SUSIE MONIOT, RN, BSN, LNC

**** ******** **. #* • Denver, CO 80238

303-***-****

acfcii@r.postjobfree.com

OBJECTIVE

Seeking a remote/telecommute professional role that will utilize and build upon my nursing and business education and

experience and provide opportunity for growth

QUALIFICATION SUMMARY

Legal nurse consulting

Utilization review and management

Medical coding

Colorado multi-state Registered Nurse licensure

Critical care nursing experience

Customer service

Training

Leadership

EDUCATION

Denver School of Nursing Denver, CO

Bachelor of Science, Nursing

University of Colorado, Denver Denver, CO

Sociology and pre-nursing

ADDITIONAL TRAINING

Patricia Albanese, RN, CLNC

Legal Nurse Consulting self-study course

WORK EXPERIENCE

American Family Insurance Englewood, CO

Medical Services Specialist (RN) Mar 2013 – Current

• Review files to identify medical legal issues (concurrent and retroactive)

• Review coding and billing based upon current AMA CPT Guidelines (ICD-9, HCPCS, CPT)

• Prepare file summaries and complex reviews of medical claim information on Casualty/Bodily Injury files for Claims in

a variety of high impact areas

• Provide medical document summaries and critiques complex files for settlement factors, negotiation, discovery, and

trial preparation

• Facilitate continuous development of people, processes, and culture to ensure customer service industry leadership

• Primary accountabilities include medical claim review and analysis, education and training, fraud investigation, and

special projects

Collaborative Legal Nurse Consultants Denver, CO

Co-owner/Registered Nurse-Legal Nurse Consultant Aug 2011 – Mar 2013

• Performed accurate and thorough case review based upon nursing education and experience and applicable

standards of care

• Provided written documentation of review findings per client needs, including but not limited to chronologies, AMA

CPT coding and medical record review summaries

• Referenced suitable citations as needed

• Kept up-to-date on the most current nursing standards and changes through continuing education

Denver Health & Hospital Authority – Rocky Mountain Poison and Drug Center Denver, CO

Registered Nurse Apr 2011 – Aug 2012

• Employed as a call center nurse in a drug information center focused on customer service, providing medical

information, recognizing adverse events, and documenting caller inquiries

• Proficiently handled cases as determined by business needs of the client

• Provided accurate and appropriate drug information to both consumers and healthcare professionals over the

telephone as per client guidelines

• Trained other employees as directed

• Used appropriate client provided references

• Gathered product complaint information from both consumers and healthcare professionals and documented that

information clearly, concisely, and accurately in an appropriate and timely manner

• Continually looked for opportunities to improve processes and protocols to create a more “LEAN” work environment

Bassett Healthcare Network – Special Care Unit Cooperstown, NY

Registered Nurse Oct 2010 – Mar 2011

• Responsible for total patient care, including medication, orders and treatments

• Performed emergency nursing procedures necessary for prompt control of changes in patients’ physical condition

• Assisted the physicians in performing special procedures, including sterile procedure

• Kept abreast of changing techniques in nursing and maintains a high level of expertise in critical care through in-

service and continuing education

• Accepted responsibilities delegated by the Head Nurse or team leader and evaluated the nursing care provided in the

area assigned

• Maintained the patient’s clinical records; assisted with execution of the physician’s orders; kept accurate, problem

oriented nursing notes according to audit committee standards

Epic Staffing – Rheumatology Associates Melville, NY

Registered Nurse Aug 2010 – Sep 2010

• Performed focused assessments including vitals on all patients

• Placed IVs for infusions

• Provided infusion treatments to adult and geriatric patients with various health conditions

• Monitored for and treated infusion reactions per protocol

• Educated patients on disease processes and medications

Denver Health Medical Center – NICU Denver, CO

Registered Nurse Intern Jan 2009 – Feb 2010

• Provided excellent care to premature and fragile newborns

• Educated family members on disease processes, hospital procedures and home care

• Assisted with admissions and discharges for approximately 1-5 patient on a weekly basis

• Observed and assisted with procedures such as IV/PICC placement, gastroschisis repair, ultrasounds, and

echocardiograms as appropriate

• Participated in the system-wide “green” initiative

Lehman Brothers’ Bank Englewood, CO

Loan Purchaser Jun 2006 - Jun 2007

• Reviewed all loans presented for purchase for accuracy, completeness, and conformance

• Reviewed all documentation in loan system for accuracy

• Ensured files met minimum documentation/product guidelines

• Reviewed credit, disclosures, title, appraisal, etc.

• Obtained additional documentation as needed from all sources

• Reliably provided great service to internal and external customers

• Funded and closed out loans on system

• Reviewed and responded to exception reports, internal and external audits, as required

• Trained colleagues as directed by manager

Centrix Financial Englewood, CO

Loan Processor/Internal Auditor Aug 2002 – Apr 2006

Internal Auditor

• Reviewed defaulted loans for adherence to insurance guidelines

• Noted patterns of potentially fraudulent documentation and reported findings to Vice President of Insurance

• Designed and led team in a comprehensive audit and presented results to Vice President of Insurance

• Created and presented a training program for underwriters and loan processors to identify and prevent future fraud

attempts

Loan Processor/Quality Control Specialist

• Reviewed all loan documentation for compliance to loan guidelines

• Reviewed computer system documentation for correct data entry

• Ensured files met minimum documentation/product guidelines

• Reviewed credit, disclosures, title, valuation, LTV and DTI ratios, etc.

• Obtained additional information and documentation as needed

• Funded and closed out loans

• Trained colleagues as directed

• Performed quality control audit on colleagues’ loan files prior to funding

• Delivered outstanding service to internal and external customers

Royal Bank of Canada Greenwood Village, CO

Loan Processor/Funder Jun 2002 – Aug 2002

• Reviewed all loan documentation for correctness, comprehensiveness, and adherence to loan program parameters

• Reviewed all documentation in loan system for accuracy

• Ensured files met minimum documentation/product guidelines

• Reviewed credit, disclosures, title, valuation, LTV and DTI ratios, etc.

• Obtained additional information and documentation as needed

• Funded and closed loans

• Consistently provided excellent service to internal and external customers

TECHNOLOGICAL PROFICIENCIES

PC and Mac

Microsoft Word, PowerPoint, Excel

Meditech

Internet/Intranet

Website setup and maintenance

Multiple proprietary programs

LICENSURE AND CERTIFICATIONS

Registered Nurse Licensure – Colorado multi-state license (194534)

AAPC CPC certification in progress – expected completion 12/2014

COMMUNITY LEADERSHIP

Montessori Children’s House of Denver Denver, CO

PTSA Committee Chair and Primary classroom volunteer Present

Philoptochos Philanthropic Society Denver, CO

Committee Chair 2004 – Present

Focusing on helping women and children in the local and global communities

References available upon request

Contact this candidate