Registered Nurse Customer Service
Resume:
Celia Davis
Email: *********@********.***
Address: **** ******** ***** *****
City: Florissant
State: MO
Zip: 63031
Country: USA
Phone: 314-***-****
Skill Level: Experienced
Salary Range: $65,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
Celia Davis, RN
***************@*********.***
Objective
Case management or utilization review position desired to showcase strong attributes of organization, precise and articulate documentation, and working with a multidisciplinary team to reach a desired conclusion for the benefit of all involved.
Profile
* Mature, professional and personable registered nurse with experience in medical surgical, dialysis, and psychiatric nursing.
* Five years of experience with inpatient (adult/geriatric) psychiatric case management.
* Extremely diplomatic, tactful and accustomed to handling sensitive situations.
* Proven ability to interact effectively with professionals and non-professionals with the ability to tailor communications appropriately.
* A developed ability to make others feel at ease in what could otherwise be uncomfortable or difficult circumstances/situations.
* Demonstrated history of producing accurate, timely information required for concurrent utilization reviews relating to inpatient hospital stays and meeting deadlines regarding insurance requirements.
* Flexible, versatile and approachable with the ability to keep a level head under pressure while maintaining some degree of humor.
* Poised, competent and confident with demonstrated ability to thrive in deadline driven environments where all documentation has to be not only accurate but precise.
Skills Summary
Report Preparation Computer Savvy Customer Service
Effective Prioritizing Written Communication General Office Skills
Scheduling Utilization Review Effective Communication
Self-Starter/Motivator
Professional Experience
Position: TELEPHONIC EDUCATION/UTILIZATION REVIEW
* Educate members of insurance and employer groups with chronic conditions in an effort to make patients responsible and knowledgeable enough to play an active role in achieving and maintaining good health.
* Mastered the skill of concurrent reviews - gathering and relaying crucial and pertinent information from hospital charts to reviewers for various insurance companies, in order to support the need for additional stay if needed.
* Highly effective and meticulous charting reflecting patient activity and utilization review accounts.
Professional Experience, continued
Position: FLOOR NURSING/DIRECT PATIENT CARE/CHARGE NURSE
* Excellent bedside care provided for medical/surgical, dialysis, and inpatient psychiatric patients.
* Shift charge nurse rotation.
* House Supervisor as needed.
* Patient advocate - relating to doctors and other staff.
* Daily staffing of patients - meeting with other multidisciplinary team members to ensure continuity of care for the patients, while in house and after discharge.
* Close verbal and written interaction with peers, medical doctors and insurance providers.
Employment History
SSM DePaul Health Center
RN Case Manager, Behavior Health - 4/16/12 to present
Healthways
RN Comprehensive Care Clinician, 1/2007 to 6/16/2012
Christian Hospital Northeast
RN Case Manager, Behavior Health - 6/2002 to 11/2006
Christian Hospital Northeast
Staff RN, Behavior Health - 11/2000 to 6/2002
Fresenius
Staff RN, - Dialysis Center - 4/2000 to 11/2000
Christian Hospital Northeast
Staff RN, - Medical/Surgical - 8/1999 to 1/2000
Med Central Health System
Staff RN, - Medical/Surgical - 6/1998 - 7/1999
Education
International College of Bible Theology - St. Louis, MO
Bachelors Degree in Ministry, 2010
Mansfield General Hospital School of Nursing
Diploma in Nursing, 1998
University of Arkansas at Monticello
Two (2) years 1988 - 1990
Major: Psychology
Minor: Business Administration
Capital City Business College
Certificate in Administrative Secretarial, 1976
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