Customer Service,Practical Nurse, Quality Improvement
Resume:
*** ********** ***** **** ***. *C
NorthEast, Maryland 21901
***********@*****.***
Michele J Hadwin
SKILLS
●Critical Thinking
●Decision Making
●Medical Recordkeeping
●Accurate Documentation
●Creative Problem Solving
●Nursing Documentation
●Attention to Detail
●Specialized Healthcare Referrals
●Clear Patient Communication
●Strong Customer Service Skills
●Nursing Performance Assessment
●Independent worker and can work as a Team
●Self driven
●Experienced in dealing with Insurance Companies ● Remote Experience
EXPERIENCE
Serenity Health Care, Aberdeen, MD — Dispensing Nurse
August 2021 - October 2021
●Dispensing Methadone outpatient per physician’s orders.
●Keeping accurate counts of Narcotic being ordered, present in the safe and amount given per Client.
●Admitting Clients to the program if applicable.
●Making phone calls and using EMR to keep track of doses that a client receives.
Recovery Centers of America, Earleville, MD — Charge Nurse
December 2019 - September 2021
●Coordinated nursing care on unit through staff assignments assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments.
●Trained new nurses in proper techniques, care standards, operational procedures and treatment implementations.
●Monitored nursing care, patient assessment processes and treatment implementations.
Laurelwood Health and Rehabilitation, Elkton, MD — Clinical Reimbursement, Quality Assurance Nurse December 2013 - April 2019
●Corporate compliance issues(abuse, incidents)documentation.
●Notification of compliace issues to proper areas as well as state contact.
●Customer compliance (patients, families, new applicants and co- workers) ● Remote work when needed as well as telephonic use.
●Clinical Reimbursement via MDS, Obtaining Medicare and managed care authorizations remotely and telephonically.
●Performed new applicant interviews and had input in hiring decisions.
●Lead clinical advisor on the floor.
●Performing audits preparing for annual state surveys. Monthly auditing and heading Quality Assurance meeting with all department heads.
Pinnacle Rehabilitation Health and Rehabilitation, Smyrna, DE, —
September 2007 - December 2013
Clinical Reimbursement, Quality Assurance Nurse, Corporate Compliance
●Counseled committees and department heads regarding compliance risks and standards.
●Enhanced regulatory, strategic and operational performance to keep in alignment with deadlines.
●Collaborated with sales and marketing and other business units to address indications of improper sales practices and market conduct violations.
●Managed practical action plans to respond to audit discoveries and compliance violations.
●Monitored data export from internal and external systems, identifying and reporting potential risks.
●Played a key role in development and launch of Point Click Care (EMR), providing research and development of training requirements and securing approval for implementation.
●Developed and implemented internal control tests to verify employee compliance with established policies and procedures.
●Liaised with risk management, internal audit and employee services departments to direct compliance issues to appropriate channels for investigation and resolution.
●Performed comprehensive analysis of registrations for securities and insurance programs.
●Oversaw proper maintenance and dissemination of filing documentation as well as records and reports for review by various departments.
●Improved company policies and standards to outline ethical, safe and efficient procedures.
●Remote working from home when deadlines were coming close to being due.
●Maintained updated information in organizational database, covering amounts, collections and status used by nurses, CNA, Administration, Billing office, Human Resources, Maintenance, Infection Control, State Preparedness, Keeping MSDS Book updated andlocated on each unit.
●Prepared training programs to improve compliance at all levels, Trained all new employees and required yearly training for 100% staff.
EDUCATION
Cecil College, North East, MD — Prerequisites
June 2018 - August 2018
Cecil Vocational School, North East, MD — Licensed Practical
Nursing
August 1991 - July 1992
Northeast High School, North East, MD — Honors Plus High School
Diploma
September 1991 - June 1992
LICENSES and CERTIFICATIONS
●Licensed Practical Nurse Compact License 1992 - present
●Basic Life Support Certification 2020 - present ● RAC-CT through AANAC 2012 - present
**Personal References available upon request.
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