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Medical Records Utilization Review

Location:
Duluth, GA
Posted:
January 16, 2024

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Resume:

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

Johns Creek, GA *****

678-***-****

ad2tpf@r.postjobfree.com

Nekol Goode

SKILLS &

ABILITIES

** ** ******* ********** ********* 17 years of Utilization review. In addition, Chart auditor includes live chart auditing, Transcription, Uploading and scanning medical records. Epic conversion, Inpatient Psych, Travel nurse. Clinics- Internal medicine, Family Practice, Pediatrics. Long term care. Vaccinator. Corrections- intake in County Jail.

EXPERIENCE EPIC CONVERSION- LPN EMORY HEALTHCARE

Cross Country Healthcare, Tucker, GA

11/2022-02/2023

EPIC experience with documentation of phone triage, medication managements, RX renewal, review of the chart, incredibly fluid in message (in-basket) communication and functionality.

VACCINATOR- STATE OF OREGON

Jogan Staffing Agency

07/2022-09/2022

Administer Covid vaccine in various cities, towns in the State of Oregon. Mobile Unit.

CHART AUDITOR- LIVE AUDITING: UNACCOMMPANIED MINORS- HOMELAND SECURITY CONTRACT

Loyal Source- Pecos, TX

03/2022-07/2022

Chart auditor, transcriber in several departments. Intake, Wellness Center, Clinic. Live auditing while physicians are visiting guests for wellness or illness. Charting guidelines were required by physicians and nursing staff, and I had to audit in live time that documentation is accurate and complete for HHS. LPN- STATE OF OREGON

Favorite Healthcare

01/2022-03/2022

Standby nurse for Emergency response team.

LPN CLINIC NURSE, CASE MANAGEMENT, MEDICAL RECORDS- AFGHAN REFUGEE CONTRACT ON DONA ANA CAMP. NEW MEXICO Garda World/Garda Federal, Dona Ana, NM

09/2021-01/2022

Assisted with physician visits, performed treatments as needed, medication administration, Case management. Medical records.

VACCINATOR, OBSERVATION. LPN STATE OF OKLAHOMA

Rhino Healthcare staffing, Chickasaw, Oklahoma

05/2021-09/2021

Covid Vaccination administration, Observation.

UTILIZATION REVIEW- GEORGIA MEDICAID

Alliant Health Solutions, Atlanta, GA

01/2007-05/2021

Reviewed prior authorizations using InterQual/nursing judgement. Reviewed cases for medical necessity for DME, Radiology, Outpatient procedures, Office visits, Inpatient stay, Observation. Auditing. Exp with referring to Referral coordinator and medical director. Appeals.

EDUCATION: ULSTER COUNTY BOCES SCHOOL OF NURSING, PORT EWEN, NY: LICENSED PRACTICAL NURSE 1994



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