Registered Nurse Utilization and Informatics

LYNDA SHINGLETON REX

**** *********** ** *., ********, Florida 33811 H: 863-***-**** ***********@*****.***

Professional Summary

Detail oriented Registered Nurse with experience in multiple clinical settings Clinical and IT system education Health care utilization management, planning and authorization Maintain strong reputation for achieving high level of client and employer satisfaction.

Skill Highlights

Business

Auditing Business process evaluation and improvement Presentation skills Clinical education Utilization of clinical guidelines

IT/ Health care informatics

Microsoft Office Suites as well as multiple claim management systems Database administration Target identification and data pulling Reporting and statistical analysis Expert in Access database creation and maintenance

Clinical

Hospice and Palliative Care Asthma and COPD Educator Multiple Years pediatric experience (NICU) Client physical assessment and treatment recommendation Client education

Professional Experience

Field nurse and clinical preceptor

04/2011 to Current Good Shepherd Hospice

Tampa, FL Field visit Nurse with Hospice Health 24. Preceptor for newly hired nurses Work with patients in their homes for assessment of condition and management of appropriate care plan, consultation with Physician and provision of needed care.

Clinical Educator

10/2011 to 04/2014 Coventry/Aetna Insurance

Tampa, FL Training diverse levels of associates in the utilization of multiple computer software programs as well as training in clinical issues and processes. Analysis of business processes and related metrics with process change suggestion and workflow analysis. Provided training in Hedis, Interqual and Aetna CPB. Development of training materials Development/creation of web based training. Telecommute position

Asthma Disease Manager/ Field Case Manager

06/2004 to 02/2011 AMERIGROUP Community Care

Tampa, FL Asthma Project Design/Asthma Management.

Tasked to create, design and implement a global internal disease management program for asthma and COPD. Employer noted a ignificant decrease in Hospitalizations/costs and an increase in appropriate medications in

program enrolled members. Promotion to Team leader position for team of 3.5 FTE..

Position change

Transition made to Complex, Catastrophic Case Management Position and Utilization Management.

Field visits to member home and involved facilities for Case Management and educational purposes. Determination of appropriate utilization and authorization entry.

Nurse Legal Analyst Independant

Review and analysis of medical records with extrapolation of information used in management of legal action involving major pharmaceutical company.

Inpatient Care Advocate United Healthcare Inc

Concurrent review/ Utilization review. Discharge planning and conservation of resources. Received several productivity awards and a special recognition award for documentation of quality of care issues which resulted in both cost savings and member protection.

Asthma Disease Manager Team Leader Wellcare Health Plans

Development of internal disease management programs for asthma, CHF and diabetes. Clinical lead assistant in the initiation of case management software CCMS (McKesson).

Clinical Nurse Tampa General Hospital

Clinical work in NICU, Pediatrics, Pediatric ICU, Newborn and adult ICU step down unit.Telemetry). Member of the Specialty Staffing Team/Pediatrics (SST) Cross trained to function as fully integrated staff member of any pediatric area

Education

Bachelor of Science: Business/IT Excelsior College Business

Associate of Science: Nursing University of the State of NY Registered Nurse

Technical Degree: LPN Erwin Vocational Licensed Practical Nurse

Licenses

Registered Nurse (Florida) Certified Asthma Educator (AE-C) through the NAECB

01/2008 to 01/2009 Tampa, FL

03/2003 to 06/2004

02/2002 to 03/2003 Tampa, FL

10/1981 to 03/2001 Tampa, FL

Albany, NY, USA

Albany, NY, USA

Tampa, Fl, USA

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