LiveCareer-Resume
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Summary

Accomplished Registered Nurse with 15+ years of experience in Psychiatry, Oncology & Medical Claims Review with proven skills in patient care, medication administration, leadership/mentoring abilities and treatment implementation. Detail oriented, organized, hardworking & dependable. Experienced in caring for diverse types of patient populations, with and without medical insurance coverage. Dedicated to enhancing quality of care, safety and efficiency.

Skills
  • Patient education and counseling
  • Foley catheter & colostomy care
  • Monitoring laboratory values
  • Psychiatric and mental health care
  • Organization and planning
  • Patient advocacy
  • Taking & monitoring vital signs & blood sugars
  • AIMS screening
  • Intake and discharge
  • Basic Life Support & First Aid Certification
  • Palliative care and Pain Management
  • Coordinating referrals & setting appointments
  • Chemotherapy & Biotherapy Administration
  • Remicade, IVIG, Iron transfusions & Zyprexa Relprevv Administration
  • IV insertion & care
  • Central, Arterial & PICC line care
  • IV, PCA & Feeding pumps
  • BAC screening/drug screen collection
  • Culturally sensitive
  • Inpatient and outpatient care
  • Infectious disease control
  • Charge Nurse
  • Wound cleaning/care & removing stitches & staples
  • Electronic Health Records & Charting (Avatar & Order Connect)
  • Preparing for procedures (CT, MRI, surgery, chest tubes)
Education and Training
North Dakota State College of Science Wahpeton, ND Expected in 04/2015 Pharmacy Technician : Pharmacy Technology - GPA :
University of Mary Bismarck, ND Expected in 05/2004 Bachelor of Science : Nursing - GPA :
Experience
Guardian Elder Care - Registered Nurse
Waynesburg, PA, 08/2013 - 02/2020
  • Administered oral & IM medications, tracked dosages, documented patient responses & suggested ways to combat side effects.
  • Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
  • Monitored and recorded patient concerns, vital signs, Clozapine lab values and drug dosages & AIMS screening.
  • Answered patient & family questions and completed referrals to community agencies.
  • Trained and mentored new RNs on psychotropic medication injections and pediatric client assessments.
  • Delivered high-quality and compassionate treatment to all patients.
  • Managed all psychotropic medication injections including scheduling & compliance, insurance coverage & prior auths & maintaining adequate supplies.
  • Assessed patient conditions, monitored behaviors and updated physician with observations and concerns.
  • Helped pediatric patients understand and feel at ease with the nursing assessment process.
  • Utilized EHR system (Avatar) & created a guideline for co-workers.
  • Documented all injections, medication refills, phone messages and lab results in Avatar and Order Connect.
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Refilled medications & verified insurance benefits.
  • Received and verified incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Filled prescriptions and prepared prescription labels.
  • Ensured proper entry of patient prescriptions in Order Connect (OC) & dispensed medications in accordance with physician orders.
Guardian Elder Care - Medical Claims Review Nurse
North Warren, PA, 09/2008 - 07/2013
  • Applied medical criteria and clinical judgement to evaluate and establish determinations.
  • Collaborated with providers to obtain required clinical information.
  • Referred medical claims to secondary review for failure to meet criteria.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Reviewed and verified benefits and eligibility.
  • Remained up-to-date with insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans.
  • Analyzed patient medical and surgical records to determine medical necessity, appropriate levels of coverage and assist with approval or denial decisions.
  • Collaborated closely with other departments to resolve claims issues.
  • Evaluated accuracy of provider charges, including dates of service, procedures, level of care and diagnoses.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Guardian Elder Care - Registered Nurse
Surveyor, PA, 11/2007 - 09/2008
  • Administered oral, subcutaneous, IM & IV medications and monitored patient reactions.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care & support while maintaining safety.
  • Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
  • Documented all therapies to keep patient charts up-to-date.
  • Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
  • Assisted physician with "doctor call" and minor procedures.
  • Coordinated and completed "sick call" for inmates.
  • Managed HTN clinic.
Medcenter One Hospital - Registered Nurse
City, STATE, 05/2004 - 11/2007
  • Charge Nurse
  • Administered chemotherapy & monitored responses.
  • Monitored laboratory values & communicated abnormal results with physician.
  • Monitored ANC levels & assessed patients for neutropenia.
  • Administered biotherapy, IVIG, Remicade & Iron transfusions & monitored responses
  • Emotionally supported and promoted a kind, compassionate environment, utilizing active listening and effective communication skills for patients receiving treatment.
  • Answered questions & provided patients with information on range of subjects, not limited to side effects from chemotherapy and benefits of proper nutrition during treatment.
  • Managed central, arterial and PICC lines.
  • Administered oral, subcutaneous, IM and IV medications to patients and monitored responses.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Conducted & documented patient assessments.
  • Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
  • Communicated with primary care physicians to relay patient condition, behaviors and needs.
  • Educated caregivers and families on end-of-life planning and patient care options.
  • Coordinated care for up to 6 patients per shift.
  • Observed strict safety measures, including infection control & checking medication dosages.
  • Set up IV & feeding pumps, PCA, reviewed physician orders and assimilated patients to unit.

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Resume Overview

School Attended

  • North Dakota State College of Science
  • University of Mary

Job Titles Held:

  • Registered Nurse
  • Medical Claims Review Nurse
  • Registered Nurse
  • Registered Nurse

Degrees

  • Pharmacy Technician
  • Bachelor of Science

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