I'm a Registered Nurse with 7 years experience working in diverse areas and levels within nursing. Extensive knowledge of Medicare and Medicaid guidelines as well as Utilization Management.
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Utilization Management, MDS, Supervisor, Manager, Case Management, Utilization Review, Customer Satisfaction, Interdisciplinary Team, Teamwork, Acute Rehabilitation, Skilled Rehabilitation, Medicare, Medicaid, Concurrent Review, Managed Care, Insurance, Cost Control, Scheduling, Staffing, Communication, Discharge Planning
Qualifications: To use my skills as a Registered Nurse and Case Manager to help people understand their illness, medications and how to lead a healthy lifestyle. * Able to identify and meet deadlines. * Able to set appropriate patient goals. * Able to provide accurate documentation. * Excellent ability to multi-task and be flexible. * Team coordination and working effectively with others. * Aware of outside resources to ass...
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Medical, Medical/Surgical, Oncology, Orthopedics, Surgical, Service & Support, Nursing Case Management, Computer Aided Software Engineering, Discharge Planning, Documentation
Skills Summary CPT Procedures, HCPCS, Medical Terminology, Multi-Task Medicare/Medicaid Guidelines, ICD-9/10 Coding Microsoft Word/Windows, HMO's, PPO's, Worker Comp Excel, Access, Lotus Notes, Power Point Data Entry, Payroll, Accounting, Medical Records, Outlook Customer Service, Scheduling, Diversity Scanner, 35-55 WPM, 10-key Calculator skills Administrative Assistant, Secretary, Professional Presentations Nationally Reg...
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Insurance, Coding, Medical, Benefits, CCS, Medicare, Scheduling, Data Conversion, Diversity, sheets
SUMMARY OF QUALIFICATIONS * Experienced healthcare professional with in-depth knowledge of Long-Term Care * Skilled with medical terminology, finance, reimbursement regulations, Medicare and Medicaid guidelines * Active participation in State Survey process for both annual and complaint surveys
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Assessments, Billing, Insurance, Managed Care, Medicare, Financial Industry, Health Care Industry, Medical, Medical Terminology, Surveys
Profile Advanced HomeCare -Referral Support/Specialist 03/17 - Present Handling inbound calls from patients regarding patient financial responsibility. Enter payments into payment center system. Enter Home Health visits into McKesson system. Qualify Durable Medical Equipment orders ensuring meets Medicare/Medicaid guidelines. Verify patient service area to determine nursing coverage for TRIAD, Piedmont, Novant VA area. Ensu...
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Insurance, Billing, Cardiopulmonary resuscitation (CPR), Coding, Customer Service, Data Entry, Documentation, Home Health, Homecare, Link
Professional Summary: Donna Lowe, RN CCM brings 20+ years of clinical experience with 11 years in direct Case Management in an acute care setting. She has 10 years experience with Discharge Planning and Complex Care Management with a successful record of decreasing the overall acute care length of stay. Donna has substantial experience in coordination of resources across the hospital from the ICU, ER, Neuro, Cardiac, Ortho,...
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Case Manager, Certified RN Case Manager, Detailed Medical Record Review, registered nurse, CCM, Workers Compensation, Local travel, Legal, Medicare, Patient Care
