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covid 19 vaccinator clinical support nurse resume example with 8+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Passionate Clinical Healthcare professional with over 5 years of experience in the Healthcare industry. Distinguished understanding of the clinical facility procedures and providing best-in-class family and patient education. Adept at working closely with doctors and nurses for excellent services.

Skills
  • Contract administration
  • Customer Service
  • Teamwork and Collaboration
  • Decision Making
  • Organization and Time Management
  • Leadership
  • Policy interpretation
  • Grievance handling
  • Insurance Knowledge
  • Coverage assessments
Work History
COVID-19 Vaccinator/Clinical Support Nurse, 01/2021 to 11/2021
Evolent Health, Inc.Leonardtown, MD,
  • Monitored patients, evaluated results and recommended further courses of treatment to quickly improve patient outcomes.
  • Collaborated with multidisciplinary team to evaluate patient data and determine patient care plans.
  • Administered vaccinations via intramuscular injection and completed proper documentation.
  • Managed situations in compliance with legal requirements and with minimal risk to patient and institution.
  • Completed screening questions with patients following CDC guidelines.
  • Remained knowledgeable in CPT and ICD-10 coding principles, government regulations and third-party billing rules.
  • Helped patients obtain advanced treatment by referring to specialists.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Recorded details regarding therapies to keep patient charts updated.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Worked with healthcare team to develop new dialysis treatment flow sheet and other log forms, improving clinical documentation and accountability.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Adhered to strict safety measures by carefully determining proper dosages before administering medications.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
Appeals and Grievances Coordinator, 08/2017 to 12/2020
JFK Medical CenterCity, STATE,
  • Processed and finalized appeals and grievances within agreed-upon turnaround time.
  • Completed in-depth investigations into issues pertaining to discipline and grievance management and recommended strategies.
  • Identified issues, analyzed information and provided solutions to problems.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Investigated properties to determine extent of damage and estimate repair costs.
  • Collaborated with claims department and industry anti-fraud organizations to resolve over 500 claims per day.
  • Verified insurance claims and determined fair amount for settlement.
  • Handled complaints and grievances using negotiating and problem-solving skills.
  • Notified insurance agents and accounting departments of policy cancellations and changes.
Unit Clerk/Monitor Technician, 06/2013 to 08/2017
Select Specialty Hospital LTACCity, STATE,
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Determined appropriateness of payers to protect organization and minimize risk.
  • Posted payments to accounts and maintained records.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Monitored patients' heart rhythms and functions through cardiac monitoring strips.
  • Adjusted pacemakers, AICD and loop monitors with commitment to efficiency, data quality and overall comfort of patients.
  • Helped physicians complete cardiac issues and peripheral vascular concerns by assisting with procedures such as pacemaker insertions and balloon angioplasties.
  • Inspected, maintained and adjusted cardiology equipment to maintain optimal functionality and diagnostic usefulness.
  • Tracked findings of procedures such as EKGs using manual and automated recording devices for over 200 patients per day.
Education
Associate of Applied Science: Nursing, Expected in 12/2019 to Techni-Pro Institute - Boca Raton, FL,
GPA:
  • Continuing education in Healthcare Administration
  • Completed professional development in Leadership and Management
Associate of Science: Health Administration, Expected in 08/2016 to Palm Beach State College - Lake Worth, FL
GPA:
Affiliations
  • American Nurses Association (ANA) Member
  • National Notary Association
Certifications
  • Certified IV Therapist
  • Certified Phlebotomist
  • Certified Behavior Health Technician
  • Certified Public Notary / Signing Loan
  • BLS/ACLS
,
Additional Information

Microsoft Excel ,Microsoft Words, NCQA Guidelines, Medicaid/ Medicare Claims

Languages
French:
Native or Bilingual
Negotiated:

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Resume Overview

School Attended

  • Techni-Pro Institute
  • Palm Beach State College

Job Titles Held:

  • COVID-19 Vaccinator/Clinical Support Nurse
  • Appeals and Grievances Coordinator
  • Unit Clerk/Monitor Technician

Degrees

  • Associate of Applied Science
  • Associate of Science

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