Arlette M. Jacobson, RN III

** ****** ****, *******, ** 10901

cell:240-***-****

ad3ool@r.postjobfree.com

September 2014 to current: JOHNS HOPKINS entities(Hanover building)as an Appeal Nurse Analyst remote for the insurance Priority Partners reviewing clinical documentation, preparing condensed reports for the Medical Director using Interqual Criteria, writing and faxing the Medical Director determination letters to the Hospital or Pharmacy in the OnBase Program.

October 2000 to September 2009: Case Manager/Staff RN II at Providence Hospital, 1150 Varnum St, Washington, DC 20017 Director: Susan Kraeuter: 202-***-**** or 202-***-****. Duties included patients triage to lower level of care, family conferences of long term patient care, end of life issues, utilization review using InterQual/Milliman Criteria for Admission, continued stay, and retrospective reviews in critical care and intermediate care units. Specialized in multi-system failure for long term placement.

September 1999 to October 2000: Case Manager for Professional Service Network Agency, 13975 Connecticut Ave Suite 210, Silver Spring, MD 20906 301-***-****. Concurrent review & discharge planning, using InterQual criteria, monitor provider performance through company information systems and records, patient records, customer service information, Documented data analysis for length of stay and diagnosis related groups (DRGs), and InterQual criteria.

October 1986 to September 1999: Case Management & Claims Review: Telephonic Surgery Charge Nurse at Washington Adventist Hospital, Head Nurse Susan Glover. Assignments included care and education of the newly operated open heart patient on the night shift, such as Coronary Bypass Graft and valvuloplasties. Hospital staff nurse.

15+ years of Hospital Case Management experience, Interqual trained, familiar with Milliman, comfortable with Power Chart and Midas, Epic, e-discharge, outlook and star programs

California license #379112

Maryland #R087882 exp 03/2026

DC License #RN48637

ACLS Certification 12/88

Advanced 12 lead EKG course 3/88

Case management course completed 07/98

InterQual training program 12/98

Education

10/65 - 06/69 junior High Lycee Clemenceau, Montpellier, France.

References available upon request

10/69 - 06/72 High school at lycee du mass de Tess, Montpellier, France.

10/72 - 02/76 Nursing school at L’Ecole d’infirmiere Ambroise Pare, Paris France.

I received my formal training as a registered nurse and graduated with honors.

Afterwards, I was a staff nurse in open heart surgery unit and cardiovascular step down unit in montpellier, France

Dear Sir or Madam,

For a number of years as a critical care RN, I have been assigned to a variety of adult patient care with multiple system failure in intensive care units, cardiac care units & step down units of major hospitals in the DC metro area. In 1992, I learned the home care side of nursing as a visiting nurse using all resources, creativity and organizational skills available to resolve patient needs and comfort.

Through my Case Management experience, I became familiar with the drastic changes in people’s lives and what can be done to improve their quality of life, if not their diagnosis using patience, communication, creativity and critical thinking. I have strong cardiac and oncology clinical knowledge of adult care. I was often told of my ability to find the hidden detail that proved the case.

Today I am an expert at Utilization Review and Medicare appeals with knowledge in both Interqual and Milliman as well as Medicare criteria for Observation vs Inpatient admission status.

I am a quick learner and an independent worker, I am hoping to grow and learn more by seeking a career change as well as using my acquired knowledge to benefit your company.

Sincerely yours,

Arlette M. Jacobson, RN

Utilization review Specialist using Interqual Criteria

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