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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Adaptable healthcare professional with over 20 years of experience, accustomed to the continuous integration of new health care delivery systems and restructuring of work in an increasingly complex regulatory environment. Strong relationship and leadership building skills with an excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements.

Skills
  • Independent judgment and decision making
  • Medical education/terminology
  • Quality improvement competency
  • Strong presentation skills
  • EMR/EHS experience
  • Clinical documentation and auditing
  • Data assessment/analysis
  • Well-versed in insurance
  • Problem resolution
  • MS Office
  • Excellent multi-tasking ability
  • Staff Management
  • Organizational skills
  • Interdepartmental Communication
  • Medicare
  • Information Systems
  • Accurate Documentation
  • Management
Work History
Rehabilitation Admissions Coordinator, 04/2009 - Current
State Of Oklahoma Mangum, OK,
  • Direct interaction with case managers, Physicians, and potential clients to achieve needed services for acute rehabilitation
  • Engagement/education of staff on admission criteria and Medicare compliance
  • Planning and achievement of goals/ objectives through continuous quality improvement initiatives
  • Initiation and cultivation of long term relationships by reviewing customer survey information to prioritize areas of improvement
  • Assessment of information for identifying clients who would benefit from services offered by the facility using EMR (EPIC/Soarian), in person or telephone interviews with patients and family members
  • Market rehab program by providing informational brochures, conducting tours, and visiting facilities for the cultivation of prospective clients
  • Initiation of the audit process to evaluate the thoroughness of documentation and maintenance of facility standards
  • Ad hoc report preparation- collecting, analyzing, summarizing data trends to improve patient outcomes and facility growth
  • Oversight of all aspects of data collection for Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI), ensuring the presence of supporting documentation, correct coding, and timely submission to Centers for Medicaid and Medicare Services (CMS)
  • Verification of insurance prior to admission from private insurance carriers or Medicare/Medicaid
  • Continuous oversight of unit census while adhering to Medicaid compliance.
  • Maintain unit census at or above 90% while consistently reviewing patient acuity
  • Continual improvement of knowledge, skills, and performance-based on feedback and self-identified professional developmental needs
  • Assisted inpatient admission process based on federal and state laws
Team Lead Manager, 03/2008 - 03/2009
Medassurant City, STATE,
  • Supervised and managed daily activities of Data Analysis team consisting of 12-15 nurses and coders
  • Prepared work schedules and assigned duties for abstraction of high volumes of medical records to ensure correct and appropriate code assignment using International Classification of Diseases edition 9 (ICD-9) and Current Procedural Terminology (CPT) coding
  • Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitation of proactive work environment
  • Interpreted and communicated new or revised policies to maximize department effectiveness
  • Completed quality, accuracy and inter-rater reliability testing with a goal of 100% accuracy
  • Reviewed and interpreted medical terminology through knowledge of anatomy and physiology with the ability to code diseases and procedures using ICD-9 and CPT coding
  • Measured team performance and reported metrics to leadership team members
  • Evaluated employee performance monthly and coached and trained accordingly, increasing quality of work and employee retention
  • Reviewed performance data to monitor and measure productivity, goal progress and activity levels
Licensed Practical Nurse II, 04/1998 - 03/2008
Washington Hospital Center Obstetrics/Gynecology City, STATE,
  • Continuous observation of patients, updated medical records, reported changes in patients conditions, such as adverse reactions to medication or treatment, and took necessary actions to prevent complications of treatment of care
  • Member of the health care team providing assessment of patient/family needs, implementation of interdisciplinary team care plan, and evaluation of nursing outcomes
  • Obtained client medical history, including medication information, symptoms and allergies.
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Complied with all company-specific guidelines and performed hands-on nursing care to patients under RN supervision.
  • Collaborated with interdisciplinary team of healthcare and social service providers, including Physicians, Case managers and Ancillary medical staff to address patients' needs through effective intervention and care planning.
OB Nurse Care Manager, 06/2007 - 11/2007
Unity Health Care City, STATE,
  • Assessed healthcare needs and monitored effectiveness and progress plans to achieve desired outcomes
  • Offered leadership, support and clinical expertise within care management teams to achieve outcomes
  • Identified opportunities to optimize communication within inpatient and cross-continuum teams to drive effective patient flow and sustainable care transitions from hospital and home, within community care settings and implement supplemental care and services for high-risk patients
  • Facilitated assessment of individual physiological, psychological, financial, cultural and family situation and coordinated social services to address individual and family needs
  • Communicated with patients, ensuring that medical information was kept private
  • Offered patients and patrons information on various immunizations including flu, DTaP and HPV vaccines
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients
Education
Bachelor of Science: Healthcare Administration, Expected in
-
Colorado Technical University - Colorado Springs, CO
GPA:
Certification: Licensed Practical Nursing, Expected in
-
Saint Augustine Technical Center - St. Augustine, Fl.,
GPA:

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Resume Overview

School Attended

  • Colorado Technical University
  • Saint Augustine Technical Center

Job Titles Held:

  • Rehabilitation Admissions Coordinator
  • Team Lead Manager
  • Licensed Practical Nurse II
  • OB Nurse Care Manager

Degrees

  • Bachelor of Science
  • Certification

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