stony Brook University Hospital
01.1994 - 01.1997

Associate of Applied Science - Nursing

Brookdale Community College

Bachelor of Science - Health & Physical Education

Rutgers University

AVP, Revenue Cycle, Denial Prevention

Northwell Health
2018 - Current

Nurse Educator - Emergency Department

Long Island Community Hospital
1999 - 2005

Master of Science - Nursing Administration

Capella University

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