TIFFANY TILLMAN
Ripley,TN
Summary
Self-motivated Registered Nurse, skilled in critical thinking, and healthcare compliance. Proven ability to analyze medical records for treatment necessity, ensuring accurate coding and billing. Eager to leverage leadership and medical documentation skills to enhance healthcare outcomes and drive efficiency in patient care.
Overview
17
17
years of professional experience
Work History
Utilization Review Nurse
Sedgwick Claims Management Services
Memphis, TN
03.2021 - Current
- Utilization Review of workers' compensation medical requests for medical necessity of treatment.
- Corroborating with physicians, nurses, claim examiners, and administration to determine the medical necessity of care for work comp patients and clients.
- Analysis of medical records to accurately and legally document rationale for reviews and determinations of treatment requests.
- Researching to ensure appropriate coding of medical diagnosis and treatment codes to ensure appropriate billing and payment.
- Training new staff in supportive documentation.
Public Health Nurse
Tipton County Health Department
Covington, TN
01.2020 - 03.2021
- Nursing skills, health assessments, documentation in EHR, vaccinations, implementing state protocols for disease processes, patient education and support, referring patient care through appropriate channels, and learning and utilizing state and federal guidelines to provide quality patient care.
Registered Nurse
Campbell's Clinic Surgery Center
Germantown, TN
03.2017 - 01.2020
- Nursing skills, monitoring patients' vitals, the surgical site, and stability after surgery until discharge.
- Administering narcotics by mouth and IV to maintain pain relief, and administering any meds ordered by the physician.
- Communicating with the physician, anesthesia, and fellow nurses for the patient's needs and safe care.
- Teaching patients and their families about post op care, discharging patients, PACU paper charting, drawing labs, responding in codes to preop, PACU, or operating room in emergencies.
Registered Nurse
Amedisys Home Health
Covington, TN
09.2016 - 03.2017
- Field RN, monitoring patient status multiple times per week, educating patients and family members on disease processes, electronic charting, evaluating for admissions, and re-certifications for continued home care.
- Reporting to Physicians of patient status, nursing skills such as drawing labs, PICC line care, wound care, medication management, antibiotic Administration, port-a-Cath care, Foley catheter, Etc.
- Weekly team meetings and discussions about patient care and future care for needs.
Registered Nurse
Semmes-Murphey
Memphis, TN
12.2013 - 09.2016
- Duties include Clinical duties with the Doctor daily, patient scheduling of diagnostic studies, testing, and surgeries, multiple phone calls with patients, including medication distribution, and Electronic Charting.
Registered Nurse
Methodist North Hospital
Memphis, TN
03.2013 - 12.2013
- Duties include Patient Care, Assessments, Medication Administration, Nursing Plan of Care, Electronic Charting.
Patient Coordinator
Kellett, Brophy, & Lovell Neurosurgical Clinic
Memphis, TN
01.2008 - 01.2011
- Duties include scheduling patient appointments, verifying and authorizing insurance, answering phone calls, pulling together daily clinics, assisting RN and Doctor in clinic and patient paperwork including disability paperwork and radiological scheduling, scanning documents into electronic system, faxing reports, entering patient information into computer system to build electronic charts, requesting patient information, and checking patients in for appointments.
Education
Bachelor of Arts - Healthcare Administration
University of Arizona Global Campus
Tucson, AZ06-2025
Associate of Applied Science - Nursing
Dyersburg State Community College
Covington, TN01.2012
High School -
Halls High School
Halls, Tennessee01.1999
Skills
- Honest and reliable
- Fast-paced learner
- Attention to detail
- Eager to expand knowledge and experiences
- Electronic charting professional
- Multi-tasker
- Critical thinking and analysis skills
- Leadership skills
- Utilization review
- Patient education
- Healthcare compliance
- Medical coding
- Interpersonal and written communication
References
- Robin Williams, Current Team Leader, 901-566-3413
- Kristi Inman, Previous Supervisor, 218-340-8628
- Connie Simpson, Former co-worker, 901-734-3777
Timeline
Utilization Review Nurse
Sedgwick Claims Management Services
03.2021 - Current
Public Health Nurse
Tipton County Health Department
01.2020 - 03.2021
Registered Nurse
Campbell's Clinic Surgery Center
03.2017 - 01.2020
Registered Nurse
Amedisys Home Health
09.2016 - 03.2017
Registered Nurse
Semmes-Murphey
12.2013 - 09.2016
Registered Nurse
Methodist North Hospital
03.2013 - 12.2013
Patient Coordinator
Kellett, Brophy, & Lovell Neurosurgical Clinic
01.2008 - 01.2011
Bachelor of Arts - Healthcare Administration
University of Arizona Global Campus
Associate of Applied Science - Nursing
Dyersburg State Community College
High School -
Halls High School
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