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Medical Years Experience

Location:
Greensboro, NC
Posted:
November 13, 2012

Contact this candidate

Resume:

Mary McGee

Email: abplab@r.postjobfree.com

Address:

City: Greensboro

State: NC

Zip: 27455

Country: USA

Phone: 336-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

over 20 years experience in Utilization Review, precertifying procedures, office visits, medications, surgeries for private insurance companies, and workers compensation. Used milliman criteria,. Experience with ICD-9 & CPT coding. In my work career I have also worked in a long term care, hospital, Transitional care, OR and clinic settings. I am extremely flexible, learn quickly, can work alone or in a team setting efficiently. I have an active RN & CCM in North Carolina. I am retired and wish to work relief, and/or daily work, daytime only. AI am available after December 1, 2012

Educational Background:

High School Dipolma from GTCC, Jamestown NC 1/2001 to 6/1985 (Nursing)

Job History / Details:

Professional Summary

over 20 years experience in Utilization Review, precertifying procedures, office visits, medications, surgeries for private insurance companies, and workers compensation. Used milliman criteria,. Experience with ICD-9 & CPT coding. In my work career I have also worked in a long term care, hospital, Transitional care, OR and clinic settings. I am extremely flexible, learn quickly, can work alone or in a team setting efficiently. I have an active RN & CCM in North Carolina. I am retired and wish to work relief, and/or daily work, daytime only. AI am available after December 1, 2012

Licenses

RN License number 098504 North Carolina valid now

CCM Certificate number 00024508 North Carolina Valid through 11/13/13

Skill Highlights

Health and wellness expertise

Medication administration expert

Skilled in conducting physical examinations

Vascular care understanding

Broad medical terminology knowledge

Effective policy and program development

Strong medical ethic

Acute and rehabilitative care

Medical clinical procedures comprehension

Talented in minor surgery assistance

Specimen collection/processing proficiency

Sterilization techniques mastery

computer input

case management

Utilization Review

coding experience

communication with patients, families, other health Diagnostic tools experience

Culturally sensitive

Strong medical ethic

Enthusiastic caregiver

Diabetes, Hospice and Stroke Patient Care

Familiarity with disease management programs

Trained in in- and out-patient care

Flow sheet charting

Acute and rehabilitative care

OR and ER experience

care professionals

Professional Experience

March 1988 to January 2011

Key Risk Management services Greensboro, North Carolina

Utilization Review onsultant

Performed precetification for all types medical procedures.

Authored policy & procedures manuals for the department.

Developed panel of medical advisors. for chart reviews.

Handled catastrophic cases from point of injury to point of recovery co-ordinating MD visits, HHC, DME, remodeling of homes, & vehicles.

Traveled to promote services of the UR department.

Entered information in computer.

Used ICD-9 & ACPT codes exsclusively.

Education and Training

1985 GTCC Jamestown, North Carolina

Associate of Science Nursing



Contact this candidate