Summary
Overview
Work History
Education
Skills
Timeline
Generic

Theron James Altman III

Jacksonville

Summary

Licenses & Certificates

RN-2996502, State of Florida Compact, Expires 04/30/2025.

Certified Case Manager, Expires 05/31/2025.

Certified Professional Coder-Apprentice, Expires 04/30/2026.

American Heart Association Basic Life Support Provider, Expires 06/30/2025.

Overview

30
30
years of professional experience

Work History

RN

Ascension/ St. Vincent's Cardiology
03.2017 - 04.2023
  • Duties include managing lab/imaging cases per Athena EMR for over twenty providers
  • Evaluate and treat patient walk-ins
  • Facilitate the IV Lasix Infusion Clinic for HF patients
  • I also worked in the Surgery Center performing preoperative and postoperative patient care.

RN

Field Care Coordinator, Family Care Partners Primary Care
09.2015 - 01.2017
  • Duties include facilitating transitional care from the initial hospital admission to the hospital discharge process
  • Coordinate transitional care plan in collaboration with hospitalists, case management, and social workers exercising discretion and judgment about the next level of care.

Owner/Operator

Grannies Chicken, LLC
12.2011 - 08.2015
  • Responsible for all aspects of running a mobile food business
  • My duties included overseeing the day-to-day operations, maintaining required records, and ensuring the customer dining experience exceeded expectations.

Care Management RN

St. Vincent's Health Care
08.2009 - 10.2011
  • Duties include rounding with the orthopedic team to ensure a timely and accurate discharge plan
  • Meeting with patients and their families to assess the discharge needs
  • Make appropriate referrals for home health, short term rehabilitation, home infusion, hospice, palliative care, and durable medical equipment
  • Performing utilization review to ensure accurate admission status and reimbursement
  • Facilitate pre-operative classes for joint replacement clients.

RN

Medical Review Analyst, Blue Cross/Blue Shield of Florida
04.2005 - 07.2009
  • Duties include reviewing and auditing medical, dental, and mental health claims for medical necessity in the most heavily regulated program at Blue Cross, The Federal Employee Program
  • Decisions are rendered based upon The Federal Contract, The Federal Administration Manual, Medical Coverage Guidelines, Interqual, Milliman, and appropriate CPT/ICD-9 coding regulations.

RN

Assistant Nurse Manager, Parkside Surgery Center
04.1998 - 04.2005
  • Duties include coordinating patient care in the Operating Suites, Post Anesthesia Care Unit, Preoperative holding unit, Endoscopy Lab, and the Pain Management Clinic
  • Supervised a staff of 12 to 15 including RN's, MA's, and Surgical Techs.

RN

4 South Surgical Unit / Emergency Department, Candler Hospital
12.1992 - 03.1998
  • Charge nurse position 6 months after graduating nursing school on a thirty-six bed surgical unit responsible for the supervision of the nursing staff and the normal operation of the unit on the night shift
  • I transferred to the Emergency Department/Trauma Center in November of 1994 where I served as the Charge Nurse responsible for the supervision and normal operation of the department on the night shift.

Education

Certified Professional Coder Certificate -

AAPC/Cohen's Coding & Consulting, LLC.
08.2024

Associate of Science in Nursing -

Armstrong Atlantic State University
Savannah, GA
12.1992

Skills

  • ICD-10-CM, CPT, HCPCS Level II
  • Microsoft
  • Word
  • Office
  • Excel
  • Windows
  • Millennium Power Chart
  • NextGen EMR
  • Athena EMR
  • All scripts
  • InterQual
  • Milliman

Timeline

RN

Ascension/ St. Vincent's Cardiology
03.2017 - 04.2023

RN

Field Care Coordinator, Family Care Partners Primary Care
09.2015 - 01.2017

Owner/Operator

Grannies Chicken, LLC
12.2011 - 08.2015

Care Management RN

St. Vincent's Health Care
08.2009 - 10.2011

RN

Medical Review Analyst, Blue Cross/Blue Shield of Florida
04.2005 - 07.2009

RN

Assistant Nurse Manager, Parkside Surgery Center
04.1998 - 04.2005

RN

4 South Surgical Unit / Emergency Department, Candler Hospital
12.1992 - 03.1998

Certified Professional Coder Certificate -

AAPC/Cohen's Coding & Consulting, LLC.

Associate of Science in Nursing -

Armstrong Atlantic State University
Theron James Altman III