Customer Service Medical
Resume:
MEERA THIRUMAL, RN
CANTON, GEORGIA 30115
HOME: 770-***-****
CELL: 404-***-****
EMAIL: *************@*****.***
OBJECTIVE
To utilize my eighteen years of patient care and clinical management
experience to be part of a winning team with a company that provides
outstanding patient care and superior customer service.
WORK HISTORY
May 2012 - Current: UTILIZATION REVIEW NURSE:
UNITED HEALTHCARE
Duties include: consultation with medical director regarding length of stay
and transfers to lower level of care, use Milliman care guidelines to
manage inpatient hospital stay and do coverage determination on pre-service
cases. Identifying members with unmet healthcare needs who are at risk for
hospital admission/readmission, making referrals to support treatment plans
and improve self management skills, as well as suggesting other
interventions as appropriate,
September 2008 - May 2012: CASE MANAGER: UNITED HEALTHCARE Identifying
members with unmet healthcare needs who are at risk for hospital
admission/readmission, making referrals to support treatment plans and
improve self management skills, as well as suggesting other interventions
as appropriate, following up with patients after discharge and helping to
facilitate discharge plans to appropriate levels of care, implementing risk
management interventions, assisting case managers with discharge planning,
completing risk assessments of members and offering appropriate community
or outside resources to assist the members in obtaining care proactively
working to reduce hospital admissions and readmissions.
February 2008 - September 2008: Team Lead: UNITED HEALTHCARE
supervising our Care Coordination team and serving as a liaison between the
staff and external clients,
Key responsibilities include:
Working with an assigned client group to ensure customer satisfaction and
resolve account issues
Liaising between external customers and our Care Coordination RNs to
facilitate effective client service
Managing and resolving escalated customer service problems
Training, mentoring and supervising Care Coordinators
Collaborating with other clinical staff and vendors to promote the
health of our members
Assigning vendor referrals to team members
Collecting, tracking and reporting data to ensure team efficiency for
UNITED HEALTHCARE
February 2005 - February 2008: Inpatient care advocate, long term care case
management and enhanced case management for UNITED HEALTHCARE
Duties include: consultation with medical director regarding length of stay
and transfers to lower level of care, use Milliman care guidelines to
manage inpatient hospital stay and do coverage determination on pre-service
cases. Identifying members with unmet healthcare needs who are at risk for
hospital admission/readmission, making referrals to support treatment plans
and improve self management skills, as well as suggesting other
interventions as appropriate, following up with patients after discharge,
and helping to facilitate discharge plans to appropriate levels of care,
implementing risk management interventions, assisting case managers with
discharge planning, completing risk assessments of members and offering
appropriate community or outside resources to assist the members in
obtaining care proactively working to reduce hospital admissions and
readmissions.
RN for IV TEAM NORTHSIDE HOSPITAL
Atlanta, Georgia
September 2006 - February 2008
Assessing, changing and restarting IV sites as needed, portacath access/ de-
access, assist in PICC line placement, central line care, de-clotting
lines, pt teaching.
RN Coordinator for HEALIX Infusion Therapy, Inc.
Atlanta, Georgia
March 2005 - October 2005
Duties include: Patient admissions to the ambulatory office infusion
center, peripheral IV placement, PICC line placement, monitoring infusions
(antibiotics, anti-fungals, fluids and IVIG), patient teaching, phone
triage, lab draws, evaluate laboratory results and notify MD of any
abnormal findings,patient assessment documentation,and working closely
with the physician and pharmacist (where applicable) in therapy monitoring
and planning the patient course of care.
June 2003 - February 2005:
Clinical Operations Manager for Samson Hair Restoration
Two Ravinia Drive, Suite 1740
Atlanta, Georgia 30346
Duties include: Complete set up of medical office and hair restoration
surgical suites in compliance with OSHA guidelines. Supervised medical
staff of registered nurses, surgical technicians, and medical
assistants. Scheduled rotation of surgical staff and maintained a safe and
cost effective clinical environment. Responsible for ordering all medical
supplies and medications. Trained new employees and conducted monthly in-
services to stay current and compliant with new regulations.
September 1999 - June 2003:
Staff RN for Bosley Medical
3379 Peachtree Street, Suite 800
Atlanta, Georgia 30326
Duties include: Assisting surgeon during surgical hair transplant
procedures. Supervised a team of transplant technicians during
procedures. Administered local anesthesia, oral medications, and IV
medications. Dissected tissue to make grafts and placed them into the
recipient site according to the physician's direction. Conducted post-op
teaching and phoned patients for post-op follow-up.
March 1995 - March 2004:
Staff RN at Putnam General Hospital
Medical / Surgical Unit and Skilled Nursing Floor
Eatonton, Georgia
Duties include: Primary nursing care of patients with a wide variety of
diagnoses, including oncology, urology, proctology, pulmonary cardiac,
telemetry, diabetic, renal, liver failure, and orthopedics. Responsible for
medication and treatment, care of NG tubes, and G tubes. Proficient in IV
therapy. Maintained central lines and administered blood products. Other
responsibilities include monitoring and assessing patient's status, safely
administering medication, wound treatment, and nursing
documentation. Assign and evaluate care given by nursing personnel. Also
cared for individuals with hematological and oncological diagnoses such as
leukemia, AIDS, and sickle cell anemia. Would float to the emergency room
on an as needed basis.
August 1994 - March 1995:
Charge Nurse at Central State Hospital
Milledgeville, Georgia
Duties include: Worked in the veterans division of the hospital as a
charge nurse. Supervised adult units, staff, and patient care issues.
EDUCATION
June 1994 - Bachelor of Science - Georgia College and State University
Major: Nursing
Minor: Biology
GPA: 3.2
HONORS AND ACTIVITIES
Employee of the Quarter 2001 and 2002
Georgia College Dean's List 1991/1992 and 1993/1994
Recipient of the International Student Scholarship 1989 - 1994
Recipient of the Pilot Club Scholarship 1990 - 1994
Sigma Theta Tau International Honor Society of Nursing 1993 and 1994
Gamma Beta Phi Society 1992 - 1994
Member of Georgia College Nurses Association 1992 - 1994
LICENSES
Georgia and Arizona
LANGUAGES
English, Tamil, and Singhalese
REFERENCES
Available upon request.
Contact this candidate