Licensed Practical Nurse

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Marilyn Miller

Licensed Practical Nurse

Address Johnston, IL 50131

Phone 773-***-****

E-mail ******@*****.***

Skilled Licensed Practical Nurse offering 30+ years of experience in the field. Strong documentation skills and a firm grasp of compliance requirements. Proficient and caring nursing team member offer years of patient-facing experience. Addresses patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds.

Skills

Documenting intake

Medical office administration

Writing reports

Patient Assessments

Medical Records Management

Case management

Problem-Solving

Patient consultation

Strong clinical judgment

Managing deadlines

Direct Patient Care

Hospice and palliative care

Call triaging

Regulatory compliance

Care Plan Development

Work History

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Sep 2007 -

Dec 2021

Telephone Triage Nurse

Vitas Hospice

• Provided 24-hour telephone support to patients and family members

• Provided medical and pharmaceutical advice for patient's conditions

• Maintained patient's chart accurately

• Dispatched On Call Hospice Nurse appropriately and according to priority

• Provided courteous and professional support under all situations

• Assisted with any requests for DME or medication problems as needed Oct 2005 -

Oct 2010

Managed Care Specialist

Bankers Life & Casualty

• Assessed Plan, Implement & Evaluate options & services to meet the healthcare needs of patients

• Ensured cost-effective outcomes on behalf of Bankers Life & Casualty

• Clinical review & continuation/discontinuation of benefits

• Identified & facilitated required ADL activities and nursing home care

• Educated patients & their families on the disease process

• Assisted with referrals & pre-authorizations

• Provide a point of contact to assist with problem solving

• Initiated discharge planning following hospital stays

• Recommended options for continuity of care

• Customer service for LTC benefits

Sep 2005 -

Dec 2006

Clinical Review Nurse

Illinois Critical Care, Home Health Care

• Performed additional clinic and non-triage nurse duties such as instructing patients in general and specific medical care and health issues and administering or dispensing medication and injections.

• Obtained case history and gathered triage information to determine appropriate avenue for care.

• Advised patients on pre- and post-operative instructions, medication administration and symptoms indicating emergency care.

• Assisted in management of patient utilization of health care system and provided patient education relative to health care needs, use of community resources and responsibilities of membership in managed care. Jan 2000 -

Aug 2005

Authorization Nurse/Care Facilitator

CIGNA HealthCare of Illinois, Chicago, IL

• Pre- certification of inpatient and outpatient surgical procedures

• Clinical review (e.g

• Benefits, procedures and coverage)

• Presentation of clinical findings to Medical Director for review

• Letter creation of approval and denials of request services

• Intake and discharge planning

• Report and prepare cases for Case Management review Apr 2004 -

Jun 2005

MED Jargon

• Medical Chart Review Collection of requested data from medical chart

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Jan 1997 -

Jan 2000

Utilization Review Analyst

First American Group of COS, HMO, Richton Park, IL

• Telephonic Review including discharge planning

• Case Management

• Emergency Triage/Telephone

Jan 1996 -

Jan 1997

Utilization Review Analyst, Intake Coordinator, Triage Nurse, line Coordinator

Unity HMO, Chicago, IL

• 24-hour Emergency Hot

Jan 1994 -

Jan 1996

Surgical Scrub Nurse

Rush-Presbyterian St. Luke's Hospital, Chicago, IL

• Assisted with general emergency surgeries

• Assisted in Eye and ENT emergency cases

Jan 1993 -

Jan 1994

Triage Nurse, line Coordinator

Metro PCP, Chicago, IL

• Hour Emergency Hot-, Crisis liaison for patient, physician and participating facilities

Jan 1992 -

Jan 1993

Review Coordinator

IFMC (Sunderbruch Corp) of, Chicago, IL

• Onsite And Telephonic Review

• Performed retrospective and pre-admission review

• Medical chart audit reviews

• Previous Employment Past 1993 Available Upon Request Education

Jul 1972 -

Jan 1974

Nursing diploma

St. Francis Cabrini Nursing School - Chicago, IL

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