Natosha Green
Fountain Run,KY
Summary
Accomplished Registered Nurse with a robust background in quality assurance and emergency care, notably at Performant Solutions. Expert in clinical validation and policy implementation, I excel in training and leading teams to enhance patient care standards. Skilled in auditing and QA across multiple departments, my approach boosts efficiency and compliance. My adeptness in both hard (auditing) and soft (team leadership) skills drives significant healthcare improvements.
Overview
10
10
years of professional experience
Work History
Registered Nurse Quality Assurance
Performant Solutions
12.2020 - Current
- Quality assurance for clinical validations, readmission, short stays, outpatient labs,and appeals
- assist with special projects and implementing new policy and procedures.
- new employee training and daily monitoring of those case and charts
- review CMS guidelines and review new CMS changes and policy for Medicare and Medicaid
- experience in auditing clinical validation, readmission, short stays outside of the QA role.
- knowledgeable in InterQual and MCG
Registered Nurse, Emergency Department
Monroe County Medical Center
12.2019 - 12.2020
- Educated family members and caregivers on patient care instructions.
- Educated patients and answered questions about health condition, prognosis, and treatment.
- Answered codes quickly and orchestrated efficient, skilled medical care.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Delivered important IV and venous medications to control symptoms and provide effective treatments.
Registered Nurse Manager
NHC Nursing Home
01.2017 - 12.2019
- Provided direct patient care, stabilized patients, and determined next course of action.
- Prioritized and distributed assignments and workload based on individual staff strengths and experience.
- Fostered improvement in staff development, personnel training, and standards of patient care.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Supervised, directed, and motivated high-quality performance from nursing staff.
- Promoted professional development opportunities to encourage nurses to pursue continuous training.
- Investigated and independently resolved complaints from staff, physicians, and patients by leveraging clinical judgment and unit management expertise.
Registered Nurse, Emergency Department
Macon Community Hospital
09.2014 - 01.2017
- Answered codes quickly and orchestrated efficient, skilled medical care.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Delivered important IV and venous medications to control symptoms and provide effective treatments.
- Monitored patient reactions after administering medications and IV therapies.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City12.2026
Associate of Applied Science - Nursing
Western Kentucky University
Bowling Green, KY12.2013
Skills
- auditing clinical validation case, readmission cases, short stays, outpatient labs
- QA for all LOB and multiple departments
- work on special projects such as overseas contracts for nurse and documentation auditors
- Developed and implemented new templates and RG for clinical validation and readmission
- assist with education and training of new and current employees
- assist with UAT of new programs and new LOB
- Proficient in Microsoft Excel and Word
Timeline
Registered Nurse Quality Assurance
Performant Solutions
12.2020 - Current
Registered Nurse, Emergency Department
Monroe County Medical Center
12.2019 - 12.2020
Registered Nurse Manager
NHC Nursing Home
01.2017 - 12.2019
Registered Nurse, Emergency Department
Macon Community Hospital
09.2014 - 01.2017
Bachelor of Science - Nursing
Western Governors University
Associate of Applied Science - Nursing
Western Kentucky University
Similar Profiles
Azley TelusmaAzley Telusma
Healthcare Billing Recovery Agent at Performant IncHealthcare Billing Recovery Agent at Performant Inc
Regina JassoRegina Jasso
Processing Service Representative at Performant Financial CorporationProcessing Service Representative at Performant Financial Corporation
Abby ArnoldAbby Arnold
Chief Strategy Officer at Revascent (Performant Capital Portfolio Company)Chief Strategy Officer at Revascent (Performant Capital Portfolio Company)