Registered Nurse, Utilization Review, Claims Analysis
Resume:
QUALIFICATIONS:
Master’s Degree in Business Administration
Bachelor’s Degree Business Management
Associate Degree Nursing
Active and unencumbered RN licenses in FL, TX, and MO
Certified case manager (CCM)
Actively pursuing an Industrial and Organizational Psychology degree (I/O Ph.D.)
Proven abilities in positions of:
Leadership and management
Director of nursing (DON)
Corporate Transitions
Director of Infection Control
Risk management
Policy and procedure development
Design and delivery of staff training and development
Design and development of step-actions
Human resource management
Quality assurance (QA)
Professional and personal skills to interface with others on all levels for positive outcomes
EXPERTISE AND ACHIEVEMENTS:
Excellent problem-solving skills
Research analyst skills
Consistent demonstration of high integrity in decision-making and problem-solving processes
Innovative and creative
Excellent customer services skills
Consumer oriented
Effective communicator
Positive team player
High productivity
Proficient physical and psycho-social assessment skills
MDS and OASIS experience
Claims analyst skills
Adept computer skills
Experienced with MS applications and Excel spreadsheets
Listed in WHO’S WHO of Health Care Professionals 1997
Instructor for state tested nursing assistant program
Design and development of orientation and training programs for medical staff
Certified case manager
Effective collaboration with physicians in development of policies and procedures for healthcare services
EDUCATION:
2011- In progress University of Phoenix Phoenix, AZ Industrial and Organizational Doctor of Philosophy
2009 - 2010 University of Phoenix Phoenix, AZ
Master’s Degree in Business Administration
2004 - 2009 University of Phoenix Phoenix, AZ
Bachelor’s Degree in Business Management
1992 - 1994 Cincinnati Technical College Cincinnati, OH
Associate Degree-Nursing
1986 Butler County Joint Vocational School Hamilton, OH
Practical Nursing
CERTIFICATIONS:
2011 Certified Case Manager National
Contact this candidate