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Registered Nurse Customer Service

Location:
Mauldin, SC, 29662
Posted:
November 01, 2010

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Resume:

PORTIA SMITH DANTZLER

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

Mauldin, SC 29662

abiecn@r.postjobfree.com

864-***-****

CAREER OBJECTIVE

Human resources or organizational development position to facilitate career

transition; the position would utilize corporate administrative experience,

managed care expertise and concurrent educational development.

RELEVANT QUALIFICATIONS

Dependable, conscientious administrative professional with six years of

progressively responsible experience in diversified industries. Confident

in making decisions, supporting leadership teams and ability to function in

fast-paced and high energy environment. Self-motivated, enthusiastic, and

results-oriented with constant attention to detail. Key strengths include

the ability to:

. Effectively work individually or collaboratively in a team

. Manage confidential and sensitive matters and materials

. Motivate co-workers to use systemized procedures

. Organize and prioritize tasks to achieve goals

. Demonstrate proficiency in MS Office, ADP Enterprise and Quick Books

EMPLOYMENT

REDEMPTION WORLD OUTREACH CENTER, Greenville, SC 2010

Faith-based community outreach organization

Pulse Administrative Assistant/Children's Choir Volunteer

. Review and process time cards for hourly employees on a bi-weekly

basis

. Process and maintain leave requests and balances.

. Assist in the coordination of all aspects of campus-wide events;

. Coordinate Pulse Ministry events, volunteers, and special projects

with staff.

. Maintain all appointments and calendars; requisition rooms as

needed.

. Communicate announcements to Media for activities and special

events

. A/P and A/R, Complete and submit check requisitions to Accounting

timely for processing; process monthly credit card receipt

justification

. Prepare audition/registration packets for new members and maintain

attendance report for volunteers

. Serve as personal assistant to Pulse Executive Pastor and Co-Pastor

CENTENE CORPORATION, Columbia, SC 2009

National healthcare operations company with state government contracted

managed care health plans

Program Coordinator

. Conducted initial screening assessments for clinical case

management candidates

. Risk stratified and triaged case loads to registered nurse case

managers

. Monitored low-risk obstetric case load

. Organized and attended offsite member education events

. Developed and maintained pharmacy drug utilization and lock-in

programs

. Attended training courses and disseminated training to case

managers

. Developed policies, procedures, work protocols, and training

materials

. Published monthly case management success story newsletter

. Managed daily calendars/ master meeting schedules

. Served as liaison to member services, quality, marketing, pharmacy

services and provider services departments

. Maintained office files, typed correspondence, distributed incoming

mail

. Managed and transposed confidential information between multiple

database systems

BLUECROSS BLUESHIELD, Columbia, SC 2008

South Carolina owned and operated health insurance carrier with large

family of subsidiary companies offering additional insurance products

including federal government contracting

Pharmacology Services Technician

. Provided administrative support for Director of Pharmacy and

maintained clinical pharmacology programs for insurance plan.

. Processed standard and expedited coverage re-determination requests

. Processed MTM and Poly-pharmacy Program Applications

. Assessed drug interactions for Poly-pharmacy Program participants

using online tool

. Created and maintained departmental tracking databases for quarterly

CMS reporting.

. Served as liaison between pharmacy services, customer service and

marketing

departments.

. Maintained daily calendars/master schedule for pharmacy department.

PHARMACARE SPECIALTY PHARMACY (CAREPLUS), Columbia, SC 2007

Leading national pharmacy for patients with unique or complex

pharmaceutical needs; closed pharmacy offering mail-order and third-party

coordination of benefits

Specialty Injectables Technician

. Processed enrollment referrals and pre-authorizations

. Provided monthly courtesy calls to schedule refills for patients.

. Served as liaison between patients, health care providers, and

insurance providers

. (including co-payment assistance providers)

. Assisted Facilities Manager with development and implementation of

revised workflow for pharmacy technicians.

MEDICINE MART PHARMACY, Lexington, SC 2005-2007

Independent community, compounding pharmacy and durable medical equipment

retailer

Certified Pharmacy Technician

. Assisted in maintenance and documentation of pharmacy inventory levels

. Delivered prescriptions to local long-term care facilities

WALGREEN COMPANY, Greer /Columbia, SC 2004-2005

National retail pharmacy

Certified Pharmacy Technician

. Assisted pharmacy manager with training diverse team to deliver peak

performance

. Ordered and maintained medication inventory and records

. Interacted with insurance providers concerning billing/reimbursement

issues.

EDUCATION

UNIVERSITY OF PHOENIX, Columbia SC Projected graduation date: August,

2011

Bachelor of Business Administration (BBA)

Minor: Organizational Innovations

Grade Point Average: 3.89

Featured author, Essays of Excellence, 2009

SPECIALIZED TRAINING

National Career Readiness Certificate, 2010

Gold Certification

Reading for Information (7), Applied Mathematics (5), Locating Information

(5)

Certified Pharmacy Technician, 2004

National Certification issued by Pharmacy Technician Certification Board

(PTCB)

State of SC Registered Pharmacy Technician



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