Medical Nursing Assistant
Resume:
Maricopa, AZ *****
Phone 480-***-****
**************@*****.***
Susan Joanne Flores
Summary of Qualifications
I have experience in various administrative and clerical functions; including but not limited to data entry, filing, and operating multiline phone systems. I am highly functional in a deadline driven and time sensitive environment. I have shown the ability to quickly adapt to new processes and procedures. I am proficient with a variety of computer systems software, and have implemented new technology and procedures. I also have a lot of experience and knowledge with medical equipment and terminology, passing medications and assisting with ADLS in the nursing field. Very good team worker.
Objective
To obtain a position with a company that will benefit from my school background utilizing my skills and experience to provide quality and continue to grow and advance.
United Health Military and Veterans Feb 2016- Present
Prior Authorization Coordinator
Making outbound calls to Durable Medical Facilities to see if equipment is provided for members
Coordinating case determination to the appropriate contacts (Referring and Requesting Dr and Members)
Documenting in the appropriate systems and ensuring high quality and accurate information to complete referrals and authorizations
Forward cases needing to be over seen by a physician and nurse to appropriate department as needed
South Mountain Post Acute Dec 2015 – Jan 2016
Certified Nursing Assistant
Assist Elderly with activities of daily living on all levels of care
Monitor and pass medication
Knowledge of most medical equipment used, Hoyer lifts, wheel chair, svn breathing treatments,
Diabetic knowledgeable and orthopedic, disabilities
Menus Nutrition awareness
Outgoing communications with medical professionals
Desert Cove Nursing Home Feb 2014 – November 2015
Certified Nursing Assistant
Assist Elderly with activities of daily living on all levels of care
Monitor and pass medication
Knowledge of most medical equipment used, Hoyer lifts, wheel chair, svn breathing treatments,
Diabetic knowledgeable and orthopedic, disabilities
Menus Nutrition awareness
Outgoing communications with medical professionals
Training and assisting new and current employees
Magellan Health Services Mar 2012 – May 2014
Customer Care Associate I
Work on an operations team that strives to provide first call resolution to a specified set of customers
Answer incoming calls for new and existing authorizations, eligibility, claims and benefits for members and providers
Documenting in the appropriate systems and ensuring high quality and accurate information to callers
Attach faxes that provide clinical to cases
Magellan Health Services Feb 2008- Mar 2012
Customer Care Coordinator I
Making outbound calls
Coordinating case determination to the appropriate contacts (MDO, MEMBER, IP)
Research and attaching faxes to cases
Forward physicians and nurses to appropriate department as needed
Assisting with additional questions as needed from MDO
Audit cases for accuracy
Follow up with MDO if additional information is needed for cases
Test new systems for any errors
Heritage Assisted Living June 2013 – Jan 2015
Certified Caregiver/ Med Tech, Flagstaff, AZ
Assist Elderly with activities of daily living on all levels of care
Monitor and pass medication
Knowledge of most medical equipment used, Hoyer lifts, wheel chair, svn breathing treatments,
Diabetic knowledgeable and orthopedic, disabilities
Menus Nutrition awareness
Outgoing communications with medical professionals
Training and assisting new and current employees
Copper Village Sept 2010 - April 2013
Certified Caregiver / Med Tech, Mesa, AZ
Assist Elderly with activities of daily living on all levels of care
Monitor and pass medication
Menus Nutrition awareness
Knowledge of most medical equipment used, Hoyer lifts, wheel chair, svn breathing treatments, feeding tubes,etc
Additional Job Functions:
Diabetic knowledgeable and orthopedic, disabilities
Knowledge Alzheimer’s,Hospice
CPR and First Aid Certified
Springdale Assisted Living October 2007- May 2011
Certified Caregiver / Med Tech, Mesa, AZ
Assist Elderly with activities of daily living on all levels of care
Monitor and pass medication
Knowledge of most medical equipment used, Hoyer lifts, wheel chair, svn breathing treatments, feeding tubes,etc
Diabetic knowledgeable and orthopedic, disabilities
Menus Nutrition awareness
Outgoing communications with medical professionals
Training and assisting new and current employee
Additional Experience
Medical terminology, Microsoft Office, CMS, Qfiniti
Education
Certified Nursing Assistant License Earned
March 2015, Mesa AZ
Certified Caregiver Certification Earned
August 2003, Chandler AZ
Sun Valley High School Diploma Earned
June 20025, Mesa AZ
References
Available Upon Request
Contact this candidate