Resume

Sign in

Customer Service Medical

Location:
Gloucester City, New Jersey, United States
Posted:
August 28, 2017

Contact this candidate

Nancy Johnson, LPN

*** * ********

Gloucester, NJ 08030

(856) ***-****

Highly professional Licensed Practical Nurse, diagnosed with a "Schedule A” disability who has demonstrated continuous growth, achievement and impressive leadership in the health industry.Advance cognitive therapy knowledge and a diverse nursing background allows patients to receive optimum care. Proficiency in the identification and treatment of disorders; ability to think in terms of population management, such as addressing a large clientele in the most efficient ways possible. Knowledge of evidence-based nursing assessments and interventions relevant to medical conditions, ability to make quick and accurate clinical assessments. Experienced with state and government audits, corrective plans, quality improvement and regulatory documentation. Proficient with pre certification approvals using criterias including CMS, Milliman and Interqual. HIPAA compliant home office with several years of working for telecommuting experience. Excellent communication and interpersonal skills serve for the foundation to build and maintaining positive partnerships.

Qualifications

Excellent skills in physical, psychological, and medical assessments. Proficient in patient care, medication and treatment administration, wound care, EKGs, phlebotomy, pre/post op, emergency medical care, and advanced CPR with defibrillation. Patient support including assessment, testing, counseling, education regarding medication and treatment, and laboratory tests. Documentation with care plan, diagnosis and treatment. Computer proficient, BCMA, and electronic documentation. Participate in the admission procedure of individuals. Collaborate with the treatment team so the patient receives optimum care. Organize and develop patient teaching in accordance with diagnosis, group therapy and individual counseling. Extensive management and supervisory experience, government and state security clearances.

EDUCATION

BS in Health Care Management

South University - Savannah, GA 2014 to 2018

Licensed Practical Nurse

Gloucester County Institute of Technology Sewell - Sewell, NJ 1994 to 1995

WORK EXPERIENCE

Precertification Case Coordinator LPN

Cigna Healthspring- Philadelphia, PA 2016-2017. Conduct clinical review to determine medical necessity for services, including home health care, inpatient and outpatient procedures, referrals, radiology testing, therapies, etc., utilizing appropriate guideline/criteria. Managed Care/Medicare/Medicare Advantage. Proficient with diagnostic coding and CPT procedural coding, InterQual and CMS. Computer literacy skills including Microsoft Word, Excel, Outlook, and PowerPoint.

(Telecommute) Licensed Practical Nurse

Publicis Touchpoint Solutions, Inc. – Yardley, PA 2015-2017

Maintain a negative pressure wound care line for Molnlycke Healthcare. Provide customer service, troubleshoot Avance wound system, telephonic wound assessments and triage, and escalate care to the physician or hospital as needed.

Charge Nurse

Dr. Katz - Philadelphia, PA - 2013 to 2014

Provide care to an elderly patient including but not limited to medication, treatment administration, ADLs, companionship, intermittent catheterization. Interacting with patients provides pharmacy, family and friends.

Licensed Practical Nurse

Spectrum Healthcare, Inc. - Philadelphia, PA - 2011 to 2013

Triage patients for urgency of care, immunizations, phlebotomy, renew prescriptions. Liaison between physicians and specialty offices, Assist physicians and medical personnel as needed.

Licensed Practical Nurse

Northeast Treatment Centers, INC - Philadelphia, PA - 2009 to 2011

Administration of Methadone within a maintenance program as well as within the Philadelphia Prison System. Assessment of patients for possible impairment and or medical emergencies. Assist physicians, accept and write verbal orders. Collect specimens, blood draws, and reinstatement of patients after AWOL or hospitalizations.

Charge Nurse

Kirk bride Center - Philadelphia, PA - 2007 to 2009

Supervision of an acute psychiatric admission unit. Medication and treatment administration, admission of both 302 and 201 patients. Staff assignments and coverage when needed.

Licensed Practical Nurse

Philadelphia, VA Medical Center Philadelphia - Philadelphia, PA - 2001 to 2005

Care of our country's veterans, assist with the admission and discharge of patients. Medication and. treatment administration. Crisis intervention, behavior modification and de-escalation of potentially dangerous situations. Physical and mechanical restraints when needed. Assisted in several drug research and ECT sessions.

Nurse Manager

JEVS, Inc. - Philadelphia, PA - 1999 to 2001

Director of several community living arrangements as well as a boarding home. Supervision of several mid management staff and 45 residents. Oversee the complete medical care and ensure the records are in compliance with the states regulations. New staff orientation and monthly staff trainings.



Contact this candidate