MOLLY AMMERMAN BSN-RN

Louisville, CO ***** ad4e8y@r.postjobfree.com +1-720-***-**** Licensed in CO, PA, VA Licensed Registered Nurse and Medical Reviewer with experience in many settings including: Long Term, Independent and Assisted Living, Inpatient and Outpatient, Home Nursing as well as House Supervisor. Confidently perform duties including care planning and coordination, admissions, discharges, acute/chronic disease management, and telephonic/electronic care management. Excited to use my extensive knowledge and skills to ensure smooth medical necessity determinations and medical reviews.

● Experienced Registered Nurse, Subject Matter Expert, and House Supervisor. Well-rounded in direct patient care, evidence-based clinical practices; thorough and efficient documentation, proper medical practices.

● Chart audits and reviews as Clinical Reviewer. Direct clinical reviewer experience, performing chart reviews/audits of staff documentation/billing to ensure compliance, completeness, and authenticity; to determine patients' required extent of skilled services and proper services performed.

● Effective Collaborator. Works hand in hand with nurses, other therapy disciplines, case management staff, physicians/assistants, and family members regarding patients' status, level of care, and extent of skilled services required.

CORE COMPETENCIES INCLUDE: Patient Care Chart Review Chart Audits Case Management Quality Improvement HIPAA Policies & Procedures Health Care Services Managed Care Time Management Documentation Multi-Tasking Utilization Review Appeals, Denials Interqual CMS Care Coordinator Prior Authorization pre-service SICC Compliance DME Cost Evaluation Medicare Medicaid Commercial

WORK EXPERIENCE:

Certified Legal Nurse Consultant

Ammerman Legal Nurse Consulting LLC-remote 2020 to Present

● As a Nurse Consultant for legal firms and organizations, performed medical reviews and consultations on proper medical documentation and services performed.

● Assess medical records and analyze legal cases, define the applicable standards of care, sere as liaison between the attorney and health care providers, testifying experts, parties, witnesses and other consultants.

Registered Nurse

Nursa Staffing Services - Denver, CO 2021 to Present

● Managed caseload of complex high risk patients within long term, hospice and behavioral health.

● Developed nursing systems, demonstrating leadership and strong organization, to additional units: assisted living, long term care, short term rehabilitation, and behavioral units.

● Collaborated with an interdisciplinary team, including physicians, case management, rehabilitation staff, to aid in assessment of discharge planning and overcoming discharge barriers within Medicare (CMS) guidelines.

Registered Nurse

Messiah Lifeways at Messiah Village - Mechanicsburg, PA 2022 to 2023

● Collaborated with interdisciplinary teams to aid in assessment of discharge planning and overcoming discharge barriers within Medicare (CMS) guidelines.

● Demonstrates extensive knowledge of Medicare, Medicaid, Local Coverage Determinations

(LCD/LCA), National Coverage Determinations (NCD), and ability to accurately apply utilization review criteria (CMS) when necessary.

● Participated in length of stay interdisciplinary team meetings, aiding in the screening process for medical necessity and appropriate patients.

Virtual Registered Nurse

Wellpath - Remote 2022 to 2022

● Demonstrated ability to work remotely and independently. Via telehealth platform, supported healthcare teams in jails, prisons, inpatient and residential treatment facilities and community care.

Registered Nurse Subject Matter Expert (SME)

BlendEd Learning Consulting - Remote 2021 to 2022

● Demonstrative of strong and up to date nursing knowledge, provided creation and correction of NCLEX questions, RN taxonomy, aided in assessments, and improved learning tools for students. Registered Nurse

Boulder Manor - Boulder, CO 2019 to 2020

● House Registered Nurse for facility - responsible for making appropriate decisions around crises and incident assessments and performing admissions and discharges. Registered Nurse

Maxim Healthcare Services 2016 to 2019

● Performed care management duties within Rehabilitation, Assisted Living, Skilled Care, Independent Living, Memory Care, Long Term,, Short Term Rehabilitation and Behavioral Units Registered Nurse

Community Reach Center - Thornton, CO 2014 to 2016

● Provided psychiatric nursing care with treatment plans, medication management, long acting psychiatric medication injection clinic and crises management. Registered Nurse

Professional Case Management - Denver, CO 2011 to 2014

● Provided home nursing care, implemented clinical practice guidelines regarding dosing administration, protocol adherence, quality, contemporaneous source documents, and safety. Charge Registered Nurse/ House Supervisor

American Correctional Association, Jefferson County Detention Center,CO 2010 - 2011

● Participated in state plan audits, ensuring all compliance measures were met and provided.

● Skilled at overseeing and supervising nursing staff, including resolving staff or resident issues in a professional manner and with multidisciplinary strategies. EDUCATION, LICENSES, CERTIFICATIONS

● Bachelor's in Nursing - Pennsylvania State University, August 1998 to May 2005

● Compact State Nurse License

● Licensed Registered Nurse in Pennsylvania, Virginia, and Colorado

● BLS Certification