Registered Nurse Medical
Resume:
Pamela G. Cook
Columbus, IN 47201
aceg4f@r.postjobfree.com
Qualifications Profile
• Dedicated and patient focused Registered Nurse with proven strength in stable and acute patient care, teamwork, and
compassion to patients and families.
• Exceptional capacity to multitask; manage numerous with ease while fostering the provision of superior patient care.
• Recognized as a team player, able to work well with co-workers.
• Great care provider and patient advocate.
• Great interpersonal and communication skills, superior accuracy in patient history, charting, and other documentation.
• Currently licensed in Indiana and Kansas as a Registered Nurse.
Professional Experience
Elwood Staffing, Columbus, IN May 2014-present
Temporary Production Worker
Assigned to electronics assembly factory, Assist with assembling various electronic parts for car manufacturer.
Health Care Excel, Indianapolis, IN March 2012 - October 2013; May 2014- Present
Post-Service Review Nurse
Responsible for reviewing medical charts of patient’s whose stay has already occurred. Conducts post-service review of those charts to
ensure compliance with applicable criteria for the level of care the provider is requesting.
Since beginning this job, I have worked from my home office. I have found in this job, that I do exhibit strong self motivational skills.
I am able to stay focused and productive and easily meet or exceed the weekly productivity goals set forth for me by the company.
WellPoint, Inc., Indianapolis, IN October 2008 - July 2012
Prior Authorization & Continued Stay Review Nurse (WellPoint State Sponsored Business)
Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member
benefits, and to promote effective use of resources. Ensures medically appropriate, high quality, cost effective care through assessing
the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services,
and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting
benefits and managed care products, and steering members to appropriate providers, programs or community resources. Works with
medical directors in interpreting appropriateness of care and accurate claims payment. Essential duties include, but are not limited to:
Conducts pre-certification, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable
criteria, medical policy, and member eligibility, benefits, and contracts. Ensures member access to medical necessary, quality
healthcare in a cost effective setting according to contract. Consult with clinical reviewers and/or medical directors to ensure
medically appropriate, high quality, cost effective care throughout the medical management process.
Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory
requirements and standards.
Performs other duties as assigned. Responds to the most complex medical issues, serves as resource, may participate in cross-
functional teams, projects and initiatives, process improvement activities.
For the past 3 years, I have participated in Wellpoint's Work at Home Program, working from a home office. I have found that I exhibit
strong self motivational skills which allow me to stay focused and productive, meeting or exceeding the monthly goals set forth by my
business unit.
Knowledge Services, Indianapolis, IN
October 2007 - October 2008
Prior Authorization & Continued Stay Review Nurse (WellPoint State Sponsored Business)
Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member
benefits, and to promote effective use of resources. Ensures medically appropriate, high quality, cost effective care through assessing
the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services,
and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting
benefits and managed care products, and steering members to appropriate providers, programs or community resources. Works with
medical directors in interpreting appropriateness of care and accurate claims payment. Essential duties include, but are not limited to:
Conducts pre-certification, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable
criteria, medical policy, and member eligibility, benefits, and contracts. Ensures member access to medical necessary, quality
healthcare in a cost effective setting according to contract. Consult with clinical reviewers and/or medical directors to ensure
medically appropriate, high quality, cost effective care throughout the medical management process. Facilitates accreditation by
knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.
Performs other duties as assigned. Responds to the most complex medical issues, serves as resource, may participate in cross-
functional teams, projects and initiatives, process improvement activities.
Kindred Hospital, Indianapolis, IN
October 2005 - October 2007
Staff Nurse, and full-time Charge Nurse
Serve as staff nurse for as many as 7 med/surgical patients and up to 3 special care patients on telemetry and ventilators. Serve as
Charge nurse over up to 5 nurses and 2 CNAs as well as overseeing the care of up to 36 patients. Patient care included taking care of
patients on ventilators, tube feeds, bedridden, with varying degrees of responsiveness as well as patients with medical issues such as
extensive wounds requiring wound care. Promote health and support patients and families in coping with illness.
Behavioral Healthcare, Columbus, IN
October 2005 - May2007
Staff Nurse
Serve as nurse for adolescent and teenage patients in a behavioral healthcare setting. Patient care includes passing medications and
assuring those medications are taken by the children. Supervising mental health technicians with caring for the patients.
Columbus Regional Hospital, Columbus, IN
July 1988 - August 2005
Patient Registrar Emergency Room 7/88 - 8/89; Nurse’s Aide Rehabilitation Floor 8/89 - 9/90; Certified Paramedic 9/90 - 10/04; Staff
RN Emergency Room 5/01 - 9/05
Served as Registration Clerk to patients entering the hospital for outpatient and emergency visits. As a Nurse’s Aide, assisted nurses
with patient care and rehabilitation of patients suffering from CVAs and post orthopedic surgery. As a Paramedic, served as caregiver
to ill and injured patients and transported them to hospitals as needed. As an ER Staff Nurse, served as caregiver to ill and injured
patients of all ages and offered support and care to their families. Required good critical thinking skills and ability to work in a fast-
paced environment.
Aid Ambulance, Indianapolis, IN
May 1990 - December 1993
Paramedic
Performed care and transport of ill and injured patients of all ages. Administered medications as needed. Started IVs,
performed
intubations, did splinting and bandaging as needed. Provided support for patients and families in crisis.
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Education
Bartholomew County Hospital
Columbus, IN
Obtained Advanced Emergency Medical Technician in 1987
Bartholomew County Hospital
Columbus, IN
Obtained Paramedic certification in 1990
IVY Tech State College
Indianapolis, IN
Associate of Science in Nursing 2001
Columbus Regional Hospital
Columbus, IN
BLS for healthcare workers 2007
Kindred Hospital,
Greenwood, IN
ACLS 2006
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