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Quality Assurance Nurse

Location:
Lexington, KY
Posted:
October 28, 2012

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Resume:

Linda Yocum

Email: abpc1j@r.postjobfree.com

Address:

City: Lexington

State: KY

Zip: 40515

Country: USA

Phone: 502-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Professionally trained Nurse In The Managed Care field with experience ensuring high standards of culturally competent care for wide variety of patients with diverse needs. Emergency/Trauma and Long Term Care background,with astute clinical Judgment and Broad background in Case Management. Medicaid Managed care: All levels Of Managed care with Medicaid In the State Of Kentucky, Familiar with A variety Of Physician And facility Guidelines And Quality Assurance Guidelines. Pharmaceutical Medicaid Managed care Concurrent review Medicaid Managed care Prior Authorization Medicaid Managed Care Provider relations Criteria Training Provider relations Trained In Level 4&5 Sub Acute Level Hospitals As well As long Term Care And Rehabilitation Hospitals Kentucky ARH Hospital Awareness Program Training DRG Kentucky Hospital Training

Educational Background:

High School Dipolma from Blugrass Co & Tech, Danville KY 1/2001 to 1/2009 (Nursing)

Job History / Details:

Professional Summary

Professionally trained Nurse In The Managed Care field with experience ensuring high standards of culturally competent care for wide variety of patients with diverse needs. Emergency/Trauma and Long Term Care background,with astute clinical Judgment and Broad background in Case Management.

Medicaid Managed care: All levels Of Managed care with Medicaid In the State Of Kentucky, Familiar with A variety Of Physician And facility Guidelines And Quality Assurance Guidelines.

Pharmaceutical Medicaid Managed care

Concurrent review Medicaid Managed care

Prior Authorization Medicaid Managed Care

Provider relations Criteria Training

Provider relations Trained In Level 4&5 Sub Acute Level Hospitals As well As long Term Care And Rehabilitation Hospitals

Kentucky ARH Hospital Awareness Program Training

DRG Kentucky Hospital Training

Licenses

PALS - Pediatric Advanced Life Support

ACLS - Advanced Life Support

BLS - Basic Life Support

CMR - Certified Medical Representative

Interqual Criteria Certification

Hedis Trained Certification

NCQA Qualified Certification Training

Associate Degree In Applied Science In Nursing

Associate Degree In Technical Studies

Member National And Local Chapters Of Emergency Medical Nursing

Member National Oncology Association (Local Chapter)

Served As Mentor For Bluegrass Co & tech College Systems Mentor Program For Oncoming New nurses.

Skill Highlights

Clinical experience

Charge Nurse Golden Living Center.

Charge Nurse Fort Logan

House Supervisor Golden Living Center Stanford

Relief Nurse/ICU ER Critical care, And Long term care.

Case Manager

Prior Authorization Nurse

Concurrent review Nurse

Radiation Oncology/Danville Ky Radiation Clinic.

Manager Of Medical Management KSHP, Kentucky Medicaid

Palliative care

Geriatric treatment

Psych and mental health care

Diabetes and nutrition

Oncology

Preceptor

Compliance reporting

Strong clinical judgment

Wound Care In the Diabetic Patient.

Wound vac Settings.

IV Infusion ATB Drugs.

IV Infusions In The Diabetic patient.

Long Term Care/ Palliative care In The Dying Patient.

IV Administration In Palliative Care Of Oncolgy Patients

Professional Experience

10/27/2012 12:00:00 AM

Golden Living Centers Stanford, Kentucky

Charge Nurse/Nursing Supervisor

Oversaw and managed Multiple clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.

Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and orient patients to unit.

Directed the new hire LPN program. Recruited, hired, led training and management.

Education and Training

2003 Blugrass Co & Tech Danville, Kentucky

Nursing

Coursework in Hospice and Palliative Nursing and Gerontology

Diabetes Management coursework

Continuing education in Mental Health

Women's Health training

Advanced coursework in Oncology

Coursework in Acute Care Nursing

Continuing education courses in Emergency/Trauma Nursing from Bluegrass Community And Tech College.



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