Appeals Nurse Resume Example

Debora Messier Briggs, LPN. Nurse for 34 years. Current Bachelor Degree level college credits = 112. 3.5 grade point average. PHI Theta Kappa,High Honors student. Last position as Appeals nurse for NGS medicare.

Currently attending college for Healthcare Administration. Administrator for 14 years, Medical Case Management for over 7 years with diverse geriatric and pediatric population . Public health initiatives to improve Healthcare with the PA Department of Health. Quality measures and chart auditing and review included in case management position. Insurance Appeals nurse experience for NGS. Former Business founder/owner. Advocacy and Youth Pediatric Care specialties along with Mental Health, Neuro and developmental disabilities. Pediatric care is the majority of my nursing experience in Homecare. I would say 20 years in Pediatrics. Geri is 5 plus years and the rest acute Med Surg , trach and vent hospital. Scored a perfect 10 on Caliper test for management and leadership ability and success potential for success in management ,development , creativity and innovation. Familiar with DMEs, Support plans and DPW regulations. Former Director of Wellness in central NY area. Facility in New York now closed. Hire, training, interviews and staffing for 268 residents and large nursing team. Evaluations, reports and compliance, facility management when executive director away, staff meetings and fall risk, quality and documentation with some informatics. Familiar with Dementia and validation. Nurse for over 34 years, Business Development, administration, team building, staffing. Former fundraising and assistant administrator for non profit organization for 14 years. Board of trustees member. Med/Surg, vent and rehab, ICU, burn unit rotations , Extensive Developmental Disability, Behavioral, psych and neurological impairments experience. Administrative /Executive Experience, Business and extensive medical field diversity. Organized, analytical and prioritized. Extensive Service Coordination with Developmental Disabilities, mental health, Dementia and Geriatric Experience. Early Intervention Experience and Excellent writing/communicative skills. Presentation and coordination in both nursing and business management. Ability to assess, recommend and monitor progress in area of need. Great team player and leadership focused. Past experience in Clinical research in Public Health and Administration. Past Co contractor with MS society and Pennsylvania State Health Department. Clinical evaluations for Health care improvements in Pennsylvannia. PHI THETA KAPPA HONOR SOCIETY MEMBER.

Volunteer Staff Development: 

• Launched well-received program of professional development volunteer oversight for all staff.
• Mentored and coached employees resulting in a 60% increase in productivity.

Implemented, founded and directed a Youth Camp for non profit organization by putting paid staff into position.Provided training and motivational leadership to team members.

Web site development

Teaching

Public speaking

Marketing