HEDIS RNClinical Reviewer

Samantha Hellenga

**** * ****** ***. #***

Colorado Springs, CO 80905

Mobile: 719-***-**** Email: acxmfk@r.postjobfree.com

Objective: Obtain remote, PRN/seasonal, part-time HEDIS study data abstraction position. WORK EXPERIENCE Evicore Healthcare, Colorado Springs, CO 1/2013-present Title: RN Clinical Reviewer Utilize evidence based nursing practice to review and authorize physician and site requests for radiological studies ordered during routine and emergent patient care activities. Skills include the ability to work and educate remotely in an autonomous environment with telephone, data abstraction/chart review, customer service skills, computer skills including typing and vendor specific hardware and computer programs for resource management, patient advocacy, and physician line overflow. Knowledge of ICD-9/ICD-10 coding, cpt coding, Medicare, Radiology pre-authorizations for 40+ insurance vendors used daily as well as participation in performance improvement via quarterly inter-rater testing modules and QA evaluations of written and telephonic studies. Cherokee Nation Business, Lakewood, CO 11/2008-9/2011 Title: RN Trauma Registrar Create, test, set-up and launch on-line status of new trauma registry program. Also, build and maintain the trauma database in a military facility in order to track all trauma in-patients, and the care they receive, from initial injury in the field to state-side medical facilities. Skills include assorted computer programs including Military AIS and ICD-9 coding, Joint Theatre Trauma Registry version 3.0 and 3.2, raw data abstraction, surgical/critical care medical knowledge, self and peer performance review and improvement, biostatistics, data management, medical coding, QA, education/IV course, and problem-solving skills. 3 annual contracts completed as agreed. InVentiv Health, Somerset, NJ 4/2008-4/2009

Title: RN On-Call Specialist Nurse Educator for Ethicon women's Health Division. Travel to assigned locations throughout the United States in the Operating Room to teach an endometrial ablation device/technique/Thermachoice to physicians and nursing staff, troubleshoot equipment and teach adhesion prevention device/Interceed educational in-service to nursing staff for CEU credit. Also, attend assorted education/health fairs for women, insurance companies, and staff in order to educate people regarding the assorted therapeutic interventions available via Ethicon. Gastroenterology and Associates, Colorado Springs, CO 3/2008-11/2008 Title: Staff RN Per diem staff RN for GI Lab. Duties include greet and room patients, prepare and educate them for procedures including IV starts and procedure process, recover patients post-op with discharge teaching and follow-up appt setting. (Contact Supervisor: Yes, Supervisor's Name: Tricia, Supervisor's Phone: 719-***-****) Women's Reproductive Health Clinic, Colorado Springs, CO 3/2007-1/2008 Title: Staff RN Part-time at reproductive health center. Duties included float from Colorado Springs to Denver and Fort Collins to start IV's, review and sign consents, draw/perform/document blood and urine lab tests, perform abdominal and vaginal ultrasounds, administer/document IV conscious sedation during surgical procedures, QA, patient education regarding birth control methods and proper uses, recover and discharge surgical patients, collect and complete statistical information for Colorado Dept. of Health, and triage call coverage for post-op patients. (Contact Supervisor: Yes, Supervisor's Name: Madonna, Supervisor's Phone: 719-***-****) Memorial Hospital, Colorado Springs, CO 5/2000-5/2003 Title: Patient Placement/House Supervisor Per Diem RN in Patient Placement/House Supervisor. Duties include monitoring and directing patient flow for 468 bed hospital including Direct Admits, ED admits, After Care Clinic Admits, OR and Cath Lab Admits, to all floors and critical care areas. Also receiving and forwarding doctor's telephone orders, discharging patients, managing and reporting patient census, initiating room turn-overs, and general assistance to floor Charge RN's. Participated in schedule resolution and peer performance reviews as assigned. (Contact Supervisor: Yes, Supervisor's Name: Amber, Supervisor's Phone: 719-***-****) Assorted Contracts, Southwestern USA 8/1995-1/2000 Title: Operating Room RN Various traveling nurse contracts throughout southwestern United States at Level II Trauma Centers, mostly New Mexico, but also Texas and Florida. Duties included all shifts, all specialties as circulator, scrub, RN First Assist, Charge RN with an emphasis on multiple/poly-trauma cases. Swedish American Hospital 12/1993-7/1995

Title: Operating Room RN Duties: Circulate, scrub, and call coverage at Level II Trauma Center. Including general, vascular, plastic, ortho, peds, podiatry, trauma, foot of heart, organ harvesting following traumatic event, neuro, eye, and implantation of pain devices and PIC line insertion surgical cases under general, regional, and local anesthesia and IV sedation cases. Attend and complete BLS and ACLS classes. (Contact Supervisor: Yes, Supervisor's Name: Roger/Alice, Supervisor's Phone: 815-***-****)

Self-contractor 5/1985-7/1995

Title: Apprentice Electrician Answered road calls via I.A.T.S.E. Local #217 for sound, lights, and carpentry. Duties: unloading/loading trucks for all venues/all shows including rock-n-roll, ice shows, country and western, children's theater, all sports/basketball/hockey, comedy, MTV videos. Ran spotlights and assisted with props during the show. Also completed final inspection pre-show, sound checks, meeting with Fire Marshall pre-show, and trouble-shooting. EDUCATION Northern New Mexico Community College, Taos, NM RNFA certificate Northern Illinois University, DeKalb, IL Bachelor of Science in Nursing Belvidere Senior High School, Belvidere, IL Diploma Licensure/Certificates

2000-present RN license state of Colorado, current with full Nursing Compact status. 1995-1997 RNFA Program, General-Vascular Specialty. 1995-1997 CNOR

BLS current

AFFILIATIONS

Saint Joseph's Nursing Scholarship recipient

Member/Chairperson Lambda Sigma Sophomore Honor's Society ADDITIONAL

Member I.A.T.S.E. #217, theatrical stagehand apprentice electrician, carpenter, spotlight operator, stagehand 1985-1995.

Experience with Word, Microsoft 2007, Microsoft 2010, assorted computer tax programs, and financial computer programs, trauma database programs.

12/2009-Contractor/member recipient of USAISR awarded the 1st "Force Health Protection Award" by the AMSUS.

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