Travel Medicine Advisor resume example

As the Onsite Nurse Reviewer I reviewed charts of hospitalized patients at Saint Alexius Medical Center who had BCBSND Insurance.

My work included the following:

• Reading through patient health data, including histories, physician diagnoses and treatments to make sure they met criteria for continued inpatient hospitalization.
• Clarifying if there was any secondary insurances, Worker's Compensation or No Fault that were also covering costs.
• Reviewing physician coding to verify proper charges were being made.
• Working closely with Hospital Quality Assurance Reviewers and BCBS Case Benefits Management to ensure patient received all available resources covered by their plans. We would work together to create specialized plans of treatment for those needing longer hospitalizations or specific cares that were no longer covered under their initial DRG.
• Demonstrating self-reliance and time management by meeting workflow needs. I was the only staff member from BCBS at St Alexius, so was responsible to keep my chart reviews up to date and be knowledgeable of those patients who had BCBS insurance.

I worked at Medcenter One (now Sanford Health) in the Telemetry unit immediately after my college graduation.

In the fall of 1988 I went back to school to work on my BS in Nursing degree. I worked only weekends in the Float Pool during that time, and I was sent to the Pediatric unit quite often as they were short staffed. I really enjoyed working with the children , and also the entire staff in that unit! When a full time position opened up in Pediatrics, I decided to take that and not continue on another year in school. I returned to work full time at the hospital until the Summer of 1991 when I went to work for BCBSND.

I also worked at the Bismarck Baptist Nursing Home from 2006 - 2008. I worked every other weekend as a Charge Nurse. This was a part time job in addition to my job at Travel Health America. My duties were very similar to those at the hospital.

As a staff nurse I did the following:

• Prioritized patient care assignments based on patient conditions to achieve optimal outcomes.
• Evaluated patients to develop and update treatment plans while anticipating day-to-day needs.
• Administered medications (oral, IV and injectable), documented dosages and patient conditions/outcomes.
• Reviewed physician orders and administered therapies, treatments and medications.
• Recorded patients' medical history, vital statistics and test results in their medical records.
• Developed care plans complete with effective nursing measures to improve patients' mental and physical health.
• Explained treatment procedures, medication risks, special diets and physician instructions to patients.
• Maintained reports to provide oncoming shift with full patient status.
• Instructed patients, families and caregivers on diagnoses, chronic disease management and medication self-management.
• Answered patient questions and provided take-home materials for further information.
• Mentored new nurses on practices and procedures to drive patient outcome goals.