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Nurse Medical

Location:
Menifee, CA, 92586
Posted:
March 16, 2013

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Resume:

Darla Harmon

***** ******** **. ** ***

Sun City, CA 92586

951-***-****

abopxx@r.postjobfree.com

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



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