Medical, LPN, Microsoft Office, Eclinical, medical marketing, CCM

Susan V. Goodwin Johnson, LPN

*** ********* **** ******, ** 31021 352-***-**** *************@*********.***

NURSING OVERVIEW

Detail-oriented professional with 20+ years of nursing and medical necessity audit experience, a robust work ethic, and the ability to thrive in both individual and team environments. Adaptable multi-tasker equipped with a compassionate approach to patient care. Possesses technical proficiencies, including (but not limited to) Microsoft Office, Go-To Meeting, Webinars, McKesson (InterQual) Online, MCG (Milliman) Online, Lync Network Instant Communicator.

AREAS OF EXPERTISE

Patient Care

Utilization Review

Medical Record review

Medicare & Medicaid

Case Management

Health Insurance Coverages

Professional Health Management

Chronic care management

Healthcare Marketing

Home Health Care

Healthcare Auditing

HIPAA & OSHA

NURSING EXPERIENCE

Liaised between patient, families, and nursing staff to ensure appropriate and efficient in-home care efforts at all times.

Experience receiving, reading, and implementing Physicians’ orders on an individual patient basis.

Implemented field knowledge to review patient medical records and ensure compliance in regards to evidence-based care and appropriate treatment plans.

Prepared prior authorizations for both Medicare and Medicaid and private insurance patients.

Utilized clinical skills/knowledge to successfully perform excellent patient care.

HANDS-ON NURSING EXPERIENCE

Experience caring for patients directly in different medical settings.

Entrusted with the care of multiple units of patients on an inpatient basis including Medical/Surgical, and Cardiac Progressive.

Volunteered to help United States Veterans covering various areas.

WORK HISTORY – LICENSED PRACTICAL NURSE

Oculus Health, Portsmouth, NH (Remote) January 2016 – August 2016

ALTEGRA HEALTH, Atlanta, GA (Remote) February 2015 – December 2015

CARL VINSON VETERANS MEDICAL CENTER, Dublin, GA (Volunteer) October 2014 – December 2015

HEALTH DATA INSIGHTS, Las Vegas, NV (Remote) April 2009 – September 2014

INOVALON HEALTHCARE, Bowie, MD (Remote) November 2008 – April 2009

HEALTH DATA INSIGHTS, Orlando, FL (Remote) March 2007 – November 2008

VNA and ORLANDO HEALTH SYSTEM, Orlando, FL July 1985 – March 2007

EDUCATION

Associate Degree in Behavioral Science. Lake Sumter Community College, Leesburg, FL 1996

LICENSING & CERTIFICATIONS

Licensed Practical Nurse, Current, State of GA and FL

Certification, Inovalon ICD-9 Coding Program

BLS for Healthcare Providers 2016-2018

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