Medical Review Nurse Resume Example
Detailed oriented Registered Nurse with strong clinical and communication skills demonstrated by 39 years of varied experience in health care.
|
|
Clinical Services:
- Represented the state of Florida by receiving the March of Dimes Nurse of the Year award 1987
Implementation:
- Developed the Resolve Through Sharing bereavement program at University Hospital in Jacksonville, Florida 1986-1987
Current position doing Medical Review for Medicare Part B payment claims, making medical review claim adjudication decisions, development of recommendations for further corrective action based on medical review findings, utilization of data analysis to review provider practices and identification of concerns, overpayment and need for corrective action, provision of education for providers subject to the medical review process utilizing CMS guidelines and local/national coverage determinations.
Performance of nursing duties in a Long Term Acute Care Hospital caring for critically and chronically ill patients on mechanical ventilation with multiple co-morbidities and severe non-healing wounds.
Nursing care in the Clinical Decision Unit with stabilization of patients prior to admission to the hospital or discharge, nursing care of Chest Pain Unit patients. Received the Nurse of the Year award for the department in 2012.
Supervision of regional infection control programs within the Department of Corrections, surveillance and containment of infectious outbreaks within the Department, establishment and review of performance standards, preparation of monthly reports related to institutional and statewide infection rates and the conduction of contact investigations with the Department of Health.
Medical and surgical nursing in a small community hospital in accordance with ANA, hospital and community standards as an adjunct to employment with the Department of Corrections.
Development and review of organizational policies and procedures, supervision and evaluation of 110 staff members, management of work schedules and staff assignments, preparation of facility program reports, staff recruitment, inspection of facility for emergency preparedness and provision of technical assistance to other agencies pertaining to medical, nursing and technical personnel within the health care facility.
Surveillance and containment of infectious disease, preparation of reports related to institutional infection rates and the conduction of institutional contact investigations at the facility under the direction of the Office of Health Services.
Patient care within a Crisis Stabilization Unit within the Department of Corrections.
Stabilization of trauma patients in an emergency room setting utilizing ACLS and PALS protocols.
Case management services to Medicare eligible homebound patients.
Pre-op and PACU nursing care for Ambulatory Surgical patients.
Office nurse duties in OB/GYN office.
Charge nurse duties on an LDRP unit. Developed a bereavement program for parents experiencing neonatal death, resulting in the presentation of the March of Dimes Nurse of the Year award for the state of Florida.
Labor/Delivery, GYN and Level II nursery patient care.
Major in Nursing
Member of Phi Theta Kappa
REGISTERED NURSE-STATE OF FLORIDA
RN1835672
EXPIRATION DATE 4/2016
BLS-BASIC LIFE SUPPORT
EXPIRATION DATE 12/2015
Health education, Infection control, eDOC imaging, HIMR, advanced computer skills
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:
- Completeness
- Formatting
- Word choice
- Length
- Measurable results
- Strong summary
- Typos
Resume Overview
School Attended
- ST. MARY'S COLLEGE OF O'FALLON; O'FALLON
Job Titles Held:
- Medical Review Nurse
- Registered Nurse
- Regional Infection Control Nurse
- Executive Director of Nursing
- INFECTION CONTROL COORDINATOR
- Registered Nurse Specialist
- Registered Nurse-Emergency Room
- RN CASE MANAGER
- Registered Nurse-Charge
Degrees
- Associate Degree in Nursing : NURSING
Similar Resumes
