Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
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MONICA BIRCHFIELD, LPN

Hillsboro,Ohio

Summary

Licensed Practical Nurse offering 21 years of experience in healthcare which include a family practice/internal medicine office, a corporate office environment with a travel nurse staffing agency, and senior long-term care facilities.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Licensed Practical Nurse

The Laurels of Hillsboro
Hillsboro, Ohio
01.2024 - Current
  • Narcotic/Routine medication administrations, IV Therapy, Catheterizations, Wound Treatments, Documentation, Point Click Care System, Admissions, Discharges, Referrals, Appointments, Injections, ATB Therapy, Coumadin Therapy, Mental Health, Hospice, Expirations, and Customer Service
  • Coordinated with doctors and registered nurses to develop care plans for patients.
  • Worked with social workers, physical therapists and speech therapists to assess patient needs, plan and adjust plans of care and actualize nursing interventions to promote and restore patient health.

Onboarding Specialist

Trustaff Travel Nurses
Cincinnati, Ohio
05.2021 - 11.2023
  • Returned to the Onboarding Specialist position after 2 years of strengthening my clinical nursing skills - Please see skills list below of prior Onboarding Specialist position.

Licensed Practical Nurse

Highland Family Healthcare
Hillsboro, Ohio
04.2019 - 05.2021
  • I cared for a broad spectrum of cases within a busy family practice office
  • Tested and Immunized patients from communicable diseases
  • Ordered and interpreted laboratory and other diagnostic tests and their results
  • Managed multiple system disease cases including HTN, CAD, CHF, Diabetes, Arthritis, and Cancer
  • (contd) Ordered tests to provide information on patient's condition
  • Worked with physicians and residents to treat outpatient adult internal medicine patients
  • Maintained medical records, organized thorough and accurate reports with patient documentation and vital signs
  • Answered phones, completed precertification of ordered tests, attained medication prior authorizations with insurance companies, and completed forms for home health care patients and workers compensation cases
  • Covid-19 protocols and requirements acknowledged and practiced
  • EMR with Allscripts program and Microsoft Office
  • Assisted with developing policies and procedures related to prior authorizations.
  • Ensured compliance with state and federal regulations pertaining to prior authorizations.
  • Researched clinical criteria and determined eligibility for requested services based on plan provisions.
  • Advised provider offices on proper coding practices that are necessary for successful claim submission.
  • Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
  • Collaborated with insurance companies to clarify coverage details and resolve issues related to prior authorization.
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Verified insurance eligibility for patients and entered information into the system.

Onboarding Specialist

Trustaff Travel Nurses
Cincinnati, Ohio
03.2012 - 04.2019
  • Served as a Nurse Advocate/Onboarding Specialist for nurses working through agency at area hospitals, doctors offices, and long-term care facilities
  • Onboarded new acceptances, renewals, and extended healthcare travelers
  • Ordered and Interpreted laboratory and diagnostic tests along with results
  • Maintained files and records, in addition to submitting required reports
  • Coordinated and initiated set up of necessary compliance requirements for new and current nurse travelers
  • Maintained compliance of the standards set by The Joint Commission
  • Provided Quality Assurance approval for travelers to report to work
  • Communicated with traveling nurses on upcoming medical and certification expirations
  • Copied, logged and scanned supporting documentation and placed all information in client files
  • Answered an average of 100 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing information to the correct departments
  • Experience with Goldmine, E-Recruit, Bullhorn, Estaff365, TextUs, Affinity, and Microsoft Office

LPN

Mount Pleasant Retirement Home
Monroe, Ohio
02.2011 - 03.2012

LPN

The Laurels of Hillsboro
Hillsboro, Ohio
04.2010 - 01.2011

LPN

Heartland of Hillsboro
Hillsboro, Ohio
07.2007 - 02.2009

LPN

Crestwood
Hillsboro, Ohio
07.2003 - 12.2006

Education

Associate - Practical Nursing

Southern State Community College
Hillsboro, Ohio
03.2003

High school or equivalent - College Prep

Lynchburg-Clay High School
Lynchburg, Ohio
06.1992

Skills

  • Maintain Patient Privacy and Confidentiality
  • Integrity and Compassion
  • Customer Service
  • HIPPA policies
  • Clinical Documentation
  • Data Entry
  • Presentation and Problem Solving Skills
  • Administering Medications, Controlled Narcotics
  • Immunizations
  • G-tube/Pumps
  • Nebulizers
  • IV Therapy
  • Hospice Care
  • Wound Care
  • Proficient in Microsoft Office
  • Goldmine, E-Recruit, Estaff365, TextUs, Affinity, Bullhorn, EMR
  • Organized and Efficient in a Fast-Paced Environment
  • Insurance Verification
  • Critical Thinking Abilities
  • Billing Procedures
  • Medical Coding
  • Medical Terminology
  • Precertification requirements

Certification

  • LPN Certificate
  • BLS
  • IV Therapy

References

References available upon request.

Timeline

Licensed Practical Nurse

The Laurels of Hillsboro
01.2024 - Current

Onboarding Specialist

Trustaff Travel Nurses
05.2021 - 11.2023

Licensed Practical Nurse

Highland Family Healthcare
04.2019 - 05.2021

Onboarding Specialist

Trustaff Travel Nurses
03.2012 - 04.2019

LPN

Mount Pleasant Retirement Home
02.2011 - 03.2012

LPN

The Laurels of Hillsboro
04.2010 - 01.2011

LPN

Heartland of Hillsboro
07.2007 - 02.2009

LPN

Crestwood
07.2003 - 12.2006

Associate - Practical Nursing

Southern State Community College

High school or equivalent - College Prep

Lynchburg-Clay High School
MONICA BIRCHFIELD, LPN