DEBORAH REAK

*** ***** ***** ****

Versailles, Kentucky 40383

acgeka@r.postjobfree.com

850-***-****

October 16, 2014

OBJECTIVE

Registered Nurse, graduate of Kentucky Baptist School of Nursing in

Louisville, Kentucky, with 26 years of clinical nursing; additional experience in the last 7 years has been focused on chart auditing, Utilization Review, Discharge Planning and Case Management. I have also performed charge capture audits as Clinical Reimbursement

Auditor, retro and concurrent reviews. I am seeking full-time employment, a permanent position close to home. I am willing to travel up to 25% in the area in which I live.

Current Kentucky and Florida RN license; Current BLS

EXPERIENCE

MedPartnersHIM- Traveling RN

September 14, 2014 to Current

ED Case Manager

Determine admission status based Interqual criteria, for ED patients and Direct Admissions and doing Discharge Planning

Sacred Heart Health System/ Ascension Pensacola, FL

September 2011 to August 8, 2014

Clinical Chart Reviewer and Case Manager

Performed Medicaid concurrent and retro reviews; Blue Cross Blue Shield

of Alabama Coordinator, Case Manager/ review patient admission status

for the Transfer Center Procedural Observation Unit, PACU, IR, and Cath

Lab; input admission data in the Medicaid and BCBS AL websites; review

daily Surgery schedules for Main OR and Surgery Center for appropriate

admission status-follow up -post op status; Transfer Center Case Manager-

developed 'cheat sheets' for staff/ created Decision Tree for determining

appropriate admit status; ER concurrent admit status reviews; familiarity

with MCR guidelines, Inpatient Only List, 2 Midnight Rule; Case Manager

for the Total Joint Center and the Bariatric Center Units

Baptist Hospital/ Pensacola, FL

April 2007 to January 2011

Clinical Reimbursement Auditor

Performed annual BCBS FL outpatient audits for 2 Baptist facilities; input

reimbursement audit summaries into Excel Spreadsheets; performed Third Party Audits

for missed charges; provided education to departments with charge errors,

added and deleted bill charges related to audits, audited Life Quest

Donor records for appropriate billing charges; added Observation

charges/hours to patient accounts for 4 Baptist facilities

West Florida Regional Medical Center/Pensacola, FL

July 1988 to March 2011

Nurse Manager, Assistant Nurse Manager, ER Case Manager

19 total years- Clinical and Management/ Supervision as

Assistant Nurse Manager and Nurse Manager - Surgical Step- Down Unit;

ER staff nurse, then ER Assistant Nurse; ER Case Manager.

Home Health-

1990’s- 2000’s

Shands- Field Nurse, prn

Interim Healthcare-Field Nurse and QA, prn

EDUCATION

Lafayette Senior High School

1969-1971

Lexington, KY, USA

General

High School Diploma

Kentucky Diploma School of Nursing

1971-1974

Louisville, KY, USA

General Nursing

3 Yr Diploma

Jefferson Community College

1971-1972

Louisville, KY, USA

Sciences, Sociology, Psychology None- Received 32 hrs. college credit

hours. These classes were part of our nursing courses

Graceland College

1990-1991

Lamoni, IA, USA

English- 2 classes

Creative Writing and Speech- On-Line classes

University Of Kentucky

Summer, 1973

Lexington, KY, USA

Political Science

REFERENCES: Upon Request

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