Pamela Jovanovski
**** ******** **** * Ellwood City , PA 16117 * 724-***-*****
jovo555@zoominternet . net
PROFILE
Experienced Healthcare Professional , Licensed Practical Nurse , Certified Medical Coding Specialist , HEDIS abstractions , physician review, Utilization Management , Case Management, Marketing , Contract review/proposals/writing , Patient Advocate.
PROFESSIONAL EXPERIENCE AND ACCOMPLISHMENTS
Clinical Nurse Auditor/Medical reviewer May 2010 to present
BT Consulting/DPW-PA Pittsburgh, PA
• Extensive travel to several medical sites to perform medical record review for compliance according to state regulations(Department of Public Welfare)
• Review medical records at several medical locations throughout Pennsylvania for HEDIS abstractions
• URAC training
Community Relations Coordinator/Liaison November 2009 to May 2010
Case Management , Admissions Coordinator Pittsburgh, PA
Acute Inpatient Rehab Unit
• Marketing Acute Rehab services to physician offices and healthcare facilities , as community relations coordinator.
• Case Management and Admissions Coordinator for a large inpatient rehab unit throughout the Western Pennsylvania Hospital System. Clinical reviews with Health Insurance Companies for patients length of stay in rehab.
• Increased patient census from an average of 20 to an average daily census of 32.
HEDIS chart review/abstractions/auditor March 2009 to Jan 2010
Chart Pros W. Conshohocken, PA
• Travel throughout Pennsylvania to many physician offices to abstract pertinent medical data for insurance compliance.
• Reviewed an average of 50 charts per day at several locates.
Homecare Nurse December 2008 to present
Interim Healthcare Pittsburgh, PA
• Travel to different client locations to provide patient care.
• Patient Advocate , Medication administration , Documentation.
President/Branch Director April 2005 to Jan 2009
Northern Health Care Connections Ellwood City, PA
• Recruiting , hiring and training of healthcare professionals for temporary staffing at local nursing facilities.
• Human Resources duties, staff development , payroll , scheduling.
• Contract writing , review and approval between the agency and healthcare facilities.
EDUCATION
Certified Medical Coding Specialist Fort Collins, Colorado 5/2001-5/2002
LPN (NY & PA)-current NY & PA 9/1992 –6/1993
RN Program Buffalo, NY 9/2002-5/2004