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Registered Nurse Medical

Location:
United States
Salary:
95,000 to 100,000
Posted:
November 28, 2018

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Resume:

Wanda Matthews

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

Matteson, IL

Cell: 773-***-****

Home: 708-***-****

Email: ac7tgo@r.postjobfree.com

QUALIFICATIONS:

Work well without supervision

Chemo certified

Ability to prioritize and remain focused on the essence of an issue

Excellent with customer support services

Skilled at learning new concepts quickly while working well with co workers

EXPERIENCE:

11/24/2014-Present United Health Group Lisle, IL

Oncology Nurse Case Manager

CSP and CRS

Enroll members into cancer resource services

Provide information and resources about their cancer

Educate members on Centers of Excellence network

Put contracts in for members into center of excellence to enhance benefits

Support members in making inform decisions about cancer care.

09/19/2016-8/2018 Franciscan Health St. James Olympia Fields, IL

Float Pool Nurse

Medication administration

Documentation in electronic medical record

Float from unit to unit

Nursing Assessment

Direct Patient Care

02/2014-10/21/2014 AIM Specialty Health Westchester, IL

Oncology Nurse Reviewer- Per certify and review for medical necessity for specialty drugs and oncology drugs.

Receive preauthorization requests from front-line intake specialists through direct call transfer.

Conduct initial medical necessity clinical screening.

Determine if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Conduct initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network.

Verbally notify ordering physician or rendering service provider office of the preauthorization determination decision.

Document the results of the initial clinical review and determination in the precertification computer system.

Request additional clinical information as applicable.

Maintain telephone service standards in accordance with pre-established departmental performance metrics.

01//2008 – 01//2014 Loyola Medical Center Maywood, IL

Registered Nurse- Oncology Nurse for seven years working in outpatient and inpatient setting. Giving chemo to a variety of patient with leukemia, lymphoma, cervical, ovarian cancer, post bonne marrow transplant patients, patients with lung, breast, prostate, and pancreatic cancer

Administer chemotherapy inpatient /outpatient

Charge Nurse, documentation in Epic, Preceptor

Change central lines and PICC line dressings

Work in blood draw room, accessing central lines

3/2009-3/2011 Advocate Trinity Chicago, IL

Registered Nurse Registry

Computer documentation

Patient education

Medication administration

7/2007-01/2008 Sedgwick CMS Chicago, IL

Utilization Review Nurse

Evaluates need for alternative treatment through telephonic contact and assessment with service provider –

Documents findings, implements alternative care, continues to evaluate medical necessity of frequency, intensity and length of care with physicians and agency/vendors –

Maintains accurate record system of Utilization Review to include cost savings and data collection –

03/2007-07/2007 Christ Medical Center Oak Lawn, IL

Registered Nurse

Medication administration

Patient education, direct patient care, vent patient

Computerized Charting

EDUCATION:

May 2006 Malcolm X College Chicago, IL

Associate degree in Nursing

March 2015 Chamberlain College of Nursing Downers Grove, IL

Bachelor degree in Nursing

September 2018 Chamberlain College of Nursing Downers Grove, IL

Master’s degree in Nursing/FNP



Contact this candidate