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Title Home Health Prior Authorization
Target Location US-NJ-Runnemede
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Street Address  Phone: PHONE NUMBER AVAILABLE E-Mail: EMAIL AVAILABLE.ExperienceCapital Blue Cross Harrisburg, PA September. 2019  Present Prior Authorization Nurse Review specialty injectable medical prior authorizations, including biologics, chemotherapy and immunotherapy and other specialty drugs. Send cases for services to advisor if criteria not met, Prepare EPR as instructed (outside peer review). Collaboration with co-workers and advisors as needed Independent research and education as needed.Aerotek (PA Health and Wellness) Camp Hill, PA May 2019  July 2019 Prior Authorization Nurse Review LTSS and medical cases and determine eligibility using InterQual and InterRAI tools Send cases/ requests for services to advisor if criteria not met Collaboration with co-workers and advisors as needed Charting, sending approval letters to participants and other tasks as assigned Aveanna HomeCare Harrisburg, PA February 2019  Current Home Health LPN Care for pediatric patients in the home setting who are on ventilators, have trachs, peg tubes Administer medications both P.O. and via peg tube Charting, vital signs Follow Plan of Care; communicate as needed to PCP, family, RN case manager and all other tasks as assigned and ordered OSS Health Mechanicsburg, PA August 2018  February 2019 Clinic LPN Room patients, take vital signs, medication reconciliation Remain in charge of medication closet, order medications and injections based upon physicians schedules Order pertinent tests, such as MRIs, CT scans, physical therapy Triage for physicians while they are seeing patients in the clinic Schedule surgeries, as needed2Omni Home Care Harrisburg, PA February 2018  June 2018 Home Health LPN Make home health nursing visits as scheduled on employee calendar, seeing between 3-5 patients/ day Perform medication reconciliation with each visit Obtain labs, INR via finger stick, and other specimens as ordered by physician and drop off in timely manner at appropriate lab location Patient disease education, wound care as ordered by physician. Call physician with any abnormal results/ findings. Documentation finished and synced within 24 hours of visit Communicate with case manager on a daily basis with updates on patients Homeland Home Health Harrisburg, PA September 2016  February 2018 Home Health LPN Make home health nursing visits as scheduled on employee calendar, seeing between 5-7 patients/ day Perform medication reconciliation with each visit Obtain labs, INR via finger stick, and other specimens as ordered by physician and drop off in timely manner at appropriate lab location Patient disease education, wound care as ordered by physician. Call physician with any abnormal results/ findings. Documentation finished and synced within 24 hours of visit Communicate with case manager on a weekly basis with updates on patients Affilia Home Health Harrisburg, PA June 2015- September 2016 Inpatient Home Health Liaison LPN Screen and accept patients appropriate for home health from the acute care setting Communicate and act as liason with case managers, social workers, physicians, physician assistants, NPs and other hospital staff Meet potential patients Obtain homecare orders, input into homecare documentation system as well as other pertinent clinical information Coordinate all aspects of home health so that patient has a smooth transition from acute to outpatient setting Colonial Park Care Center Harrisburg, PA July 15, 2014- January, 2015 Licensed Practical Nurse Administer medications as ordered by physician Documentation of vital signs, changes in residents condition, interventions and assessments Supervision of nursing aides Communication with families as to changes in residents medications, doctors appointments, etc. Assist nursing aides as needed3EducationHanover Practical Nursing Program Hanover, PA July 1, 2013-July 10, 2014 Lancaster General College of Nursing Lancaster, PA August 2005-May 2008 University of New Hampshire Durham, NH August 1998-May 2000 SkillsWhile in LPN school, I worked in the clinical setting to establish strong assessment skills, charting and documentation. I have experience with tracheostomies, ventilators, giving medications through peg tubes, putting catheters in both male and female patients, wound changes and wound vacs. I have experience in home health, acute, LTC and the office setting. I am eager to learn and love being challenged on a daily basis. I have a great work ethic and strive to better myself on a daily basis.

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