Highly ambitious, goal oriented and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
14
14
years of professional experience
Work History
Registered Nurse Per Diem
Hebrew Rehabilitation Center
02.2024 - Current
· Ensuring all care delivered is within the scope and established standards of safe professional nursing practice
· Collaborating with other members of the clinical support team to meet the clinical needs of the patient and monitoring outcomes of care
· Adhering to best practice recommendations and implementing evidence-based interventions to ensure optimum outcomes for patients
· Ensuring adherence to the plan of care, revising as necessary, and ensuring the plan accurately reflects an individualized approach to patient’s needs
· Delegating and supervises clinical care delivered by the licensed practical nurse and the nursing assistant
Visiting Nurse Per Diem
Suburban Home Health Care
07.2023 - Current
Administering medications, injections, and treatments to patients
Monitoring vital signs and reporting abnormal findings to the physician for further orders
Monitoring changes in behavior and progress
Caring for wounds and injuries
Working with other professionals to create treatment plan.
Registered Nurse ED
Lowell General Hospital
08.2023 - 12.2023
Providing professional nursing care to patients
Providing nursing care services in accordance with physician orders
Completing assessments, performing treatments, administering appropriate drug therapies, observing patient’s progress, recording reactions to interventions
Working collaboratively with the patient, the patient’s family, and the members of the healthcare team.
OR AIDE Per Diem
Emerson Hospital
10.2022 - 04.2023
Ordering and stocking supplies, assist OR staff in transfer and positioning of all surgical patients, helping with room turnover, dispose of hazardous waste in the appropriate manner, function as a member of the surgical team under the direct supervision of a registered Perioperative nurse.
PROVIDER RELATIONS ADVOCATE
Point32Health(former Tufts Health Plan)
10.2015 - 07.2022
Continuous support to Provider Services by providing claims education, claims resolution
Resolution of complex customer inquiries, the facilitation of problem resolution, streamlining service, and acting as a provider advocate by meeting or exceeding customers' expectations contacting providers regarding THP policy/procedures, disseminating information, and handling escalated issues enhance the relationship between the provider and the business and also provide leadership and guidance to assist fellow colleagues satisfy corporate customer service goals and objectives.
CORE CLAIMS ADJUSTMENT PROCESSOR
Point32Health(former Tufts Health Plan)
12.2012 - 10.2015
Thoroughly investigating and accurately adjusting claims
Resolving pended claims in a timely manner by utilizing all research tools available
Maintaining processes/policies to support business operational needs.
CLAIMS ANALYST
Point32Health(former Tufts Health Plan)
04.2012 - 12.2012
Reviewed and resolved complex claims in precise and timely manner
Processed electronically submitted claims through Web Access Management tool
Worked independently while using appropriate judgment to achieve correct resolution.
Reviewed and evaluated claim submissions for accurate completion and eligibility and processed claim submissions.
CLAIMS EXAMINER
Point32Health(former Tufts Health Plan)
06.2010 - 09.2011
Examined and processed claims in a timely and accurate manner
Maintained quality/production standards in accordance with established claims' operation guidelines
Investigated circumstances surrounding a claim
Assigned proper diagnosis and procedure codes utilizing coding books along with information given on the claim form.
CLERICAL ASSISTANT-TEMPORARY
Point32Health (Former Tufts Health Plan)
11.2009 - 06.2010
Assisted the supervisor in various tasks such as: Claims processing, claims, other documents filling and discoveries, different departmental needs as required
Assisted the manager with Service Providers correspondence and communication.
Education
ADN RN program -
RIvier University
Nashua, NH
05.2023
BSN in English Language and Literature -
Vasyl Stefanyk Precarpathian National University
Ukraine
07.2008
Skills
Massachusetts Nursing License
BLS/ ACLS Certified, American Heart Association
EPIC SUPER USER
Languages
Ukrainian
Native or Bilingual
Russian
Full Professional
Timeline
Registered Nurse Per Diem
Hebrew Rehabilitation Center
02.2024 - Current
Registered Nurse ED
Lowell General Hospital
08.2023 - 12.2023
Visiting Nurse Per Diem
Suburban Home Health Care
07.2023 - Current
OR AIDE Per Diem
Emerson Hospital
10.2022 - 04.2023
PROVIDER RELATIONS ADVOCATE
Point32Health(former Tufts Health Plan)
10.2015 - 07.2022
CORE CLAIMS ADJUSTMENT PROCESSOR
Point32Health(former Tufts Health Plan)
12.2012 - 10.2015
CLAIMS ANALYST
Point32Health(former Tufts Health Plan)
04.2012 - 12.2012
CLAIMS REVIEWER
Point32Health (former Tufts Health Plan)
09.2011 - 04.2012
CLAIMS EXAMINER
Point32Health(former Tufts Health Plan)
06.2010 - 09.2011
CLERICAL ASSISTANT-TEMPORARY
Point32Health (Former Tufts Health Plan)
11.2009 - 06.2010
ADN RN program -
RIvier University
BSN in English Language and Literature -
Vasyl Stefanyk Precarpathian National University
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