Nurse Administrative Assistant
Resume:
Rebecca Rebstad-Peek
Pre Operative Assessment Nurse - LaVeta Surgical Center Orange, Ca.
Anaheim, CA
***********@*****.***
Authorized to work in the US for any employer
Work Experience
Pre Operative Assessment Nurse
LaVeta Surgical Center - Orange, CA
April 2018 to Present
• Review medical records and perform an assessment of each patient prior to surgery for appropriateness of level of care using ASA Anesthesia scoring tool and Goldman Cardiovascular tool.
• Contact 50 to 70 patients daily to confirm current health and medication regimen.
• Contact physicians' offices to request documentation, clearances, lab studies and conservatorship paperwork necessary for surgery.
• Contact appropriate departments to cancel or change date of service.
• Insure documentation and authorization is valid and complete.
• Navigate multiple computer programs for scheduling and determination of appropriate level of care. Medical Claims Review Nurse, LVN
Molina Health Care - Long Beach, CA
November 2016 to March 2018
• Post service review of cases to recover information for services rendered for approval or denial, for In patient stay, Concurrent Review, LTAC, Skilled Nursing, and Out Patient
• Monitor and meet compliance within turnaround time and departmental policies and procedures
• Create, and correct authorizations previously in the system for result of paying claims and managing provider disputes.
• Communicate with all levels of management for deadlines and required audits
• Use Interqual, MCG and ACR tool to insure information meets or does not meet criteria in order to complete tasks in a timely manner.
Skills used
• Time management
• Organizational skills
• Nursing process
• Computer skills with multiple programs and databases
• Multiple uses of office equipment and IT equipment
• Ability to work independently and within a team
Vital Care Case Manager
Regal Medical Group - Orange, CA
February 2015 to August 2016
• Coordination of care for high risk population
• Encourage compliance with all medical appointments
• Communicate with internal and external providers, DME companies and patients as needs change to complete the goals in each care plan
• Monitor comorbidities of members and offer education regarding those conditions
• Review and prepare each case for weekly ICT meeting to discuss options of care with our Interdisciplinary team
• Perform assessments, create Care Plans and maintain a constant case load of 100 plus members ongoing.
Skills Used
• Organizational skills
• Time management
• The nursing process, assessment skills
• Understanding HIPPA, cultural, financial, religious diversities
• Telephone etiquette
• Computer skills to navigate multiple programs and screens simultaneously LVN Quality Improvement and Compliance Coordinator Windstone Behavioral Health - Costa Mesa, CA
April 2012 to January 2015
• Development of treatment plans, knowledge and implementation of coordination of care, uses good clinical judgment and is knowledgeable in assessment, evaluation and implementation of physical health, behavioral health, psychosocial and support needs. Ability to speak with Physicians, Interdisciplinary and Management staff clearly and effectively.
• Health nursing, documentation and authorizations.
• Preparation of documentation, site audits and treatment audit preparation and correspondence for HEDIS and NCQA accreditation.
• Responsible to formally answer all grievances in writing and provide education and contact information for grievance resolutions and appeals.
• Ability to speak with Physicians, Interdisciplinary and Management staff clearly and effectively. Licensed Vocational Nurse
Maxim Health Care Systems - Orange, CA
September 2011 to February 2013
• Working in seasonal Flu Clinic. Providing on-site flu immunizations to local businesses.
• Completing insurance paperwork and reporting to general manager's office.
• Recording data and documentation.
Licensed Vocational Nurse
Bright Star Life Care - Huntington Beach, CA
July 2011 to February 2013
• Medication administration and Documentation.
• Providing in home total patient care and ongoing support to the families and patients. After death preparation
• Final arrangements with coroner, clergy or funeral director. Administrative Assistant/Procurement Assistant
Kroger Manufacturing - Compton, CA
July 2002 to June 2009
Support staff to 3 production managers and 3 quality managers, assist in the management of 60 employees, payroll, procurement raw material and ingredients, outside sales, and inventory audits. Medical Assistant
Harriman Jones Medical Group - Long Beach, CA
January 1991 to July 2002
• Providing patient care and Physician support in minor surgery and office visits in Urgent Care and
• Ophthalmology departments.
• Verified insurance eligibility and worked with health plans and prior authorizations. Responsible for Medicare
• Review process.
Education
Summit Career College - Anaheim, CA
2009 to 2010
Certification
Bryman Academy - Long Beach, CA
Skills
Home Health, LVN, LPN
Certifications/Licenses
Driver's License
LVN
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