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Nurse Practitioner Customer Service

Location:
Ballwin, MO
Posted:
August 01, 2016

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Resume:

Christine S. Helmbrecht, MSN, FNP-BC

*** ******** ***** **. ************@****.*********.*** Home: 636-***-****

Manchester, MO 63021 Cell: 314-***-****

Professional Objective:

Obtain a position as a nurse practitioner, serving families with compassionate care, while furthering my knowledge and expertise in holistic health care practice. I believe my determination, passion, fast learning abilities, solid work ethic, and dedication would be a great asset to any health care organization.

Licensure & Certifications:

Certified Family Nurse Practitioner, State of Missouri Expiration Date: April, 2017

ANCC Certification of Family Nurse Practitioner Expiration Date: March 2020

Registered Nurse, State of Missouri Expiration Date: April, 2017

Basic Life Support Expiration Date: August 2017

Advanced Cardiovascular Life Support Expiration Date: October 2017

Pediatric Advanced Life Support Expiration Date: November 2017

Experience:

St. Luke’s Urgent Care Centers, St. Louis MO December 2015 – Present

Family Nurse Practitioner, PRN

Provide patient care, with collaboration by phone with a designee physician if needed.

Provide care to common acute and chronic illness, including minor trauma, and education to the patient population.

Identify normal and abnormal findings in history and physical exam, order appropriate laboratory and radiology testing supported by evidence based research.

Support and follow most current evidence-based guidelines of practice while providing quality patient care.

St. Luke’s Hospital, St. Louis MO April 2011 - Present

Registered Nurse, Utilization Manager

Provide utilization management, by conducting concurrent daily chart reviews: patient history, symptoms, clinical status, and treatment.

Determine appropriate admitting status by utilizing Interqual criteria for traditional Medicare patients.

Provide necessary information to appropriate organizations to obtain admission and continued stay certification with multiple payers.

Facilitate early referrals to social work, disease management, and finance as needed.

St. Luke’s Hospital, St. Louis MO August 2006 – April 2011 Registered Nurse, Cardio-vascular/Pulmonary Step-Down Unit

Provide nursing care on a critical care division including telemetry, temporary epicardial pacing, chest tubes, tracheostomies, ventilators, and drips (heparin, amiodarone, dobutamine, dopamine, argatroban, nitroglycerin, and insulin).

Member of the Evidence Based Process committee that reviews current procedure/protocols for the nursing staff and updates them as needed based on current clinical evidence and best practice.

Certified by current facility to give and read employee PPD test.

St. Luke’s Hospital, St. Louis MO May 2006 – July 2006

Patient Care Technician, Cardio-vascular/Pulmonary Step-Down Unit

Assisted nurses in providing bedside care of patients in a critical care division.

Great-West Healthcare, St. Louis MO April 2001 – April 2006

Sr. Fee Schedule Analyst

Created, installed, and maintained fee schedule payment set ups for multiple healthcare networks (HCPCS, CPT, and ASA codes).

Assisted with the creation of payment rules in new claims payment system to maximize automated claims processing for multiple healthcare networks.

Reviewed and priced medical and dental claims to ensure a timely and accurate claims payment.

Liaison among Provider Relations offices and vendors/physicians to resolve pricing issues.

Assisted in pricing hospital and facility claims as needed.

Great-West Healthcare, St. Louis MO November 1999-March 2001

Member Service Representative

Provided explanation of medical and dental benefits to members, medical facilities, and physician office personnel.

Handled claims processing and adjustments in accordance with Eligibility and COBRA policies.

Trained new associates on call center phone system and procedures.

St. Luke’s Hospital, St. Louis MO October 1998 – October 1999

Patient Care Technician, Medical/Surgical ICU

Assisted nurses in providing bedside care of patients in an ICU unit.

General American Life Insurance Company, St. Louis MO June 1997 – September 1998

Customer Service Specialist

Medical Management call center coverage for initiating pre-certification of medical reviews and liaison for customers, medical facilities and physician office personnel.

Data entry of demographic information and made service calls to hospital medical records personnel to obtain missing information.

Education & Training:

August 2012 Maryville University St. Louis, MO

MSN Family Nurse Practitioner, December 2014

2011-2012 Maryville University St. Louis, MO

BSN completion, August 2012

2004-2006 Barnes-Jewish College of Nursing & Allied Health St. Louis, MO

ASN, August 1, 2006

1994-1996 Jefferson College Hillsboro, MO

AA – Biology, May, 14, 1996

1990-1994 Ste. Genevieve High School Ste. Genevieve, MO

Diploma, June 4, 1994

Continuing Nursing Education: 12 lead EKG interpretation, Suturing

Training: Medical Terminology Training, Quality Customer Service Training,

Phone Doctor Seminar.

References: Provided on request.



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