Registered Nurse Medical
Resume:
Heather A. Muller
Sayreville, NJ ***72
acg9qd@r.postjobfree.com
OBJECTIVE A case management or related position in nursing utilizing my
computer,
communication and organizational skills.
EDUCATION Felician College
September 2012 - May 2014
B.S. in Nursing, May 2014
Charles E. Gregory School of Nursing
September 2001- June 2004
Nursing Diploma, June 2004
Rutgers University, New Brunswick, NJ
B.S. in Public Health, May 1999
Environment and Public Health, Cook College, New
Brunswick, NJ, 1998
*Chemistry, Toxicology, Biology, Entomology, Epidemiology,
Geology,
Waste Management, Waste Disposal
LICENSES
Registered Professional Nurse
License No. 26NR11637800
Expires May 31, 2016
CERTIFICATIONS Basic Life Support for Healthcare Providers
American Heart Association
Expires February 2016
SKILLS Computer Skills
*Proficiency in WordPerfect 6.0, 5.2 and other
versions
*Proficiency in Microsoft Works, Microsoft Office,
Microsoft Office for MAC
*Knowledge of Microsoft Excel
*Microsoft Windows 98, NT, Millennium, 7,
Mac OS
* Homecare Homebase, SCM
*Internet and On-line literature searches
Strong written and oral communication skills
Heather Ann Muller
EXPERIENCE
Robert Wood Johnson University Hospital
New Brunswick, NJ
Case Manager
October 2010 -October 2011
*responsible for daily insurance reviews utilizing
Miliman criteria or Interqual as needed, insurance
review follow up as needed, responsible for set up
of home healthcare and DME as appropriate. Contact
with physicians regarding treatment plan as
necessary. Knowledge of Medicare and Medicaid
insurance regulations. Knowledge of commercial
insurance regulations.
Visiting Nurse Association of Central New Jersey
Red Bank, New Jersey - Woodbridge Regional Office
Staff Field RN - RN Case Manager
August 2008 - October 2010
*responsible for direct patient care, implementation
of the nursing process
during client care, and follow-up during nursing
services. Experience in wound
care including use and application of wound vacs,
wet to dry dressings and
implementation of company protocols.
Horizon Blue Cross/Blue Shield of New Jersey
Newark, New Jersey
Associate Utilization Analyst
October 2006 - July 2008
*responsible for clinical review of medical records
for determination
of pre-existing conditions on individual and small
group insurance
contracts, presentation of findings to medical
director for review,
knowledge and application of contract language,
knowledge and
application of applicable state laws, knowledge and
application of
company policies as applicable to reviews
Robert Wood Johnson University Hospital
New Brunswick, New Jersey
Registered Nurse - 9 Tower (Trauma, Bariatric Surgery,
Vascular Surgery)
February 2005 - October 2006
*Responsible for direct client care,
implementation of the nursing process during
client care and client follow-up during
hospitalization
Cluster Certification - November 2005 - October 2006
. direct care to clients in the ICU step-down
area of the floor, continuous monitoring of
vital signs including arterial lines, blood
pressures, pulse oximetry
Raritan Bay Medical Center
Old Bridge, New Jersey
Registered Nurse - Telemetry August 2004 - February 2005
*Responsible for direct client care,
implementation of the nursing process during
client care and client follow-up during
hospitalization
Aetna U.S. Healthcare
Cranbury, New Jersey
Medical Claims Specialist, February 2000- May 2002
* Responsible for the investigation and payment
of medical claims according to company
guidelines
*October 2000-July 2001
Target Resolution Team- Responsible for
resolution of consumer complaints within a
specified time interval, usually 24 hours
*July 2001-May 2002
Technical team- responsible for processing of
special plans and resolution of special
projects
References available upon request
Contact this candidate