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Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Reliable individual bringing 10+ years of experience in healthcare environments. Maintains positive relationships with patients and providers. Remains polished and calm under extreme stress. OffJessicag proven clinical knowledge and natural interpersonal strengths. Quality focused and efficiency driven leader. High level of clinical care and customer service. Considered hard working, accountable, and driven. Ready for new opportunity to apply exceptional nursing skills in Insurance setting. Years of experience obtaining pre-certification/ prior authorizations for PT services with a variety of insurance companies, health plans, and carriers.
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- Manage 20 nurses per shift in a fast-paced call center .
- Perform quality management and team performance metrics, train, and provide feedback.
- Act as resource for less experienced nurses.
- Troubleshoot vaccination scheduling and vaccination operations site issues. Schedule vaccination appointments, answer caller vaccination questions.
- Maintain knowledge of eligibility guidelines and vaccines. Maintain HIPPA and deliver exceptional customer care.
- Utilize multiple electronic databases and electronic resources at once in virtual work setting.
- Quickly promoted to assistant supervisor position in March, recognized for superior service and teamwork.
- Work independently as well as in team environment while working remotely.
- Follow-up and gather demographic, technical, and medical information for Covid-19 positive individuals.
- Collaborate with healthcare providers, State agencies, and case investigators/ contact tracers.
- Analyzed, interpret, and researched discrepancies between facilities and state databases and reported findings.
- Maintain patient confidentiality and appropriately document data.
- Led projects and analyzed data to identify opportunities for improvement
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
- Varied acute care/hospital clinical experience: telemetry, medical-surgical (pediatric to elderly), orthopedic, and hospice patients in fast-paced environment. Managed 6 patients per shift.
- Awarded and recognized by hospitalist team and CMO as astute clinician and excellent teacher to fellow nurses and patients.
- Promoted to charge nurse in award winning joint replacement/orthopedic unit as respected team-player with demonstrated leadership.
- Managed care from admission to discharge, including patient assessments, care planning, health educations and discharge support.
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments, and supervising team comprised of nurses, LPNs, and technicians in orthopedic unit.
- Provided exceptional care to high-acute patients needing complex care.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Audited charts and reviewed clinical documents to verify accuracy.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
- Provide auxiliary academic support to nursing students in need through School of Nursing.
- Instruct individual or small groups in Foundations of Nursing Care and Health Assessment and Promotion courses.
- Collaborated with students to complete homework assignments, identify lagging skills and correct weaknesses
- Developed student confidence though attentive instruction in Nursing, applying positive reinforcement strategies
- Instruct and monitor patients on exercises and activities in gym at outpatient orthopedic clinic.
- Administer PT modalities, instruct on home exercise and discharge plans.
- Training of all new PT techs.
- All front office duties including obtain pre-authorization/ pre-certifications, insurance eligibility, verifications, member benefits interpretation, approvals, and obtain referrals etc.
- Collaborate and consult with providers for updated patient information and documentation for appropriate treatment.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
University of Texas Health Science San Antonio - San Antonio, TX
- Magna Cum Laude
- Dean’s List
The University of Texas At San Antonio - San Antonio, TX
- Dean’s List
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School Attended
- University of Texas Health Science San Antonio
- The University of Texas At San Antonio
Job Titles Held:
- Covid-19 Response Asst. Lead
- Registered Nurse
- School of Nursing Tutor
- Lead PT Tech/Front Office Manager
Degrees
- BSN
- BS
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