Nurse Medical
Resume:
Darla Harmon
Sun City, CA 92586
*************@*****.***
Work Experience
Private Duty Nurse-
Sun City, CA
August 2012-present
. Assessment
. Vital Signs
. Swallowing precautions
. Cueing for swallowing techniques
. Take pt to appointments
Utilization Management LVN
IEHP (short-term assignment)
San Bernardino, CA
April 2012-August 2012
. Review medical records and authorizations/referrals for IEHP direct
. Verify information with Physician's and IEHP direct
. Work with Interqual, Apollo, and UM Subcommittee guidelines
. Review cases to see if CCS eligible
Quality Management LVN
Kelly Healthcare Resources/Riverside Medical Clinic (short-term assignment)
Riverside, CA
February 2012 to April 2012
. Handle patient grievances, review medical charts, HEDIS, and works
with healthcare insurance plans (ie. Managed care, Medi-Cal, Medicare,
HMO, PPO)
. Assist with the evaluation of the medical appropriateness and health
care effeciency as it relates to patients health benefits plan
Clinical Coordinator/Case Manager
Health Care Professionals (Travel Nurse) - Brentwood, TN
November 2010 to May 2011
. Case managed 8-10 cases daily. Additionally reviewed assessments from
field case managers
. Provide ongoing support and supervised over 20 field case managers
. Track patient visits to field case managers
. Work with Windows 7, Excel spreadsheets, outlook, telephonic based
experience
. Manages health care cases efficiently and cost effectively
. Diabetic and nutrition education to geriatric unit
HEDIS Nurse Reviewer
Amerigroup (Travel Nurse) - Nashville, TN
January 2011 to May 2011
. Collect medical records from various doctor offices, which includes
Medi-Cal/Medicare and Managed Care insurances
. Review medical records for specific measures
. Data input of findings for the specific measures
Audit/Appeals Specialist LVN
Universal Health Services (short-term assignment) - Murrieta, CA
March 2009 to March 2010
. As a temporary employee duties included writing medical appeals for
lost monies from working with outside insurance companies (ie. Medi-
Cal/Medicare and Managed Care)
. Doing chart audits and separate charges. Retrieving medical records
from hospitals
. Assist audit/appeals manager with assigned tasks
. Using InterQual system
LVN - Various facilities
Maxim Healthcare- Riverside, CA
April 2008 to March 2010
. Provide primary nursing care to adult and geriatric patients in a 205
bed med/surg unit and on a PACU unit.
. Provide primary nursing care to pediatric patients with severe
disabilities in classroom setting
. Provide instructional information and how to use medical equipment to
parents and children for growth hormones in a home setting
. Responsibilities include nursing care plans, including discharge
planning, patient family education, including emotional support, multi
disciplinary collaboration
. Assigned to frequent charge responsibilities
. Worked in LTC facilities and clinic settings as a charge nurse
LVN-Various Facilites
Valley Healthcare (Travel Nurse)-Sacramento, CA
April 2008 to August 2010
. Provide primary nursing care to adult patients in 1,000 bed
correctional care facility on assignment as a travel nurse
. Provide primary nursing care to pediatric and adult patients in a
2,500 bed correctional care facility on assignment as a travel nurse
. Responsible for written nursing care plans including assessment and
intervention of rapidly changing patient status
LVN - Various facilities
Supplemental Healthcare(Travel Nurse) - Buffalo, NY
July 2005 to April 2008
. Provide primary nursing care to adult patients in 1,000 bed
correctional care facility on assignment as a travel nurse
. Provide primary nursing care to pediatric and adult patients in a
2,500 bed correctional care facility on assignment as a travel nurse
. Provide primary nursing care for geriatric patients in a 185 bed
convalescent facility specializing in vents and trachs
. Responsible for written nursing care plans including assessment and
intervention of rapidly changing patient status
Medical Assistant Instructor
Southeastern Career College - Nashville, TN
July 2002 to July 2005
. Provide instructional teaching to students on back office clinical
procedures and front office procedures
. Responsible for lesson plans, testing, grades, and student retention
. Assigned to frequent charge responsibilities
Licenses
Licensed Vocational Nurse- California license
Education
Bachelors in Psychology
Ashford University - San Diego, CA
2009 to 2011
Diploma
Vocational Nursing. Pacific Coast College - Santa Ana, CA
1990 to 1992
Masters in Psychology
University of the Rockies-Colorado Springs, CO
2012-in progress
Mt. San Jacinto College
RN Program- Menifee, CA
2012-in progress
Skills
IV certified, phlebotomy certified, BLS, Assaultive Behavior Certificate,
Teaching Credential for adult learners
Contact this candidate