JEWEL HIGGS RN

**** * ****** ******, ********, MD, 21009 • 443-***-**** • adrx1k@r.postjobfree.com Established and professional Registered Nurse with 28 years of experience in Critical Care, Oncology, Rehabilitation, Geriatrics, Homecare, IV Therapy, Remote work and Management. Motivated to leverage my experience and knowledge to effectively work in Care Management, HEDIS Data Abstraction, Remote Patient Monitoring and /or Preventative Health. Chronic Care Management

HEDIS/Data abstraction/Hybrid 2021

Remote Patient Monitoring

Preventative Health

Motivational Interviewing

Wellness Coaching

Medicare/Medicaid

EMR/EHR/Various systems

MS Office/Excel/Outlook

Critical Thinking

Attention to detail/Outstanding Organization

Excellent Customer Service

Care Coordination

Experienced Remote Worker

HIPAA Regulations

NCQA Standards

Critical Care ICU

PACU/IV Therapy

Transitional Care/Med. Surg.

Rehabilitation/Geriatrics

Oncology/Hospice

Home Health/Dialysis

Team Leader/Preceptor

Intake/Admissions/Discharge

Case Management

Utilization Review/Billing/Coding

Medicare CMS-Software approved - Medicare Care Management, Remote Patient Monitoring, HEDIS 101/Data Abstraction Certificate of Completion - 2021

Medicare Chronic Care Management-Remote Learning Services, LLC. - Internet Nursing - Associate of Science - 1994

Essex Community College - Baltimore, MD Remote Clinical Triage Nurse February 2022 to present. HealthHelp WNS Houston, TX. Triage injured employees that are workman's compensation.

Review Nurse for the BFCC NCORC Contract - July, 2019 to January, 2020 Avar Consulting Inc. - Rockville, MD

Complete comprehensive review of medical records to determine medical necessity, appropriateness of utilization and /or coding, quality and patient safety issues in accordance with the pre-established criteria and refer to the Medical Director(s) or peer review as required. Identify areas in criteria for potential modification and make appropriate recommendations. Performed desktop medical reviews.

Interpret and apply coverage and payment policies, standards of care and/or utilization review criteria, as applicable to specific position. Private Duty Critical Care Registered Nurse - December, 2007 to December, 2009 Self - Abingdon, MD

Monitor vital signs and other critical measurements for low to high acuity patients under home care services. Administer medication, treatments, dressings and other nursing services according to physician's instructions and condition of patient. Applied independent emergency measures to counteract adverse developments and notified physician of patient's condition. Provided guidance, information and support to families, physicians and community services. Gave information or health education to patient's family regarding treatment of patient and maintenance of healthful environment. Supervised home health LPN trainees and home health care aides. Professional Summary

Skills

Education

Work History

Critical Care Registered Nurse - April, 2011 to January, 2018 Self/Multiple Maryland Hospital Critical Care Units - Kingsville, MD Practiced weekly share days in multiple critical care units in Maryland hospitals to keep skills current. Charge/Facility Supervisor Registered Nurse - June, 2009 to March, 2011 Genesis Brightwood-Long Term Care Facility and Rehabilitation Center - Baltimore, MD Served on committees to improve and standardize practices and procedures across all nursing stations at the facility. Was in charge of implementing and monitoring care plans, as well as evaluating, recording, and communicating individual patient conditions. New employees were guided and educated on company processes, protocols, and filing systems. Reviewed care plans and ensured that JCAHO, Medicare, and Medicaid guidelines were followed. Assisted patients in achieving higher standards of living through effective ADL coaching and assistance. Provided direct patient care in order to improve patient comfort as well as their psychological, social, and spiritual well-being. Oversaw patient nursing care and took part in patient and family education. Vaccinated patients to protect them from diseases such as measles, pneumonia, influenza, and other serious illnesses. Charge/Critical Care Registered Nurse - January, 2009 to May, 2009 Maryland General Hospital - Baltimore, MD

Provided care for patients with an adversity of life-threatening illnesses. Worked with patients who were intubated or ventilated, monitoring and reporting on their conditions in order to keep their stats at optimal levels. Determined the need for appropriate lab tests, ordered them, obtained them, and interpreted the results. Coordinated with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems. I've shown that I can lead and motivate excellent healthcare teams. Oversaw the nursing department's activities to ensure that the right clinical and support staff were on hand to care for the residents. Charge/Staff Registered Nurse ICU - October, 2001 to December, 2006 Upper Chesapeake Medical Center - Bel Air, MD

Provided care for patients with an adversity of life-threatening illnesses. Duties included assessment and care of critical cardiac, respiratory, neuro, medical and surgical patients. Responsible for continuous monitoring of vital signs, central lines, arterial lines, interpretation of arrythmias, administration of vasopressors and cardiac drugs, maintaining ventilator support, monitoring sedative and paralytic drugs, chest tubes, hemodynamic monitoring and documentation in medical records. Worked closely with physicians, assisting them in treatments/protocols of critically ill patients, IV therapy, patient/family teaching and preceptor for multiple new employees.

Nominated for Service Excellence Award for entire hospital. Represented ICU in Senior Leadership Forum

Repeatedly commended by patients and supervisors for outstanding quality of care. Agency Critical Care Registered Nurse - July, 1999 to January, 2021 Critical Care Professionals, Inc. - Towson, MD

Traveled to many Maryland hospitals providing support as a Registered Nurse in multiple ICU's. Charge/Staff Registered Nurse - October, 1995 to April, 1999 MedStar Union Memorial Hospital - Baltimore, MD

Served as charge nurse caring for patients with life threatening illnesses. Supervise and monitor nursing staff, distribute patient care assignments and notify nursing supervisor of staffing issues. Managed and implemented direct patient care for critically ill patients. Population consisted of critical medical, surgical, cardiac, respiratory and neuro patients. Contributed substantially to successful JCAHO accreditation within the ICU. BLS, First Aid and Blood Born Pathogens 2022

Registered Nurse in [MD], License number [R122352], [2022] Certifications