close
  • Dashboard
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Customer Service
      • Education
      • Sales
      • Manager
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Microsoft Word
      • Professional
      • Modern
      • Traditional
      • Creative
      • View All
    • Resume Services
    • Resume Formats
      • Resume Formats
      • Chronological
      • Functional
      • Combination
    • Resume Review
    • How to Write a Resume
      • How to Write a Resume
      • Summary
      • Experience
      • Education
      • Skills
        • Skills
        • Hard Skills
        • Soft Skills
    • Resume Objectives
  • CV
    • CV
    • CV Examples
    • CV Formats
    • CV Templates
    • How to Write a CV
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Customer Service
      • Marketing
      • Sales
      • Education
      • Accounting
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Questions
  • Resources
  • About
    • About
    • Reviews
  • Contact
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • HEDIS Abstractor-Nurse
Please provide a type of job or location to search!
SEARCH

HEDIS Abstractor-Nurse Resume Example

Love this resume?Build Your Own Now
HEDIS ABSTRACTOR-NURSE
Professional Summary
Nurse Case Manager with valid State of Ohio RN License. Solid clinical, utilization review and case management experience within a managed care environment.
Skills
  • Strong clinical judgment
  • Quick learner
  • Dependable
  • Previous HEDIS Abstractor 
Work History
HEDIS Abstractor-Nurse01/2014 to 05/2015
Encompass Health Corp. – Tucson
Performed medical records review and abstraction in support of annual HEDIS project.  Applied structured auditing criteria to determine compliance standards.  Reviewed and abstracted paper and electronic medical records and completed audits to determine if the quality of care measures, as defined by NCQA for that years HEDIS audit had been met.  Entered findings into data base.
HEDIS Abstractor -Nurse01/2013 to 04/2014
Five Star Quality Care, Inc. – Albany

Performed medical records review and abstraction in support of annual HEDIS project.  Applied structured auditing criteria to determine compliance standards.  Reviewed and abstracted paper and electronic medical records and completed audits to determine if the quality of care measures, as defined by NCQA for that years HEDIS audit had been met.  Entered findings into data base.


Certified Case Manager10/1997 to 06/2012
Papa Murphy's Holdings, Inc. – Ramsey
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Documented patient information obtained from interviews.
  • Ensured efficacy of treatments through monitoring of treatment regimens.
  • Provided ongoing education to patient and family
I retired June 2012
Long Term Care Manager10/1990 to 10/1997
The Brooklyn Hospital Center – Brooklyn , NY
  • Supervised Chronic patient care, adeptly handling all aspects of treatment from medication to wound care to monitoring for all patients per shift.
  • Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.
  • Completed staff performance evaluations
  • Effectively supervised RN's, LPNs, CNA's and non-clinical staff. Recruited, hired and improved annual employee retention rate.
  • Self-directed with astute judgment skills. High level of personal accountability​.
  • Processed monthly reports for department performance.
  • Closely monitored acute conditions.
  • Demonstrated ability to lead and motivate outstanding healthcare teams.
  • Participated in unit-based Quality Assurance Program.
  • Developed and implemented nursing care plans.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Delegated staff nurse duties.
  • Established staff schedules and assignments based on facility needs for three 49 chronic care units and a 79 bed Alzheimer's unit.
Assistant Director of Nursing04/1989 to 10/1990
St Leonard Center – City , STATE
  •  Supervised Chronic patient care, adeptly handling all aspects of treatment from medication to wound care to monitoring for all patients per shift
  • Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.
  • Completed staff performance evaluations.
  • Supervised RN's, LPNs, CNA's and non-clinical staff.
  • Recruited, hired and improved annual employee retention rate.
  • Self-directed with astute judgment skills. High level of personal accountability​.
  • Processed monthly reports for department performance.
  • Demonstrated ability to lead and motivate outstanding healthcare teams.
  • Participated in unit-based Quality Assurance Program.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Delegated staff nurse duties.
  • Established staff schedules and assignments based on facility needs.
Evening Shift Supervisor10/1987 to 04/1989
Bethany Lutheran Village – City , STATE
  • Supervised Chronic patient care, adeptly handling all aspects of treatment from medication to wound care to monitoring for all patients per shift.   
  • Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.   
  • Completed staff performance evaluations.   
  • Effectively supervised RN's, LPNs, CNA's.   
  • Closely monitored acute conditions.   
  • Delegated staff nurse duties.   
  • Established staff schedules and assignments based on facility needs.    Processed monthly reports for department performance.   
  • Closely monitored acute conditions.   
  • Demonstrated ability to lead and motivate outstanding healthcare teams.    Participated in unit-based Quality Assurance Program.   
  • Developed and implemented nursing care plans.   
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.   
  • Delegated staff nurse duties.
Staff Nurse09/1986 to 08/1987
Millard Fillmore Suburban Hospital – City , STATE
  • Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for 16 patients per shift.
  • Assessed need for, ordered, obtained and interpreted appropriate lab tests.
  • Self-directed with astute judgment skills. High level of personal accountability.
  • Managed care for post-operative patients through discharge.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans.
  • Closely monitored acute conditions.
  • Diagnosed and treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD and pneumonia.
  • Participated in unit-based Quality Assurance Program.
  • Ensured efficacy of treatments through monitoring of treatment regimens.
  • Followed infection control procedures.
  • Monitored fluid intake and output levels.
  • Measured urine and delivered specimens to lab.
  • Assisted residents with bathing, dressing, feeding, lifting and transferring.
Staff Nurse/Supervisor08/1986 to 07/1987
St. Francis Nursing Home – City , STATE
  • Chronic patient care in chronic care unit,  adeptly handling all aspects of treatment from medication to wound care to monitoring for patients 
  • Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans.
  • Closely monitored acute conditions.
  • Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials.
  • Ensured HIPAA compliance.
  • Diagnosed and treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD and pneumonia.
  • Participated in unit-based Quality Assurance Program.
  • Developed and implemented nursing care plans.
  • Followed infection control procedures.
  • Assisted patients with daily functions.
  • Monitored fluid intake and output levels.
  • Assisted residents with bathing, dressing, feeding, lifting and transferring.
RN Floor nurse, part time Charge Nurse09/1985 to 08/1986
Sisters Of Charity Hospital – City , STATE
  • Assessed need for, ordered, obtained and interpreted appropriate lab tests.
  • Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for 10 patients per shift.
  • Self-directed with astute judgment skills. High level of personal accountability.
  • Effective counseling in health maintenance and disease management.
  • Managed care for post-operative patients through discharge.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans.
  • Instructed patients and family members on proper discharge care.
  • Developed and implemented nursing care plans.
  • Delegated staff nurse duties.
  • Ensured efficacy of treatments through monitoring of treatment regimens.
  • Assisted patients with daily functions.
  • Followed infection control procedures.
RN Medication nurse08/1984 to 10/1985
Beechwood Nursing Home – City , STATE
  • Assisted patients with daily functions.
  • Monitored fluid intake and output levels.
  • Closely monitored acute conditions.
  • Monitored patient reactions to drugs and carefully documented effectiveness.
  • Ensured HIPAA compliance.
  • Documented patient information obtained from interviews.
  • Delegated staff nurse duties.
  • Ensured efficacy of treatments through monitoring of treatment regimens.
  • Followed infection control procedures.
  • Provided all daily living tasks to enhance quality of life for elderly patients.
  • Assisted residents with bathing, dressing, feeding, lifting and transferring.
Education
Associate of Science: Nursing1984Erie Community College- City, State
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

87Good
Resume Strength
  • Completeness
  • Formatting
  • Word choice
  • Length
  • Measurable results
  • Typos

Resume Overview

School Attended

  • Erie Community College

Job Titles Held:

  • HEDIS Abstractor-Nurse
  • HEDIS Abstractor -Nurse
  • Certified Case Manager
  • Long Term Care Manager
  • Assistant Director of Nursing
  • Evening Shift Supervisor
  • Staff Nurse
  • Staff Nurse/Supervisor
  • RN Floor nurse, part time Charge Nurse
  • RN Medication nurse

Degrees

  • Associate of Science : Nursing 1984

Create a job alert for [job role title] at [location].

×

Advertisement

Similar Resumes

View All
Medical-Record-Reviewer/-Hedis-Abstractor-resume-sample

Medical Record Reviewer/ Hedis Abstractor

Road To Responsibility

Milton , MA

Supplemental-Data-Abstractor-(Pre-Hedis)-resume-sample

Supplemental Data Abstractor (Pre Hedis)

Blue Cross Blue Shield

City , STATE

RN-HEDIS-Abstractor-resume-sample

RN HEDIS Abstractor

Healthcare Support Staffing

City , STATE

  • About Us
  • Privacy Policy
  • Terms of Use
  • Sitemap
  • Work Here
  • Contact Us
  • FAQs
  • Accessibility
  • EN
  • UK
  • ES
  • FR
  • IT
  • DE
  • NL
  • PT
  • PL
customerservice@livecareer.com
800-652-8430 Mon- Fri 8am - 8pm CST
Sat 8am - 5pm CST, Sun 10am - 6pm CST
  • Stay in touch with us
Site jabber winner award

© 2022, Bold Limited. All rights reserved.