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Registered Nurse Utilization Review Resu...
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Title Registered Nurse Utilization Review
Target Location US-MI-Grand Blanc
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name , RNStreet Address  Meadowwood LaneGrand Blanc, MI Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEOBJECTIVETo secure a position as an RN patient navigator, Utilization Review, or Medical Coder.EXPERIENCEHurley Medical Center, Flint, MIRegistered NurseJune 2018  June 2022Collaborated with teams across medical/surgical floor, stroke unit, acute care step down, oncology, and COVID-19 unit.Facilitated daily communication with patient families, physicians, ancillary departments, and pharmacy.Coordinated with the Utilization Review manager to ensure compliance in charting and communicated specifications to the nursing team.Ascension Health Care System, Grand Blanc, MIRegistered NurseAugust 2014 - April 2018Served as hospice case manager and second shift admission nurse.Assessed equipment and medication needs in-home and educated families on disease processes, medications, and equipment.Evaluated the medical necessity of requested equipment and medications.Conducted recertification assessments with PCPs, provided grief counseling, and made follow-up referrals.Mid-Michigan Medical Center, Midland, MISurgical First Assistant, Certified Operating Room TechnicianMay 2012 - April 2013Set up and maintained the surgical field and assisted the surgeon.Excelled in subcutaneous closures, resulting in minimal scarring.SKILLSBusiness Management: 15 years of experience as CEO of own company.Utilization Review and Case Management: Exceptional knowledge and practical experience.Regulatory Compliance: Solid understanding of regulatory requirements affecting care coordination services, including Medicare, Medicaid, and HIPAA.CERTIFICATIONSNIH Stroke CertifiedCMS HCPCS Guidelines and ReimbursementAED CertificationCertified Surgical First AssistantCertified Surgical TechnologistACLS CertificationATTACHED FIND RECENT CMS ICD-10, PCS CERTIFICATIONS

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