Registered Nurse Medical
Resume:
Ernestine Evans-Nash
Email: abqll0@r.postjobfree.com
Address: *** ********** ***** **** **
City: Frederick
State: MD
Zip: 21702
Country: USA
Phone: 443-***-****
Skill Level: Experienced
Salary Range: $75,000
Willing to Relocate
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
Ernestine Evans-Nash
124 Willowdale Dr. Apt. 23
Frederick, MD 21702
Phone# 443-***-****
Objective
To obtain a position that uses my nurse informatics knowledge and skills in a healthcare setting or within an IT organization.
Education and Training
* Master of Science, Nursing Informatics
Walden University, Minneapolis, MN, 2012
* Bachelor of Science, Nursing
University of Charleston, Charleston, WV, 1992
* Bachelor of Science, Business Administration
West Virginia State University, Institute, WV, 1985
* Registered Nurse, licensed by the State of Maryland
I am a resourceful and detail-oriented Registered Nurse with extensive experience in both clinical care and administrative roles involving operational and financial issues. I provide excellent analyses of healthcare work flows and have implemented electronic healthcare records (Allscripts) within ER departments. I have more than twenty years electronic health experience in mutiple Nursing Documentations and Health Care Business.
Technical Skills
* Proficient in Microsoft Office suite (Access,Word, Excel, PowerPoint), Hospital Billing Coding (ICD-9 and CPT Codes), and Maryland Medicaid Information System (MMIS), Smart Draw Software Management Planning, SQL, project management software, creating data structures, managing data, generating reports, trouble shooting and reconciliation of errors
* Excellent written and verbal communication skills
* Thorough understanding of clinical applications with IT systems, able to work independently to meet electronic health care deliverables compliant with hospital policies and procedures
* Excellent adult educator
* Superb interdisciplinary team worker with exceptional communicaiton skills with medical staff, hospital adminstrators, and IT team programmers.
Professional Experience
Charge Nurse RN April 2010-current
Department of Juvenile Justice Medical Department, Maryland
* Manage daily clinical operations
* Triage and treat youths` injuries, and manage clinical emergencies
* Administer medications and immunizations
* Update patients` electronic medical record (ASSIST & IMMUNET)
* Attend and participate in nursing and treatment team meetings
* Educate non-medical and medical staff regarding youths` medical diagnoses and treatments
* Participate in interdisciplinary team meetings consisting of psychiatrists, physicians, behavioral health specialists, anbd juvenile justice personnel to provide youths care within a controlled setting
Nurse Reviewer II
Department of Health & Mental Hygiene May 2006-2009
Office of the Inspector General, State of Maryland Baltimore, MD
* Provided consultations and recommendations for medical assistance, including investigation of cases for possible abuse or misuse by providers for cases referred by the Inspector General`s office
* Applied extensive knowledge and research of medical information, ICD and CPT coding and regulations application of electronic health documentation, in addition to medical, surgical, and pharmacological data in evaluations of case details
* Prepared reports for use in appeal hearings for program integrity manager and served as a medical advisory resource for provideres, recipients, and non-medical personnel for resolution of issues
* Consulted on a regular basis with administrative personnel, staff specialists, staff health professionals, attorneys, and program integrity manager for coordination of programs, information, and potential actions
* Performed various audits and exit interviews with third-party auditors and coordinated audit review sessions with department directors to resolve issues uncovered in audits
* Recouped revenue over payments discovered through use of extensive medical billing coding knowledge from Maryland Medicaid providers` claims
Nurse Auditor May 1997-May 2006
Sentara Hospital Suffolk, VA
* Reviewed charges on a sampling of outpatient and in-patient accounts to ensure accuracy of billing information in comparison with medical record documentation (Meditech)
* Performed defense audits and conducted exit interviews with third-party auditors.
* Directed review sessions with department directors to correct problems revealed in audits
* Coordinated with insurance representatives to resolve billing questions and claims forms accuracy issues; consulted with billing office manager and staff regarding questions related to clinical care
* Discovered and reclaimed millions of dollars in ER revenue lost to technical information program errors in billing process (CPT) codes when these did not transfer to patients` billing statements
* Increased capture of Physical Therapy department Medicare revenue by thousands of dollars by improving documentation procedures in Meditech
* Improved insurance payment receipts by challenging insurance denials with supporting medical documentation (Meditech)
* Reported weekly to senior management (CFO, Business Office Manager, and Medical Records Director) on health care business issues and department revenues related to procedure documenation/coding and billing related to CMS policies
* Demonstrated and educated hospital`s essential stakeholders about the importance of managing and updating deparetments` charge masters
* Impleamented Electronic Documentation System (Meditech) in ER department
* Worked closely with IT department to generate and implement health information data
Additional Experience and Practicum
* Kennedy Krieger Institute, Baltimore, MD 2012
* Developed computerized nursing clinical documentation forms
* Worked closely with IT personnel to target electronic health records documentation issues
* Tested efficiency and quality of hardware/software programing prior to putting it into production
* Implemented new electronic documentation forms
* Experienced in EMAR/Nursing Doucmenation (Allscripts, Medictech, IMMUNET, and ASSIST)
* Work flow analysis & Project Managemnt
* Participatied in interdisplinary team meeting with Kenndy Krieger Institute`s Chief Informatics Specialist, business administrators, and Medical Records Manager
* John Hopkins Nursing Informatics team meeting, provided Health Informatics Updates
* United States Navy Nurse (Medical Surgical, CCU/ICU, and OB), Portsmouth Naval Medical Center, John Paul Medical Center, Portsmouth, VA
Technical Skills
* Proficient in Microsoft Office suite (Access,Word, Excel, PowerPoint), Hospital Billing Coding (ICD-9 and CPT Codes), and Maryland Medicaid Information System (MMIS), Smart Draw Software Management Planning, SQL, project management software, creating data structures, managing data, generating reports, trouble shooting and reconciliation of errors
* Excellent written and verbal communication skills
* Thorough understanding of clinical applications with IT systems, able to work independently to meet electronic health care deliverables compliant with hospital policies and procedures
* Excellent adult educator
* Superb interdisciplinary team worker with exceptional communicaiton skills with medical staff, hospital adminstrators, and IT team programmers.
Contact this candidate