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Registered Nurse Customer Service

Location:
Alexandria, VA
Salary:
100,000/year
Posted:
November 27, 2023

Contact this candidate

Resume:

Deborah A. White BSN, RN

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

Baltimore, MD 21228

Home 410-***-****

Mobile: 443-***-****

ad1hf4@r.postjobfree.com

Career Summary

Professional Registered Nurse with experience in clinical nursing that includes Case

Management, Workers Compensation, Outpatient, In-hospital, Home Care and School

Health. My skill set includes but not limited to: problem solver, self-starter, active and effective communication, technical skills (Microsoft, Excel, Vista Imaging, Vista, VATAS, electronic medical records (CPRS-Computerized Patient Records System), TEAMS, Customer Service, Patient Advocacy and Patient Education.

Dual higher education: Bachelor’s Degree in Nursing (1982) and Paralegal Studies (2010)

Characteristics as self-motivation and high reliability are attributes that will contribute to your organization. My goal is to continue career development in reaching my full potential and optimize my professional skills.

Employment History

DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, Perry Point, MD

2018-PRESENT

Clinical Review Nurse -Office of Community Care

(40 hours/ week)

Active review of clinical data, assessment of contributing factors (demographics, eligibility of Veterans’ benefits/coverage) Clinical review of electronic medical records to ascertain determination (approval or denial) of proposed treatments by VA and community-based health providers;

Ongoing and timely communication with administrative staff members once proposed treatment is approved. Primary clinical assignment includes but not limited to specialty areas: GYN, Maternity/Newborn, Interventional Radiology-breast biopsy, Radiology-MRIs, Mammography, Emergency Department, Dermatology, Audiology, Primary care); Secondary assignment may include specialties, but not limited to: Physical Therapy, Chiropractic services, Massage, Lymphedema.

Facilitates timely review and approval of services/treatment/diagnostic testing

related to specialties including Behavioral Health, Ophthalmology, Optometry,

Podiatry, Rheumatology, Acupuncture, Chiropractic, General Surgery, Orthopedics, Home Care, Neurology; Physical Therapy.

Subject Matter Expert (SME) for Women’s Health referrals. Resource contact

(liaison) between Baltimore Office of Care Coordination and outpatient staff

(Physicians, nurses, technicians, etc.) within the Veterans Administration System

and Community health providers;

Active member of the Women’s Health and IVF ART (In-vitro fertilization/artificial

reproductive technology). Both entities meet on a regularly schedule basis to

address related topics and to maintain lines of communication;

Collaborates with work group and actively monitors results of mammography and

Interventional Radiology (biopsies) for members who had diagnostic testing

scheduled through OCC (Office of Community Care).

Facilitator of IVF ART (Invitro Fertilization and Artificial Reproductive

Technology (process from start to completion. Benefits offered eligible

members to receive medical treatment related to infertility. Process involves

review of eligibility, collaboration with VA medical providers/specialists,

ongoing communication with eligible members, active submission of designated

form to OCC group who makes determination of participation;

Preceptor for new employees (4–5-week orientation)

Patient Advocacy-Active communication with Patient Advocate Department and

Veterans in effective resolution of customer concerns and financial disputes.

Accomplishment

Attained recognition from upper management of Office of Community Care

(OCC) because referrals for Women’s Health were addressed above the regional

benchmark (2020-2021).

DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, Baltimore, MD

2016-2018

Risk Manager

(40 hours/week) Full-time

Responsible for the identification and investigation of events that may potentially

lead to patient, staff and/or facility risk.

Responsible to track and trend incidents at four V.A. campuses (Loch Raven,

Glen Burnie, Fort Howard and Fort Meade).

Active participant in the Peer Review Committee process that includes identification of potential events that may be reviewed and presented to the

committee members.

Organization and preparation (agenda, room assignment, pre-briefing meeting

with Chief of Staff) for bi-monthly Peer Review Committee Meetings with

members (Chief of Staff, Service Chiefs, physicians, Nurse Practitioner, adjunct

members).

Responsible for generating Peer Review Committee minutes and distribution of

minutes to voting members for approval.

DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, Baltimore, MD 2008-2016

Home Telehealth Care Coordinator

(40 hours/week) Full-time

Remote analysis of data (vital signs) submitted via home telehealth equipment by participating Veterans. Timely contact via telephone with the Veteran(s) and/or family members, caregivers regarding responses to disease process questions and vital signs. Managed a caseload of 60-100 Veterans with identified primary co-mordities: diabetes, hypertension, CCOPD, CHF and PTSD.

Initial assessment of Veterans’ knowledge of diagnoses/diseases, identified teaching needs for Veterans and family members to control disorders and actively provided disease processes/complications (Disease Management);

Active Case Management that involved interdisciplinary team (patients, family members, care givers, primary physicians, specialty physicians, social workers and nutritionists. Interdisciplinary team goal: Veteran-centered health care to for optimal health while remaining in their home setting and minimize hospitalizations Active participation with the initiative for weight management through Tele MOVE for Veterans.

TRAVELERS, Timonium, MD 2005-2008

Medical Case Manager

(40 hours/week) Full-time

Managed caseload of 60-80 injured workers from initial intake of claims to return-to-work.

Time-sensitive telephonic communication with injured workers, employers, health-care providers for periodic updates on health conditions and return to work status.

Review of medical records from private physicians, ambulance progress sheets, hospital admission notes and diagnostic testing.

Active on-going communication with claims adjusters and nursing supervisor to assist in resolution of cases.

Review of Independent Medical Examinations (IME). Broad knowledge of Maryland and Delaware Workers' Compensation laws.

Accomplishment

Initial assignment included review of routine return-to-work cases (falls, sprains, and strains) and then was promoted to review complex high-dollar cases that involved multiple injuries resulting from automobile accidents, crush wounds, head trauma, burns and high dollar claims.

HEALTHCARE STRATEGIES, Columbia, MD 2003-2005

Health Reach Care Manager

(40 hours/week) Full-time

Managed patient caseload triggered through pharmacy data claims.

Assessed patient medical status and pharmacy output with the primary goal of health education.

Identified knowledge deficits and coordinated follow up with physicians.

P-B HEALTH SERVICES, Baltimore, MD 1997-2001 and 2003

Home Health Nurse III

(24-40 hours/week) Contractual/Full-time)

Managed home-bound patients who were recently discharged from inpatient care due to acute illnesses.

On-going assessment and follow up with patients and caregivers for education about acute illness (diabetes, stroke, heart attack, surgical procedures, and wound care).

Reconciliation of prescribed medications, wound care, nutritional assessment and referrals to multi-disciplinary team. Positions included per-diem and staff status.

SIERRA MILITARY HEALTH, Baltimore, MD 2002-2003

Case Manager

(40 hours/week) Full-time

Coordination of services for Program for Persons with Disabilities (PFPWD) for dependents of active-duty military personnel as related to their disabilities.

Collection, analysis and application of data to approve equipment (glasses, wheelchairs, beds) or services (occupational, physical therapy).

Communication with physician health advisors to determine approval/denial of requests.

FUTURE HEALTH, Baltimore, MD 2001-2002

Case Manager

(40 hours/week) Full-time

Managed patients to facilitate optimal use of their healthcare benefits.

Advocate for patients and families to overcome barriers that hindered medical care.

Utilization review for inpatient hospitalization and conducted disease/case management for patients diagnosed with asthma, hypertension and diabetes.

BALTIMORE CITY HEALTH DEPARTMENT, Baltimore, MD 1997-2001

Community Health Nurse II

(40 hours/week-10-month employment during school year) Full-time

Provided clinical nursing skills to elementary and middle school children.

Supervised school health aides and activities at three schools that included management of daily medication administration, health promotion, maintenance of health records and emergencies.

Field Health Services

(40 hours/week) Full time

Investigated and managed patients diagnosed with infectious disorders (hepatitis, salmonella, and shigella) or those suspected contacts. Patient contact via telephone and home visits. Vaccination of patients for health maintenance and immunity. Management of a community health clinic on a weekly basis.

JOHNS HOPKINS MEDICAL CENTER, Baltimore, MD 1994-1997

Clinical Nurse

(40 hours/week) Full-time

Triaged patients face to face and via telephone for acute illnesses.

Performed treatment procedures (vital signs, dressing changes, immunizations).

Scheduled and registered patients for appointments.

VISITING NURSE ASSOCIATION, Baltimore, MD 1992-1994

Home Health Nurse

(40 hours/week) Full-time

Managed care for home-bound patients that included assessment of bio-psycho-social deficits and development of plan to resolve issues through interdisciplinary interactions.

SINAI HOSPITAL, Baltimore, MD 1990-1992

Clinical Nurse II

(40 hours/week) Full-time

Rehabilitation Unit- Care within an in-patient setting for patients who suffered recent neurological changes due to stroke. Responsibilities included medication administration, patient care, and education for stroke /orthopedic patients.

Cystoscopy Unit-Outpatient operative setting for patients with urological problems. Pre/postoperative care, medical history, health education and assistance to physician during procedures.

WASHINGTON VILLAGE MEDICAL CENTER, Baltimore, MD 1989-1990

Triage Nurse

(40 hours/week) Full-time

Initial patient intake before physician examination, vital signs and health education.

Performed education for patients newly diagnosed for diabetes.

TOTAL HEALTH CARE, Baltimore, MD 1985-1989

Field Nurse

(40 hours/week) Full-time

Case managed patients through home visits. Care involved health assessment, medication teaching and evaluation of related problems.

SINAI HOSPITAL, Baltimore, MD 1982-1985

Medical-Surgical Nurse

(40 hours/week) Full-time

Patient care, administration of medications and education for Medical-Surgical patients from admission to discharge to home.

EDUCATION

University of Maryland at Baltimore, Baltimore County

1978-1980

Nursing Pre-requisite

University of Maryland at Baltimore School of Nursing, Baltimore, MD

1980-1982

Bachelors of Science Major: Nursing

Stevenson University (formerly Villa Julie)

2006-2010

Bachelors of Science Major: Nurse Paralegal Studies

Graduated Cum Laude

PROFESSIONAL LICENSURE

Registered Nurse (RN) issued by the State of Maryland

Initially active 1982; current to date

R079867



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