Medical Registered Nurse

ADAN J. FLORES

***** ******* **, *****,*****,**762, 903-***-****, **********@*******.***

OBJECTIVE

Seeking a position that will expand my nursing knowledge, and where I am able to utilize my skills in clinical documentation improvement. I would like to use my clinical experience, in a position to where I can play a role in the success and growth of an organization. Positions that will help advance my career in clinical documentation.

EXPERIENCE

12/1/2012 TO PRESENT

East Texas Medical Center Tyler,TX

CLINICAL DOCUMENTATION IMPROVEMENT PROGRAM, MANAGER

• Coordinated communication between key figures in the success of the program between HIM, Case Management, Physicians, CEO and CFO of hospital

• Efficient in abstracting reports that show progress and production in CDI program

• Financial goals met set by CFO of hospital that was expected based on consultants. CMI increase of 4% in first year of CDI program

• Started with only 2 CDS’s, and 2 years later CDI program contains 10 full time CDS’s

• ICD-10 trained

• Interacted with physician daily, developed and implemented formal and informal physician training regarding CDI program, ICD-9 and ICD-10 coding guidelines

• A strong clinical background and strong clinical knowledge

• Proficient in 3M encoder, Navigant CDI monitor, and trained in 3M CDIS program, as well as Microsoft office

• Ensured proper documentation of discharge diagnoses to completely reflect the patients hospital stay

• An understanding of official coding guidelines and other coding-related knowledge

• Strong leadership skills, superior time management, strong multitasking abilities

• Excellent verbal and written communication skills; critical thinking skills; a team-oriented mindset

12/1/2011 TO 11/30/2012

East Texas Medical Center Tyler, TX

UTILIZATION REVIEW NURSE

• Ensure patient care is provided according to medical necessity of patients

• Worked closely with case managers and stayed current of the patients status

• Analyzed patients’ medical cases by reviewing their medical record

• Responsible for arranging Peer to Peer telephone conferences requested by either attending physician or medical director for insurance company regarding status of patient

• Assisted CMO in writing appeal letters regarding denial of hospital stay

• Aided in telephone precertification for inpatient rehab, nursing home for discharge planning

5/1/2008 TO 11/30/2011

East Texas Medical Center Tyler, TX

CHARGE NURSE/STAFF NURSE LEVEL 1 TRAUMA CENTER

• As charge nurse, oversaw a very busy 16 bed intermediate care unit that included ICU downgrades,post code patients, and post-surgical patients

• Provided responsible patient care including but not limited to trach care, peg tube care, and wound care

• Proficient in rapid assessment in patients

• Educated patients and families regarding patients care and status for discharge

• Provided leardership and supervised 4 other RN’s and 2 PCA’s daily

• Mentored new employees and nursing students

9/1/1998 TO 8/1/2004

United States Navy Camp Pendleton, CA

HOSPITAL CORPSMAN

• Extensive education in advance trauma care

• Maintained medical and dental records for over 1000 marines

• Scheduled medical appts, maintained daily sick call log

• Maintained unit deployment ready, regarding vaccinations, medications, education in field medicine

• Proficient in various medical scenarios in the clinic and field

• Assisted physician in any medical care needed

EDUCATION

8/ 2006- 5/ 2008 Del Mar College Corpus Christi, Tx

Registered Nurse

8/2004-7/2006 Tyler Junior College Tyler,Tx

Degree towards RN

8/1994- 5/1998 Catherdral High School El Paso, Tx

CDI Education

9/2014

3M Retrain of CDI

1/2014-4/2014

3M ICD-10 Education Program

12/2012-1/2013

Navigant –CDI training

CERTIFICATES

RN License Current – 6/2016

REFERENCES

References are available on request.

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