Medical Device Quality Assurance

SUSAN ELIZABETH JONES, RN, BSN, BA, MA

***** ** **** ******, #*-106, Miami, FL 33186

cell: 305-***-**** e-mail: ************@*****.***

CAREER GOAL To apply extensive experience in medical device quality

assurance, revenue cycle technology products, IT project

management, nursing, compliance, marketing/drug safety

research, and Medicare fraud investigation. Use strong

organizational writing, team-building and communication

skills in a dynamic and challenging environment.

EDUCATION BA in English, Certificate in Marketing, Florida

International University

MA in Technical & Professional Writing, Northeastern

University

BS in Nursing, Columbia University, RN License

SKILLS

. Microsoft Office programs, Business Objects, Siemens and

Cerner-based clinical programs

. Clinical Background, incl. Cardiology, Medical Psychiatry,

and General Nursing

. Medical Device QA with Cordis; knowledge of clinical trials

. Revenue Cycle Technology products, incl. MedAssets' CDM

Master and CrossWalk

. Medical device adverse event investigation and reporting to

Food & Drug Administration

. IT project management from proposal to go-live

. Excellent organizational writing, editing and research

skills

. Proficient in Spanish

EXPERIENCE MedAssets, Inc. Alpharetta, GA [CONTRACTOR at Jackson Health

System, Miami, FL]

1/13 to 11/13 Revenue Integrity Nurse Specialist, Revenue Cycle

Technology

2 Audited patient charts for missing charges or overages to identify

missing revenue.

3 Trained staff on charge capture techniques (including training on new

Cerner-based Infusion charge capture program).

4 Assisted in developing, maintaining and reporting on assigned areas of

the Charge Description Master (CDM) for all three hospitals

in Jackson Health System.

5 Assisted in developing, maintaining and reporting on assigned areas of

the Request Master and Crosswalk programs (charge code

request and supply charge linking programs).

5/10 to 1/13 SafeGuard Services, LLC, (a Hewlett-Packard Co.),

Miramar, FL

Fraud Investigator, Zone Program Integrity Contractor

9 Investigated Medicare practitioners and suppliers to rule out fraud and

recommend administrative sanctions, resulting in millions

of dollars in savings for Medicare.

10 Interviewed healthcare practitioners and facility owners.

11 Analyzed claims and patient data.

12 Researched state and federal regulations for individual and group

Medicare practitioners and suppliers of durable medical

equipment and prosthetic and orthotic supplies.

6/09 to 5/10 Baptist Health South Florida, Coral Gables, FL

Revenue Capture Nurse Auditor

. Audited billed charges against medical records to identify

missing revenue, resulting in substantial savings to

Baptist Health South Florida facilities.

. Educated departments with charging discrepancies to develop

sound charging practices.

12/08 to 6/09 Brand Institute, Inc., Drug Safety Institute, Miami,

FL

Drug Safety Evaluator

. Conducted safety research on new drug names for US and

foreign pharmaceutical companies, resulting in the

prevention of potentially fatal medication errors.

. Created safety reports for companies to submit for FDA

approval on proposed drug names.

1/08 to 9/08 Humana (Behavioral Health Rsch Cntr) Miami, FL

[CONTRACTOR at Univ of Miami]

Personal Nurse

. Worked as a health coach to guide, support and empower plan

members to achieve health goals, resulting in better health

outcomes (telephonic).

. Conducted in-person motivational interviewing sessions to

help members with chronic illnesses or additions achieve

health goals, as part of behavioral research.

7/06 to 7/07 Baptist Health South Florida, IT, Coral Gables, FL

[CONTRACTOR]

Business Technology Consultant with Ascent Solutions, Inc.

. Managed projects involving clinical business systems

(nursing applications), including planning, negotiation,

production, implementation, training and post-live support.

. Managed the 2007 upgrade of the VoiceCare Project (system

for managing patient data and transfers).

. Managed the room and bed changes in Siemens Invision system

for all Baptist Health hospitals.

1/04 to 7/06 Cordis Corporation, (a Johnson & Johnson Company),

Miami Lakes, FL

Product Quality Services Specialist [Complaint

Investigator], Quality Assurance

. Investigated complaints involving cardiovascular,

endovascular, and neurovascular access devices, including

the Cypher Stent.

. Used nursing/clinical knowledge to determine the root cause

of device failures.

. Reported adverse events to FDA via the Medwatch.

. Gained regulatory knowledge governing use of US medical

devices.

6/01 -1/04 Jackson Memorial Hospital, Miami, FL

Nurse Case Manager, Jackson Health Systems Division of

Managed Care

. Worked with patients, families, healthcare providers and

equipment suppliers to assess needs.

. Tracked ER and inpatient admissions with multidisciplinary

team to ensure best use of resources for patients.

. Assisted patients by troubleshooting access to services.

Staff Nurse, Psychiatric ER (CRISIS)

. Triaged children, adolescents and adults needing rapid

stabilization for psychiatric evaluations and alcohol and

drug detoxification.

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