Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Profile
I spent eight years working as a registered nurse utilizing my knowledge and skills to serve the public. Over the last few years I have been focused on raising my family and working part time when I needed to. I am focused on switching my career path into a business environment while continuing to provide public service. I am a creative and resourceful community service professional talented at quickly mastering new skills and processing new information. Diplomatic and gracious with a desire to deliver exceptional customer service.
Qualifications
EPIC, MHS and Metavance documentation systems; and Microsoft Office
operating systems
Excellent customer relation skills, efficient in handling complaints, and responding promptly to client and
co-workers needs.Excellent interpersonal skills
Strong communicator
Culturally-sensitive
Creative
Self-starter
Skilled multi-tasker
Fast learner
Detail-oriented
Staff development expertise
Standard operating procedures
Analytical problem solving
Experience
2014 to 03/2015ServerBrass Tap Beer Bar | Allen, TX,
Delivered outstanding service through greeting and serving customers.
Demonstrated the ability to learn the menu, answer questions, and remember details regarding orders.
Performed successfully in a fast-paced work environment.
11/2012 to 11/2013ServerBrass Tap Beer Bar | Atlanta, GA,
Provided a friendly atmosphere for diners to enjoy their meals.
Ensured accuracy of orders and quick delivery of diners requests.
Worked to maintain a healthy team environment for functionality of restaurant.
07/2011 to 02/2012Medical Claims SpecialistSociety Insurance | Fond Du Lac, WI,
Processed medical claims in a timely manner utilizing both MHS and Metavance systems.
Insured the accuracy of each claim processed for provider billing errors.
Responsible for working the entire claim lifecycle from start to finish.
05/2010 to 03/2011Utilization Review Nurse Claims Management/Analytical Systems DepartmentDavita | Baltimore, MD,
Utilization Review Nurse, Claims Management-Analytical Systems Department Provided clinical research for the analytical staff educating them on the diseases they were completing measures for under the Healthcare Effectiveness Data and information set.
Charged with the review of complex medical claims to assist with the proper processing of high cost, technically complex claims for payment, adjudicating these claims in an efficient, accurate and timely manner.
Involved in the interviewing, hiring, mentoring and training of new staff, both nursing and clerical.
Worked with multiple departments in the research, planning and creation of the Care Management model and outcomes measure management to construct directives for the State of Wisconsin's Medicaid/Medicare claims adjudication process.
Devised process maps to assist with the adjudication of claims and assisted in the development of policy and procedures to enhance workflow.
03/2009 to 10/2009Clinical Research Registered NurseDignity Health | Grand Island, NE,
Compiled data required of each study and submitted results to the study sponsor and primary investigator in a timely manner.
Dosed healthy human subjects in clinical drug trial and monitored the subjects for any adverse events, recording such events and providing assessment and treatment when necessary.
Collected and processed a variety of specimens as outlined in each study specific guideline.
10/2007 to 10/2008Registered NurseDignity Health | Houston, TX,
Conducted needs’ assessments and referred clients to financial, medical, social and community assistance and services.
Collaborated with numerous care providers to give our patients the best care possible in an emergency situation.
and provided patients and families with contacts for continuing care.
Worked to facilitate the flow of patient care while ensuring patients received individual attention, and.
compassionate, competent care.
01/2006 to 10/2007Registered NurseDignity Health | Lexington, KY,
Maintained an organized environment as a charge nurse, triage nurse, and staff nurse.
Supervised the emergency department staff and ensured the administration of quality care.
Worked closely with physicians and supportive staff to achieve the best possible patient outcomes.
Worked with the nursing coordinator and staff on the floors to facilitate patient transfers while decreasing the waiting time for admissions thus increasing patient satisfaction.
Also, assisted in the communication of information between staff members which allowed for the maintenance of a positive working environment.
05/2005 to 01/2006Registered NurseFLAGSTAFF MEDICAL CENTER | City, STATE,
Utilized nursing skills and advanced training to care for a diverse patient population, maximizing the opportunity for excellent patient results.
Performed triage duties to ensure those that needed attention quickly received it according to severity of symptoms/injuries
11/2003 to 05/2005Registered Nurse Trauma Intensive CareUniversity Of Wisconsin Madison Hospital | City, STATE,
Performed critical care duties in an intensive care environment utilizing skills and advanced training to care.
for patients and their families; duties included caring for patients involved in traumatic accidents and those in.
intense need for extensive medical and surgical interventions.
Provided patients and families with professional, integrated, and responsive care.
01/2003 to 11/2003Registered Nurse Vascular Surgery/Heart TransplantOregon Health And Science University | City, STATE,
Provided day to day direct patient care for a variety of surgical patients.
Updated physicians on patient conditions.
Followed physician orders and processed them into the computer system as well.
Provided exceptional patient and family care
2000 to 2003CNA/Health Unit CoordinatorMERITER HOSPITAL | City, STATE,
Gained knowledge for my nursing career by assisting the nursing staff and developed further knowledge as a Health Unit Coordinator into the spectrum of collaborative care, gaining exceptional communication and organizational skills.
Handled the admission of each client into the emergency department.
Processed orders quickly and efficiently from physicians and nursing staff.
Collaborated with team members to ensure excellent patient care.
Assisted Nursing staff with direct patient care activities.
Assisted patients families as needed.
Skills
billing, clerical, clinical research, critical care, client, delivery, documentation, fast, hiring, mentoring, Microsoft Office, nursing, operating systems, organizational skills, Strong organizational skills, patient care, development of policy, quality, quick, recording, research, Trauma, triage, workflow
Education
Expected in 2003 to to Bachelors of Science | NursingEdgewood College, Madison, WIGPA: Status - Nursing
Expected in 1997 to to Associates | ScienceMadison Area Technical College, Madison, WIGPA: Status - Science
Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.
Resume Overview
School Attended
Edgewood College
Madison Area Technical College
Job Titles Held:
Server
Server
Medical Claims Specialist
Utilization Review Nurse Claims Management/Analytical Systems Department