Summary
Overview
Work History
Education
Skills
Websites
Timeline
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Nicole Bartholomew

Nicole Bartholomew

Trafalgar,IN

Summary

Collaborative HEDIS Nurse recognized for producing accurate, timely reports and meeting stringent deadlines. Well-versed in cataloging patient data and applying clinical knowledge to various projects.

Overview

4
4
years of professional experience

Work History

HEDIS Review Nurse

Centene
11.2022 - Current
  • Researched and validated clinical data of 80 charts per day to ensure HEDIS compliance
  • Utilized Interpreta, Omni, Kofax, and Epic to research insurance claims
  • Used Change Healthcare to review and abstract pertinent information
  • Maintain knowledge of Medicare and Medicaid services and benefits
  • Upheld HIPAA regulations and standards for protecting patient information.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Performed regular quality and validation assessments on patient data to verify accuracy
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Registered Nurse, Emergency Department

Johnson Memorial Hospital
05.2022 - Current
  • Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions of 4 patients at once
  • Managed care from admission to discharge.
  • Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
  • Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
  • Developed and maintained working relationships with community health, welfare and social agencies and sought creative means to assist clients with needs.
  • Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care

Registered Nurse, Emergency Department

Columbus Regional Hospital
05.2019 - 05.2022
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation at 3:1 patient nurse ratio.
  • Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
  • Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
  • Investigated and resolved issues affecting hospital operations and patient care.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments
  • Managed care from admission to discharge
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations

Education

Bachelor of Science - Nursing

Indiana University Purdue University Columbus
Columbus, IN
05.2019

Skills

  • Medical Records Review
  • New Hire Orientation
  • Quality Assurance
  • Medical Abstraction
  • Data Entry
  • EMR Systems
  • Microsoft Office
  • Interpersonal and Written Communication
  • Medicare and Medicaid Compliance
  • Claims Research
  • Timely Project Completion
  • Quality Improvement
  • Medical Auditing

Timeline

HEDIS Review Nurse

Centene
11.2022 - Current

Registered Nurse, Emergency Department

Johnson Memorial Hospital
05.2022 - Current

Registered Nurse, Emergency Department

Columbus Regional Hospital
05.2019 - 05.2022

Bachelor of Science - Nursing

Indiana University Purdue University Columbus

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Nicole Bartholomew