Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,
Professional Summary

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 12+ years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress. OffJessicag proven clinical knowledge, natural interpersonal strengths and technical abilities. Quality focused and efficiency driven leader. Attentive nursing professional presenting high level of care. Considered hardworking 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.

  • Analytical skills
  • Critical thinking
  • Adaptability
  • Teamwork
  • Multitasking abilities
  • Computer skills
  • Customer service
  • Verbal and written communication
  • Detail-oriented
  • Excellent work ethic
  • Collaboration
  • Decision Making
  • Accurate Documentation
  • Care Coordination
Work History
10/2020 to Current Covid-19 Response Asst. Lead RN 24 Our Care | Tulsa, OK,
  • Manage 20 nurses per shift.
  • Perform quality management and team performance metrics, train, and provide feedback.
  • Act as resource for less experienced nurses.
  • Troubleshoot vaccination scheduling and vaccination 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.
  • 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
02/2018 to 05/2020 Registered Nurse Hill Country Memorial Hospital | City, STATE,
  • 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.
  • Collaborate and consult with medical team to deliver exceptional patient care.
  • 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 such as medical management, extensive wound care and rehabilitation.
  • 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.
07/2016 to 08/2017 School of Nursing Tutor University Of Texas Health Science At San Antonio | City, STATE,
  • 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.
07/2005 to 01/2008 Lead PT Tech/Front Office Manager Wells Physical Therapy | City, STATE,
  • 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.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
Expected in 09/2017 BSN | Nursing University of Texas Health Science San Antonio, San Antonio, TX GPA:
  • Magna Cum Laude
  • Dean’s List
Expected in 12/2007 BS | Biology The University of Texas At San Antonio, San Antonio, TX GPA:
  • 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 RN
  • Registered Nurse
  • School of Nursing Tutor
  • Lead PT Tech/Front Office Manager


  • BSN
  • BS

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