Post Job Free

Resume

Sign in

Data Entry Clinical Reviewer

Location:
Rockledge, FL
Salary:
80,000
Posted:
January 01, 2023

Contact this candidate

Resume:

Ana S. Nunez-Castillo, BSN, RN

adudoi@r.postjobfree.com

https://www.linkedin.com/in/ana-nunez-b241b7a6/

Rockledge, FL 732-***-****

Career Summary: A seasoned Registered Nurse with more than 28-years of proven experience associated with the hospital, including med-surgical and wound care; primary care (HMO), occupational health, quality of care, nursing home and home health. As well management of children with special needs.

Areas of Expertise:

Medical-surgical

Primary Care

Quality Improvement

Case Management

Occupational Health

Chart Review/Audit

Home Health

Letter Writer

Data Entry

EMR

CMS

HIPAA

URAC

Relevant Work Experience:

RN

Pinnacle Home Health, FL, March 2021-Current

Responsible to perform initial visits and complete coordination of client care. Perform accurate OASIS collection.

Report to physician details about patient care as needed.

Attend weekly case conference (on-site or remote). Discussed cases with Case Manager.

Train new staff and supervise LPNs duties.

Case Manager

Encompass Home Health, FL, August 2020-March 2021

Performed visits and complete coordination of client care. Perform accurate OASIS collection.

Consulted physician as needed with the physician and the office giving details about patient care

Attended weekly case conference and monthly case manager meetings.

Supervised LPNs duties.

RN Per-diem

Menlo Park Veterans Memorial Home, NJ, June 2020-July 2020

Responsible for overseeing each patient's overall health and advanced activities.

Supervise the nursing staff. Assist Charge RN with special duties as assigned.

Substitute Paraprofessional

Rahway Board of Education, NJ, Nov 2019-March 2020,

Provided grade-level instructional support to students in the classroom.

Worked one-by-one with students of specials needs and disabilities (autism, down syndrome).

Assessed student’s skills (speech, occupational, physical).

Clinical Reviewer (Remote)

Kepro, FL/OH, Feb 2015 to June 2019,

Performed quality of care retrospective reviews (UM/UR) for CMS in an efficient manner. Collected records data for quality management, helping to increase department numbers of 100 percent of completed records.

Prepared letters for patients, practitioners, and providers in a timely fashion.

Worked with special projects as assigned including data entry.

BSN/RN – HMO

Ashford Presbyterian Community Hospital, San Juan Puerto Rico, Sept 2005 to Oct 2014

Served as a triage nurse for adults and children. Worked as a preceptor for parents and staff.

Helped to organize and transform the immunization program increasing the number to 90 percent of immunized patients at the facility and community.

Collected data for quality management increasing to 95 percent documentation records.

Served as liaison for the Occupational Health program.

Professional Education: From Inter American University, Metro Campus, San Juan, Puerto Rico

BSN - (Magna Cum Laude)

ADN/RN - (Magna Cum Laude)

LPN

BLS

Computer skills: Microsoft Word, Excel, PowerPoint, Outlook, Adobe PRO. ZOOM, TEAMS

digital technology, and ability to work remote in an efficient and productive manner.

Additional skills: Critical thinking, problem-solving, detail-oriented, work with minimal supervision, organized, team player, courteous, manage time effectively, natural leader, excellent communications, multi-tasking, self-motivated, and a strong commitment with clinical excellence.

Bilingual Communication: Fluent formal English and Spanish; oral/written translations.



Contact this candidate