Lynne Brush

*** ***** ******

Ballwin MO *****

314-***-****

ad1aok@r.postjobfree.com

Summary

Summary: Caring and detailed orientated RN for 23 years. Nurse with a demonstrated clinical background, excellent communication skills, attention to detail and recently obtained utilization review experience with Remote Learning Services. I pride myself on having a solid knowledge base, high- level critical thinking skills, and ability to apply evidence-based guidelines during the determination process. My clinical background in critical care nursing has given me the foundation that is needed in utilization review by using my knowledge through experiences in acute and chronic care environments. Skills

● Utilization Review

●Appeals/Denials

● Managed Care

● Medicare/Medicaid

● Knowledge of

Claims/Billing

● Concurrent Reviews

● Retroactive Reviews

● Preauthorization

● Attention to Detail

● EMR/EHR-Systems

● Time Management

● Mentor/Leadership

● Critical Thinking

● Microsoft Office/Excel

● Quality Chart Review

● Medical/Surgical

●ICU step down

●Neurology

●Post surgical

● Rehabilitation/Geriatric

● Care Coordination

● Admissions Reviews

Experience

Meramac Bluffs Lutheran Senior Services (LSS) June 2022 to Present St. Louis, MO

● Worked with healthcare team, to keep residents, safe in their environment

● monitored residence for changes, recorded all data and alerted healthcare team Mercy South November 2020- June 2022

St. Louis, MO

● Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.

● Instructed members and families on compliance with care plans, office visits, and medication adherence to manage the chronic disease effectively.

● Utilized excellent communication and organization skills New Health Care Solutions February 2020 – July 2020 St. Louis, MO

● Assured quality of care by establishing good rapport with patients, family, and hospital staff.

● Kept all patient data secure following HIPPA guidelines. Saint Clare Hospital November 2015 – February 2020 St. Louis, MO

● Reviewed charts and interpret health records while submitting data as ordered.

● Provided excellent customer service and comply with HIPAA confidentiality.

● Educated clients, patients, and caregivers on medical diagnoses and treatment options.

● Responsible for admissions and discharge planning duties with DME ordering at discharge.

Des Pere Hospital

St Louis MO September 2000- October 2015

● Assisted in the wellness coaching of preventative health options to patients/families.

● Worked collaboratively with an interdisciplinary team to provide patient-centered care

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Education and Certifications

RN Mo Compact License

Utilization Review-101, Certificate 4/19/23

Remote Learning Services, LLC, taught by Marie Peppers LPN and Judy Clarke, RN Lutheran School of Nursing

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