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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary
Registered Nurse with 15 years of Health care experience which includes Leadership Development: Home Care Case Management Leadership, Team Management, Image and Communication Skills, Conflict Resolution, Professional Responsibility & Liability, and Capacity Assessment. Medical Training: Palliative Care, Diabetes, A.L.S. Alzheimer's, Stroke and Rehabilitation, Drugs, Geriatric Care, and Chronic Obstructive Pulmonary Disease, Bipolar Disorder, Grief and Loss, C.P.R, ACLS, PALS, Cared for patients on IABP, CRRT, and ICP
Licenses
Skill Highlights
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Professional Experience
11/2011 to Present
Status Center Admission Nurse Gulf Coast Jewish Family And Community Services Plant City, FL,
  • Appropriate criteria to properly and efficiently ensure that patients are placed in the appropriate status Acts as a liaison between medical staff, nursing staff, and other clinical staff regarding matters of initial patient status.
  • Demonstrates good communication skills that lead to positive outcomes in patient interactions, teaching activities and physician relations.
  • Provide problem solving skills to improve the functionality of the organization Demonstrates exceptional customer service.
  • Acts as a liaison between medical staff, nursing staff, and other clinical staff regarding matters of initial patient status.
  • Conducts review for appropriate utilization of services from admission through discharge using Interqual or millman software.
  • Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient encounters.
  • Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures.
  • Utilizes technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-9-CM diagnoses and procedures.
  • Assigns present on admission (POA) value for inpatient diagnoses.
  • Extracts require Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient encounters.
  • Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures.
  • Utilizes technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-9-CM diagnoses and procedures.
  • Assigns present on admission (POA) value for inpatient diagnoses.
  • Extracts required information from source documentation and enters into encoder and abstracting system.
  • Identifies non-payment conditions (HAC) and when required, report through established procedures.
  • Reviews documentation to verify and, when necessary, correct the patient disposition upon discharge.
02/2011 to 11/2011
Sr. Case Manager Summit Medical Group Rockwood, TN,
  • Conducted review for appropriate utilization of services from admission through discharge using Interqual or millman software.
  • Initiated and presents "denial letters", as appropriate.
  • Assessed patient care required throughout continuum of care for diagnosis, procedures and DRG's.
  • Communicated with physicians at regular intervals throughout hospitalization and develops an effective working relationship.
  • Assist Physicians to maintain appropriate cost, case, and desired patient outcomes.
  • Ensured that patient tests are appropriate and necessary and are carried out within the established timeframe and that results are promptly available.
  • Completed expanded assessment of patients and family needs at time of admission.
12/2010 to 02/2011
Registered Nurse St Therese Home Of New Hope Brooklyn Park, MN,
  • Handled all of the process improvements, policy updates, filling out applications for tax identifications, and running day to day operations.
  • Conducted a thorough and precise assessment of the patient's condition, functional abilities, homebound status, and environmental and social factors.
  • Made appropriate referrals (therapy, social work) as indicated.
  • Instructs patients, family and/or caregiver in all aspects of patient care.
  • Developed and implements nursing care plans and discharge plans with the involvement of the patient and the patient care team.
  • Established realistic patient treatment goals.
  • Informs Physician and other personnel of the patient's condition and needed.
  • Develops and supervises Home Health Aide Care Plans.
  • Participated in and/or conducts case conferences, in services, competency demonstrations/evaluations, and orientation as required.
  • Provides on-call duties as required and supervised other personnel.
06/2004 to 12/2010
Charge Nurse Summit Medical Group Wartburg, TN,
  • Developed and implemented plans for the direction and supervision of nursing services in the care and treatment of the patient.
  • Independently evaluated the job skills and work performance of the nursing assistants through the performance evaluation process Appropriately redirected and/or disciplined nursing assistants for violations of work rules, policies or poor performance, including the recommendation of suspensions and terminations.
  • Ensured proper staffing by calling in replacements as needed or by transferring and/or reassigning to ensure adequate staffing levels.
  • Revised work schedules as necessary.
  • Trained and/or assist in the orientation of new employees.
  • Address problems, complaints and grievances for resolution Coordinated the needs of physicians and acts as liaison between the nursing staff and medical staff by serving as a mediator.
  • Performed human resource responsibilities such as interviewing and selection new employees, promotions, performance evaluation, staff development, salary adjustments, and resolution of employee concerns Identified clinical and professional educational requirement to promote the development of staff.
  • Handle the tasks of providing leadership to the hospital and nursing department on assigned shifts.
06/2008 to 12/2009
Registered Nurse Caprock Home Health City, STATE,
  • Responsible to perform initial assessment and development of individualized service plan for PAS clients.
  • Responsible for establishing frequency of client supervisory visits.
  • Responsible for recruitment, orientation, and training of PAS Attendants.
  • Responsible for coverage of PAS services breaks.
  • Responsible for performing supervisory visits to assess and document: Client service plan is adequate.
  • Client continues to need services.
  • Client needs service plan change.
  • Attendant continues to be competent in providing authorized tasks.
  • Attendant is delivering authorized tasks.
  • Responsible for observation, reporting and documentation of client's status.
  • Responsible to maintain agency reports.
  • Responsible to monitor and direct operation and effectiveness of infection control and OSHA standards.
  • Maintain knowledge of PAS licensure and program regulations.
  • Maintains file maintenance, including electronic and hard copy filing, boxing and storing of old records.
  • Cooperates with all staff members in carrying out the overall objective of the agency.
Education and Training
Expected in 2015
Bachelor of Science: Nursing
West Texas A & M University - Canyon, TX
GPA:
Nursing
Expected in 2004
Associate of Science: Nursing
Fayetteville College - Fayetteville, NC
GPA:
Nursing
Skills
agency, caregiver, good communication skills, conferences, Client, clients, customer service, diagnosis, direction, discharge plans, documentation, filling, filing, functional, Home Health Aide, human resource, ICD-9, infection control, leadership, letters, mediator, nursing, patient care, patient treatment, personnel, policies, problem solving skills, coding, file maintenance, recruitment, reporting, requirement, staff development, staffing, supervisory, supervision, tax, teaching, therapy

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Resume Overview

School Attended

  • West Texas A & M University
  • Fayetteville College

Job Titles Held:

  • Status Center Admission Nurse
  • Sr. Case Manager
  • Registered Nurse
  • Charge Nurse
  • Registered Nurse

Degrees

  • Bachelor of Science
  • Associate of Science

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