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Click here or scroll down to respond to this candidate..Candidate's Name
Licensed Practical NurseAddress Johnston, IL Street Address
Phone PHONE NUMBER AVAILABLEE-mail EMAIL AVAILABLESkilled Licensed Practical Nurse offering 30+ years of experience in the field. Strong documentation skills and a firm grasp of compliance requirements. Proficient and caring nursing team member offer years of patient-facing experience. Addresses patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds.SkillsDocumenting intakeMedical office administrationWriting reportsPatient AssessmentsMedical Records ManagementCase managementProblem-SolvingPatient consultationStrong clinical judgmentManaging deadlinesDirect Patient CareHospice and palliative careCall triagingRegulatory complianceCare Plan DevelopmentWork History..Sep 2007 -Dec 2021Telephone Triage NurseVitas Hospice Provided 24-hour telephone support to patients and family members Provided medical and pharmaceutical advice for patient's conditions Maintained patient's chart accurately Dispatched On Call Hospice Nurse appropriately and according to priority Provided courteous and professional support under all situations Assisted with any requests for DME or medication problems as needed Oct 2005 -Oct 2010Managed Care SpecialistBankers Life & Casualty Assessed Plan, Implement & Evaluate options & services to meet the healthcare needs of patients Ensured cost-effective outcomes on behalf of Bankers Life & Casualty Clinical review & continuation/discontinuation of benefits Identified & facilitated required ADL activities and nursing home care Educated patients & their families on the disease process Assisted with referrals & pre-authorizations Provide a point of contact to assist with problem solving Initiated discharge planning following hospital stays Recommended options for continuity of care Customer service for LTC benefitsSep 2005 -Dec 2006Clinical Review NurseIllinois Critical Care, Home Health Care Performed additional clinic and non-triage nurse duties such as instructing patients in general and specific medical care and health issues and administering or dispensing medication and injections. Obtained case history and gathered triage information to determine appropriate avenue for care. Advised patients on pre- and post-operative instructions, medication administration and symptoms indicating emergency care. Assisted in management of patient utilization of health care system and provided patient education relative to health care needs, use of community resources and responsibilities of membership in managed care. Jan 2000 -Aug 2005Authorization Nurse/Care FacilitatorCIGNA HealthCare of Illinois, Chicago, IL Pre- certification of inpatient and outpatient surgical procedures Clinical review (e.g Benefits, procedures and coverage) Presentation of clinical findings to Medical Director for review Letter creation of approval and denials of request services Intake and discharge planning Report and prepare cases for Case Management review Apr 2004 -Jun 2005MED Jargon Medical Chart Review Collection of requested data from medical chart..Jan 1997 -Jan 2000Utilization Review AnalystFirst American Group of COS, HMO, Richton Park, IL Telephonic Review including discharge planning Case Management Emergency Triage/TelephoneJan 1996 -Jan 1997Utilization Review Analyst, Intake Coordinator, Triage Nurse, line CoordinatorUnity HMO, Chicago, IL 24-hour Emergency HotJan 1994 -Jan 1996Surgical Scrub NurseRush-Presbyterian St. Luke's Hospital, Chicago, IL Assisted with general emergency surgeries Assisted in Eye and ENT emergency casesJan 1993 -Jan 1994Triage Nurse, line CoordinatorMetro PCP, Chicago, IL Hour Emergency Hot-, Crisis liaison for patient, physician and participating facilitiesJan 1992 -Jan 1993Review CoordinatorIFMC (Sunderbruch Corp) of, Chicago, IL Onsite And Telephonic Review Performed retrospective and pre-admission review Medical chart audit reviews Previous Employment Past 1993 Available Upon Request EducationJul 1972 -Jan 1974Nursing diplomaSt. Francis Cabrini Nursing School - Chicago, IL |
