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Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

Dedicated RN with over 20 years experience in nursing. Seeking the opportunity to join new organization in the role of Utilization Review Nurse. Highly organized, proactive and punctual with team-oriented mentality. Hard working and reliable.

Skills
  • Advanced Cardiac Life Support (ACLS) certification
  • Friendly, positive attitude
  • Good work ethic
  • Decision-making
  • Continuous assessments
  • RN Case Management
  • Electronic Health records
Education and Training
Baptist Health Schools Little Rock Little Rock, AR Expected in 11/2000 Diploma of Nursing : Nursing - GPA :
  • ACLS
  • CPR
Experience
Cognizant Technology Solutions - RN
Bella Vista, AR, 07/2016 - Current
  • Viewed electronic health system records to evaluate patient wound care history, other relevant medical information and prescription medications.
  • Conducted wound assessments for patients and documented information.
  • Measured wound depth to support treatment methods and monitor healing.
  • Classified wounds using staging system based on visual evaluation of affected tissue.
  • Cared for patients with various wounds caused by injuries, medical treatments and diseases.
  • Worked with healthcare teams to assess patients, manage wounds and monitor healing.
  • Maintained confidentiality on all patient record data.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Set up patient charts and documented information in various company software.
  • Safeguarded medical records to maintain patient confidentiality.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Cleveland Clinic - RN, Medical-Surgical Pre/op PACU
North Lawrence, OH, 02/2016 - 07/2016
  • Assisted with patient surgery preparation by administering proper medication, monitoring patients' conditions and charting abnormalities.
  • Informed patients, family members and caregivers of physician instructions for post-operative at-home care.
  • Accessed patient medical history, current medications and pre-procedure instructions to confirm adherence and respond to questions.
  • Analyzed patient chart data and identification to verify accurate information.
  • Recorded patient outcomes, new post-operative prescriptions and other information in patient charts.
  • Conducted pre surgery evaluations and communication with anesthesia
  • Maintained aseptic environment to prevent patient infections or other unwanted outcomes.
  • Communicated with patients and recorded vitals after surgical procedures to evaluate current health status.
Saline Memorial Hospital - Home Health RN Case Manager
City, STATE, 05/2015 - 02/2016
  • Completed initial assessments of patients and family to determine and address individual home care needs.
  • Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
  • Participated in on-call rotations and delivered after-hours care.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Modified patient treatment plans as indicated by patients' responses and conditions.
  • Coordinated with healthcare team to establish, enact and evaluate patient care plans.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Saline Memorial Hospital - RN Case Manager Wound Clinic
City, STATE, 11/2005 - 05/2015
  • Viewed electronic health system records to evaluate patient wound care history, other relevant medical information and prescription medications.
  • Cared for patients with various wounds caused by injuries, medical treatments and diseases.
  • Worked with healthcare teams to assess patients, manage wounds and monitor healing.
  • Educated patients and family members on cleaning and dressing wounds and identifying signs of infection.
  • Conducted wound assessments for patients and documented information.
  • Measured wound depth to support treatment methods and monitor healing.
  • Classified wounds using staging system based on visual evaluation of affected tissue.
  • Minimized patient skin breakdown by devising and carrying out skin care plan.
  • Administered hyperbaric oxygen therapy treatments.
  • Performed prior authorizations for procedures such as MRI, hyperbaric oxygen therapy, and wound vacs.
  • Billing and coding

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Resume Overview

School Attended

  • Baptist Health Schools Little Rock

Job Titles Held:

  • RN
  • RN, Medical-Surgical Pre/op PACU
  • Home Health RN Case Manager
  • RN Case Manager Wound Clinic

Degrees

  • Diploma of Nursing

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