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Amie Lynn Hall, RN CCM AATMC

Key Qualifications: 13 years of working in an acute care hospital, 16+ years of case management, strong patient advocate and assessment skills, excellent written and oral communication skills, proficient computer skills, versatile, assertive, creative, organized, and very detail oriented. Professional Experience:

Areas of performance in acute care hospital setting include: cardiac/telemetry; medical/diabetic unit; respiratory unit; adult oncology/hematology; wound care; neurology; obstetrics (post-partum/newborn nursery; couplet care); rehabilitation; general surgical unit; orthopedics; urology; GYN/GYN oncology and mentoring of nursing students and new nursing graduates.

Additional experience obtained in: bone marrow and solid organ transplant coordinating, claim appeal’s committee, complex case management, contract negotiations with providers, disease management, drafting of department internal process and procedures, drafting of medical necessity preauthorization forms based on clinical policies and internal processes, drafting of policies and procedures of covered and non-covered medical benefits, genetic testing reviews, high dollar/outlier claim reviews, legal nurse consulting, medical coding

(familiar with CPT, DRG, HCPCS, ICD-10), medical case management, medical/mental health utilization reviews

(familiar with InterQual and MCG/Milliman Clinical Guidelines), motivational interviewing, oncology case management, pain management, participation in local oncology task forces and committees, post-payment medical chart auditing, prior authorization requests and medical necessity determinations, professional advisory board membership, program development, quality assurance/control/improvement, retrospective reviews, single case agreements, and staff training.

Employment History:

June 2006 to present Registered Nurse/

Certified Case Manager

Utah Retirement Systems/Public Employees Health

Program, Salt Lake City, UT

June 1996 to June 2006 Registered Nurse Long Beach Memorial Medical Center, Long Beach, CA June 1995 to June 1996 Registered Nurse Suburban Medical Center, Paramount, CA June 1992 to 2003 Patient Accounts Representative/ Registered Nurse

Greater Long Beach Genito-Urinary Medical Group,

Lakewood, CA

Education:

May 1995 (High Honors ASN Degree/RN program Long Beach City College, Long Beach, CA Nursing Licenses and Certifications:

California Registered Nurse License No. 516311

Utah Registered Nurse License No. 772****-****

Case Management Certification/License No. 00144696 Advanced Achievement in Transplant Management Certification (AATMC) References:

References are available on request.