Care Medical

RESUME

CRYSTAL HARRIS

***** ******* *** #***

WESTLAND, MICHIGAN, 48186

Phone; 313-***-****

*-****-*********@*****.***

OBJECTIVE

To utilize my nursing skills and experience in the health care profession

EDUCATION

Romulus Senior High Romulus, Michigan

Diploma, May 1987

WCCCD Wayne County Detroit/Belleville, Michigan

Area of Study; Prerequisites for Nursing Program

Davenport University Dearborn, Michigan

Area of Study; LPN program.

Completion date: 12/16/05

WORK OF EXPERIENCE

1/2017-Present: ABS MANAGED CARE, BIRMINGHAM, MI

Duties: Review medical documentation and ensure all criteria is met before

medical services are performed. To obtain necessary medical criteria from

different providers to process authorization or denials for medical procedures. Process inpatient notifications and enter into data base to be processed.

3/2014-Present: CARING PARTNERS HOME HEALTH, ANN ARBOR, MI

Duties: Admission and Development of Private Duty Care Plans for Private Duty Clients. Updates to Care Plans of current Private Duty Clients at least every 6 months or when care issues arise. Train and competency check all new Private Duty staff. Perform scheduled supervisory visits for HHA working in private duty. Attend Case Conferences related to new or current Private Duty Clients. Cover the office when scheduler is off and participate in On Call. Answer questions related to Private Duty Services Inquires. Participate in IDT conferences related to Skilled Patient Care. Assist the RN in Case Management of Skilled Care Cases.

High Tech Skills: Manage IV therapy, obtain lab work, Wound Vac changes, Foley Care, med and diet teaching within patient home.

9/2015-12/2015 and 9/2014-12/2014: ARROW STRATEGIES/BLUE CARE COMPLETE

Duties: Care Manager for Blue Cross Complete, contracted by Arrow strategies

responsible for closing HEIDIS gaps with blue cross complete members. Daily visits to member's homes to assist members with setting up missed wellness appointments not made during the year and set up transportation for blue cross complete members. Follow up phone calls to members to ensure care received.

5/2010- 6/2013 OAKWOOD HOMECARE ALLEN PARK, MI

Duties; Visiting LPN, Manage IV therapy, obtain lab work, Wound Vac changes, Foley Care, med and diet teaching within patient home.

8/2007 - 5/2010 VISITING NURSES OF SOUTHEAST MICHIGAN OAKPARK, MI

Duties: Visiting LPN, provide nursing care in patient's home.

7/2006 - 8/2007 WESTLAND CONVALESCENT AND REHAB WESTLAND, MICHIGAN

Duties: Patient care and supervise CENA’s in a Skilled Nursing Facility. Managed schedules and daily workload of CENA’s. Assisted with training of new staff. Participated in Quality and Infection Control meeting and ensured information was implemented in daily work.

7/1990 - 6 /2006 APCOA INC./CITY CENTRAL PARKING ROMULUS,MICHIGAN

Title: Cashier, Dispatcher, Maintenance (Metro Airport)

Duties: Take payment from paying customers upon leaving the airport, assist lost customers and maintain parking lots, dispatch cars from corporate valet lot to corporate customers at the airport terminals.

CERTIFICATIONS

CPR certified since 2005

REFERENCES

Available upon request

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