Rene' McMonagle
Baldwinsville,NY
Summary
Strong nursing background in the healthcare field. I have worked for many years as a nurse and in many medical facilities. I have a strong knowledge of medical office work and have medical office management experience as well. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
28
28
years of professional experience
Work History
Nurse Reviewer II – Part A Appeals
National Government Services
09.2022 - 01.2024
- Performed medical review of Part A Grievance and Appeals for home health and hospice claims as a subcontractor of Medicare.
- Also have learned multiple different review areas to support other medical review departments.
- Provide training to other staff and new employees as needed, have created training materials, provided presentations for different nursing material.
- Strengthened trust between patients and healthcare providers by serving as an advocate for their needs during medical reviews.
- Contributed to the development of improved clinical guidelines by participating in interdisciplinary committees and sharing expertise on best practices.
- Participated in quality assurance activities to identify areas requiring improvement within the organization''s policies, procedures, or workflows related to medical review processes.
Nurse Reviewer In – Part A Appeals
National Government Services
11.2010 - 09.2022
- Performed medical review of Part A Grievance and Appeals of home health and hospice claims as a subcontractor of Medicare
- Also have learned multiple different review areas to support other departments
- Provide training to other staff and new employees as needed, have created training materials, provided presentations for different nursing material.
- Improved patient outcomes by conducting thorough case reviews and offering clinical recommendations.
- Enhanced care quality by collaborating with healthcare providers to determine appropriate treatments and interventions for patients.
- Served as a mentor to new nurse reviewers, providing guidance and support in navigating the complexities of case evaluation processes.
- Streamlined workflow processes by identifying inefficiencies in medical review procedures and implementing necessary improvements.
Caregiver
Francis House
01.2006 - 11.2010
- Provided caregiving to dying patients
- Supported family and loved ones during the stay of each patient.
- Assisted clients with activities of daily living, promoting independence and quality of life.
- Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
- Performed light housekeeping duties to maintain cleanliness standards while respecting the patient''s personal space.
LPN
Plastic Hand And Reconstructive Surgery
07.2005 - 05.2006
- Provided medical transcription services, assisted with patient care, roomed patients for consultations, assisted with in office surgeries and multiple different office procedures
- Performed phone triage, provided patients with laboratory results, refilled medications
- Stocked and prepped surgery suites and exam rooms prepped and sterilized surgical instruments and cleaning equipment
- Ordered necessary stock items and medications.
- Maintained a clean and organized workspace, ensuring compliance with safety regulations and reducing accidents.
- Assisted in training new employees, sharing knowledge of best practices and company procedures.
- Demonstrated versatility by quickly learning new tasks as required, increasing value within the team.
- Used hand tools skillfully to complete tasks accurately and efficiently, minimizing material waste and rework.
- Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
- Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards.
- Implemented infection control measures, ensuring a clean and safe environment for patients and staff.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
LPN Per Diem
Nursefinders
01.2004 - 01.2006
- Providing nursing care in area nursing homes performing medication passes, wound care and patient assessments.
LPN Per Diem
Maxim Healthcare
01.2003 - 01.2006
- Providing nursing care in area nursing homes performing medication passes, wound care and patient assessments.
- Setting up and performing flu clinic pods.
- Helped to cover on-call staffing coordinator as needed.
LPN
Department Of Family Medicine
01.2004 - 07.2005
- Scheduling follow up appointments, rooming patients, giving injections, performing EKGs, assisting with in-office surgeries, calling with laboratory results, phone triage, managing the physician’s schedule for surgeries and appointments
- Cleaning equipment, stocking rooms and sterilizing equipment
- Provide training to other staff and new employees on working within the electronic medical records system.
- Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
- Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards.
- Implemented infection control measures, ensuring a clean and safe environment for patients and staff.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
LPN
Kristin Brodie, MD
01.2003 - 01.2004
- Creating allergy serums and giving allergy injections, scheduling surgeries, prepping patients to see the physician, taking background histories, performing hearing evaluations, assisting with in-office surgeries and procedures and calling with laboratory results.
- Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
- Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards.
- Implemented infection control measures, ensuring a clean and safe environment for patients and staff.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
Office Manager/LPN/Medical Biller
Marya Gendzielewski, M.D.
01.1998 - 01.2003
- Managed the doctor’s professional as well as her personal schedule – planning for medical speaking engagements and presentations
- Interviewed and trained new office staff including managing staff schedules
- Answered phones, medical transcription, office filing of medical records, data entry of patient’s records, medical billing, ran month end reporting, managed payments into the EMR and accounts payable and receivables
- Relayed office laboratory results, prepped charts daily for the upcoming week, scheduled patient testing, performed blood draws and EKGs, gave injections and kept inventory of sample medications for dispensing.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained computer and physical filing systems.
- Updated reports, managed accounts, and generated reports for company database.
- Developed and maintained successful relationships with vendors, suppliers and contractors.
- Created, maintained and updated filing systems for paper and electronic documents.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
Jeffrey Manasse, DO
01.1997 - 01.1998
- Managed the doctor’s professional as well as his personal schedule – planning for medical speaking engagements and presentations
- Completed human resources tasks such as filing tax documents for the office for payroll and payroll services
- Answered phones, medical transcription, office filing of medical records, data entry of patient’s records, medical billing, ran month end reporting, managed payments into the EMR and accounts payable and receivables
- Relayed office laboratory results, prepped charts daily for the upcoming week, scheduled patient testing, performed blood draws and EKGs, gave injections and kept inventory of sample medications for dispensing.
Medical Biller
Marya Gendzielewski, M.D.
01.1996 - 01.1997
- Answered phones, medical transcription, office filing of medical records, data entry of patients records, medical billing, ran month end reporting, managed payments into the EMR and accounts payable and receivables.
Education
LPN - Nursing
OCM BOCES
Liverpool, NY09.2001
High School Diploma -
Solvay High School
Solvay, NY06.1988
Skills
- Strong knowledge base of Medicare
- Excellent communication skills
- Ability to collaborate effectively
- Medical record review
- HIPAA Compliance
- Clinical judgment
- Patient confidentiality
- Quality Improvement
- Healthcare regulations
- Attention to Detail
- Critical Thinking
- Microsoft Office
- Training staff
- EMR / EHR
References
available upon request
Affiliations
- Baldwinsville Meals on Wheels - Current Board Vice President
- Baldwinsville Wrestling Booster Club - Current Board Vice President
Timeline
Nurse Reviewer II – Part A Appeals
National Government Services
09.2022 - 01.2024
Nurse Reviewer In – Part A Appeals
National Government Services
11.2010 - 09.2022
Caregiver
Francis House
01.2006 - 11.2010
LPN
Plastic Hand And Reconstructive Surgery
07.2005 - 05.2006
LPN Per Diem
Nursefinders
01.2004 - 01.2006
LPN
Department Of Family Medicine
01.2004 - 07.2005
LPN Per Diem
Maxim Healthcare
01.2003 - 01.2006
LPN
Kristin Brodie, MD
01.2003 - 01.2004
Office Manager/LPN/Medical Biller
Marya Gendzielewski, M.D.
01.1998 - 01.2003
Jeffrey Manasse, DO
01.1997 - 01.1998
Medical Biller
Marya Gendzielewski, M.D.
01.1996 - 01.1997
LPN - Nursing
OCM BOCES
High School Diploma -
Solvay High School
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