Nurse Account Executive
Resume:
Theresa Y. Vigil
Rio Rancho, NM 87124
adjh2r@r.postjobfree.com
I am looking to work in a professional position with a company that I can learn and grow with. To share my skill set to care for all clients, family members, co-workers with compassion and understanding. To work as a team member and individually as needed. Education:
National American University-Bachelor of Science-Applied Management National American University-Bachelor of Science-Information Technology with Emphasis in Management Information Systems
National American University-Associate of Science-General Education Studies Insurance Institute of America-Associates in Claims Western Nebraska Community College-Diploma-Practical Nurse Work Summary:
Licensed Practical Nurse 1990 to Current.
Nursing homes, Medically Fragile Children, Elderly, Hospice, Intensive Care and Coronary Critical Care, Medical/ Surgical, Oncology. Ventilators,Zoll Pacers/Defib, ART lines, Feeding tubes, NG tubes, Foley insertion and care, wound care, casts and removal of casts. Certifications in IV, BLS, ACLS, PALS, TNCC currency being recertified.
Emergency Medical Technician 1987 to1993. Basic and Defib. Certified monthly on cardiac rhythms, driving ambulances, caring for emergency care for all medical conditions and trauma.
Nurses Aide 1974 to 1990
Working in hospitals. Recovering surgical, newborns, elderly, emergency room, cardiac, general illness.
Working in nursing homes.Care for elderly, baths, feeding, getting dressed, undressed, bathroom duty, turning every 2 hours, laundry.
Insurance:
Multi-line, multi-state-New Mexico, Texas, and Utah, claims representative with emphasis on workers compensation and utilization review. Handle claims from inception to close, including legal, within authority, utilization review of medical care, surgery, rehabilitation, case management-is it reasonable, necessary, related to the condition being claimed? Authorize or deny treatment. Recovery, return to work; and conclusion of claim. All the time looking for cost savings without compromise of treatment. Review of the laws for the three states assigned to and work within the rules, regulations, statutes and laws of the given state. Interpret policies, determine coverages, write estimates for auto and property. Efficient, able to finish work load, multi-task. HIPPA Compliant proficient. Computer Proficient.
Work Experience
Week-day position:
06/2030 to current-Licensed Practical Nurse, Alliance Hospice. Full Time 05/2018 to 05/2020 Gallagher Bassett Services, Senior Resolution Specialist for workers compensation, multistate.
02/2018 to 05/2018-Molina. Utilization Review Specialist. 7/2011 to 2/2018-Claims Specialist for Workers Compensation Claims-New Mexico Mutual Casualty Company
5/07 to 7/2011-Claims Representative, Mountain States Insurance Group, Albuquerque, NM
7/06-5/07-Account Executive, Manuel Lujan Agency, Albuquerque, NM 12/91-7/06-Claims Representative, Mountain States Insurance Group, Albuquerque, NM Week-end position:
12/2018 to Current-Licensed Practical Nurse-Alliance Hospice. 11/1996 to 9/2016-Licensed Practical Nurse-Lovelace Westside Medical Center Emergency Department.
Past work experiences include-phone order supervisor for Cabela’s Sporting Goods. Switchboard operator-supervisor, purchasing agent for medications and supplies and maintaining medical records per state requirements-Lake Lodge Nursing Home. References
Max Parker, RN
House Supervisor
Debbie Smith, RN
New Mexico Nurse Legal Consultants
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