Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Robert Jarvis

Spring Hill

Summary

Seasoned nursing professional with nearly 10 years of experience in offering comprehensive patient care in acute care environments and Concurrent/Utilization Review. Work well with diverse patient population and foster trusting relationships to improve outcomes. Efficiently coordinate with healthcare professionals to advance patient care.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Lead Concurrent Review Nurse II

Centene Corp.
01.2019 - Current
  • Performed telephonic reviews of emergent/urgent and continued stay requests for appropriate care and setting. Following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
  • Complete medical necessity and level of care reviews for requested services using clinical judgement and refer to Medical Directors for review depending on case findings
  • Provide clinical knowledge and act as a clinical resource to the team
  • Act as the primary preceptor for new employees
  • Enter and maintain pertinent clinical information in various medical management systems
  • perform audits of fellow teammates to ensure quality of reviews
  • Enhanced interdisciplinary collaboration by participating in daily rounds, discussing patient cases, and providing clinical input.
  • Streamlined the utilization review process for more efficient case management and improved resource allocation.
  • Conducted comprehensive chart reviews to assess medical necessity, ensuring optimal reimbursement levels for services rendered.
  • Provided ongoing education to nursing staff regarding best practices in concurrent review processes, enhancing overall team performance.

Registered Nurse

Oak Hill Hospital
04.2015 - 01.2019
  • Chronic and acute patient care for float pool department primarily in med-surg/telemetry unit and intemerdiate care unit. adeptly handling all aspects of treatment from medication to wound care to monitoring for 6  patients per shift.
  • Instructed patients and family members on proper discharge care.
  • Treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD and pneumonia.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.

Senior Certified Pharmacy Technician

Walgreens Pharmacy
05.2007 - 07.2015
  • Resolved non-routine issues such as third-party billing, computer system and customer service issues.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Effectively resolved insurance rejections and other billing issues.
  • Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.

Education

Bachelor of Science - Nursing

Western Governors University
Salt Lake City, UT
11.2022

Associate of Science - Nursing

Rasmussen College
New Port Richey
2015

Skills

  • Interqual and Milliman proficient
  • Intermediate Microsoft Word, Excel, Power point and Outlook
  • Clinical quality improvement
  • Proficient in Meditech, Cerner, and EPIC
  • Complex Problem Solving
  • Self Motivated
  • Discharge and Care Planning
  • Adapts easily to change

Certification

  • Medical Surgical Board Certification
  • Advanced Cardiac Life Support (ACLS) Certification
  • Basic Life Support (BLS) Certification
  • EKG certified

References

JULIE THOMAS

Charge Nurse

Oak Hill Hospital

(352) 293-5169


CARLANNA QUINTANA

Utilization Review Supervisor

Centene

(386) 397-0902


KRYSTEN FARACE

Senior Concurrent Review Nurse 

Centene

(352) 346-6841

Timeline

Lead Concurrent Review Nurse II

Centene Corp.
01.2019 - Current

Registered Nurse

Oak Hill Hospital
04.2015 - 01.2019

Senior Certified Pharmacy Technician

Walgreens Pharmacy
05.2007 - 07.2015

Bachelor of Science - Nursing

Western Governors University

Associate of Science - Nursing

Rasmussen College

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Robert Jarvis