Hardworking and detail-oriented team player with strong organizational skills eager to secure a part time entry-level Administrative Assistant position. Ready to help the team achieve company goals.
Overview
14
14
years of professional experience
Work History
Quality Management Nurse Consultant
CVS/ Aetna
04.2011 - 10.2021
Managed incident reporting systems, tracking patterns and working collaboratively to address identified concerns promptly.
Evaluated patient histories, complaints, and current symptoms.
Mentored junior nurses on quality management techniques, fostering professional growth and development within the team.
Investigated and resolved issues affecting hospital operations and patient care.
Analyzed data on patient safety incidents, identifying trends and implementing targeted interventions to reduce risks.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Medical Management Nurse
SCAN Healthplan
12.2007 - 03.2011
Reviewed requests for prior authorization for the ALTCS line of business
Managed the utilization review of inpatient, PHP and IOP psychiatric and chemical dependency health benefits for all Arizona SCAN members
Writer and coordinator of Notice of Action letters generated for denials of Medicare and Medicaid services.
Education
Bachelor of Science - Nursing
University of Iowa
Iowa City, IA
12.1995
Skills
Attention to Detail
Microsoft Office
Documentation
Decision-Making
Cross-Functional Teamwork
Timeline
Quality Management Nurse Consultant
CVS/ Aetna
04.2011 - 10.2021
Medical Management Nurse
SCAN Healthplan
12.2007 - 03.2011
Bachelor of Science - Nursing
University of Iowa
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