JENNIFER TURNER

Compact license

Monroe, LA *****

ad18q9@r.postjobfree.com

+1-318-***-****

Well-qualified medical professional with case management experience, experience triaging patients, capturing information, computer documentation and completing basic procedures such as wound care. Seeking a case manager Hedis or work from home Lpn position. Excellent communication, prioritization and multitasking abilities with sound judgment and compassionate nature. Background in clinic, work from home and hospital environments. Ability to collected from medical records, immunization registries, member documents and provider office

Excellent interpersonal and organizational skills Effective problem solving, analytic and communication skills. Professional phone etiquette

Amazing ability to demonstrate

appreciation of cultural diversity and sensitivity towards target population. Authorized to work in the US for any employer

Work Experience

LPN Care Manager

Assure Health - Monroe, LA

January 2023 to Present

Responsible for a 300+ patient case load. Provide remote therapeutic monitoring services to patients, with a specific focus on monitoring — and helping to manage patients’ medication adherence in a remote, virtual-care setting.

Fraud Specialist

Alorica - Monroe, LA

January 2022 to Present

Conducted reviews of flagged transactions and reports that showed potential suspicious activity. Communicated with customers and company personnel, utilizing active listening and interpersonal skills. Input information regarding fraud investigations into detailed reports for submission to clients. Connected patterns for underlying account associations to discover undetected fraud. Determined existing fraud trends by analyzing accounts and transaction patterns. Analyzed and reviewed confidential and highly sensitive investigative material concerning various parties.

Used multiple data sources to derive end-to-end fraud performance metrics. Monitored real-time queues and analyzed high-risk transactions from specified points of sale within business portfolio.

LPN

West Monroe Endoscopy - Monroe, LA

August 2017 to September 2021

Hedis Nurse

Restores and promotes patient health by completing the nursing process. Collaborates with physicians and multidisciplinary team members. Provides physical and psychological support to patients, friends, and familles, Identifies patient care requirements by establishing personal rapport with patients and their ramilias

Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and familles.

Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and hospital or regulatory standards.

• Resolves patient problems and needs by utilizing multidisciplinary tear strategles Collaborate with physicians and providers to assign correct patient statuses, ensuring compliance to CMS guidelines for reimbursement in a 35-bed unit

Review patient charts to determine correct status

Document patient case management plans and identify insurance coverage and sources of payment for treatment and care

.

Identify patient health risk factors, such as allergies, pre-existing conditions, or prior treatment, to anticipate obstacles to care

Pre-op and Post-care

Educated provider and office staff about medical records and clinical standard guidelines. Assisted in defining opportunities for improvement through analysis of patterns and trends. Communicated significant findings, including potential risk management issues to the Quality Management.

Performed on-site medical record reviews.

Adhered to established procedures for scheduling, requesting, and reviewing records while on-site at provider offices and hospitals.

Collected and documented vital signs to track current patient conditions. Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.

Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.

Answered patient and family questions to educate on optimal treatment procedures. Coordinated with doctors and registered nurses to develop care plans for patients. LPN

St. Francis Primary Care - Monroe, LA

April 2016 to August 2017

Lpn Float- worked for several different clinics including: Primary care clinic

Cardiology clinic

Pediatric clinic

Pulmonary clinic

General surgery clinic

Neurology clinic

Urology clinic

Traveled to physician offices as needed.

Communicated as much as possible via phone and fax. Adhered to measured productivity requirements, module testing and at times re-testing to meet minimum requicements.

Performed research on internal claims systems

Developed and shared strategies to accomplish goals. Worked under the supervision of the managed care company internal staff, Designated lead In order to achleve goals and keep the project moving.

Plan for the successful discharge of patients with complex and chronic illnesses, such as congestive heart failure, chronic obstructive pulmonary disease, and dementia Arrange primary care, hospice care, medical equipment for discharges to home care, or coordinate transitions to Assisted Living or Skilled Nursing Facilities Connect vulnerable populations, such as uninsured and homeless, to outpatient healthcare resources Collected, researched and organized

information to use in reviews.

Reported reviews not meeting criteria to peer consultants, including medical directors. Maintained complete confidentiality of protected health information. Communicated with management regarding development within areas of assigned responsibilities. Gathered, entered, and analyzed data.

Collected and documented vital signs to track current patient conditions. Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.

Collected biological specimens and packaged for laboratory transport to complete diagnostic tests. Coordinated with doctors and registered nurses to develop care plans for patients. Administered prescribed medications or started intravenous fluids, noting times and amounts on patient charts.

Sterilized medical equipment and supplies with germicides, sterilizers and autoclaves. Interviewed patients to obtain medical history.

Used sterile techniques to prepare patients for procedures. Charted changes in patient conditions and discussed concerns with supervising healthcare provider. Addressed patient care needs, collected vitals, dressed wounds and managed catheters. Cared for patients' acute and chronic wounds by changing dressings and applying medicated compounds.

Observed strict confidentiality and safeguarded all patient-related information. Inserted, cared for and removed patients' catheters and monitored fluid output. Monitored infection control procedures to verify facility-wide health and safety. Directed implementation of improved patient care and documentation methods and procedures to achieve quality objectives.

Kept EHR updated with patients' vital statistics, tracking metrics and observations about behaviors or responses.

Triaged patients by phone and provided general assistance for basic and advanced needs. Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor. Education

Lpn Diploma in Nursing

Louisiana Delta Community College - Monroe, LA

December 2015 to December 2015

High school diploma or GED

Skills

• Samples collection

Multi-tasking and prioritization

Patient triaging

Healthcare platforms

Staff direction and task delegation

Rehabilitation techniques

Tracking symptoms

Caring for wounds

Empathetic and compassionate

Regulatory requirements

Documenting incidents

Educating families

Assisting physicians

Active listening

Troubleshooting

Conflict resolution

Working from home

Call center

High call volume

Care plans

• Primary Care Experience

• Infection Control Training

• EMR Systems

• Laboratory Experience

• Critical Care Experience

• Vital Signs

• Medical Imaging

• Supervising Experience

• Epic

• Patient Care

• Hospital Experience

• Phlebotomy

• Medical Records

• Home Care

• Venipuncture

• Experience Administering Injections

• Cerner

• Transcription

• Medication Administration

• Nursing

• HEDIS (6 years)

• Document review (6 years)

• Documentation review

• Employment & labor law

• Microsoft Access

• Windows

• Auditing

• Filing

• Quality control

• Databases

• Patient monitoring

• Motivational interviewing

• Analysis skills

• ICD-10

• Data collection

• Typing

• Case Management

• Managed Care

• VPN

• Adobe Acrobat

• Recruiting

Certifications and Licenses

LPN

BLS Certification

CPR Certification

Compact State Nurse License

LVN

CNA

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