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Service Representative Postal Mail

Location:
Herrin, IL
Posted:
May 21, 2023

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Resume:

KS

Kim Sprague

Professional Summary

Results-driven individual with over 15 years of management experience in private sector insurance and acquired medical experience on the other side in areas of patient care and understanding of providing quality care to our customers while enhancing a business' bottom line. Qualified by excellent customer service organization and management skills.

Professional appearance with strong interpersonal skills. Highly effective and comfortable working with people at all levels in an organization. Organized and well-rounded professional with a confident, industrious and adaptable nature. Looking to take on a dynamic role with a growth-oriented operation.

Work History

Choate Mental Health Center - Registered Nurse II

Anna, IL

05/2020 - Present

●Develop patient care plans, including assessments, evaluations and nursing diagnoses.

●Complete monthlies, quarterlies and annuals on designated clients.

●Follow infection control procedures.

●Administer medication and treatment prescribed by MD for one or more units.

●Document necessary paperwork regarding restraints, significant events, injury reports, acute care log, etc.

●Primary care, assessment and evaluation and documentation for designated unit or more as assigned.

●Ensure HIPPA compliance.

SIH - St. Joseph Memorial Hospital - Registered Nurse

Murphysboro, IL

07/2016 - 04/2020

219 Kane Street, Herrin, IL 62948

********@*******.***

618-***-****

Skills

●Training and development

●Background in Private Sector Insurance and Nursing

●Analytical thinking

●Strong customer relations

●Team leadership

●Inter-department collaboration

●Excellent time management skills

●Strong interpersonal skills

●Meticulous attention to detail

●Strategic planning

●Forward-thinking

●Goal-oriented

Education

2016

John A Logan College

Carterville, IL

Associate of Science: Nursing

Certifications

●Registered Nurse in IL, License number 041.442798, Expires 2024

●Documented concerns for physicians to review in advance.

●Advocated for patients by communicating their care preferences to practitioners, ensuring interventions met their goals for treatment and identifying insurance coverage.

●Effective counseling in health maintenance and disease management.

●Developed and implemented nursing care plans, including

assessments, and evaluations and nursing diagnoses.

●Ensured HIPAA compliance.

●Followed infection control procedures.

●Educated patients on procedures and facility processes.

●Self-directed with astute judgment skills. High level of personal accountability.

●Instructed patients and family members on proper discharge care.

●Closely monitored acute conditions.

●Established and maintained effective communication with physicians, patients,

family members, hospital staff, administration, and management.

●Primary care, assessment and evaluation of hospital patients.

●Evaluated nursing practices and processes and made changes.

●Demonstrated ability to lead and motivate outstanding healthcare teams.

●Administered medication to patients according to facility protocols.

●Ensured efficacy of treatments through monitoring of treatment regimens.

●Pharmacological and non-pharmacological management and treatment of various disorders and diseases.

●Chronic patient care in Medical-Surgical unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for up to 7 patients per shift.

●Trained newly hired nurses on hospital practices and procedures.

Marion VA Medical Center' - Program Support Assistant

Marion, IL

12/2013 - 08/2014

●Provided logistical support for MOVE programs, meetings, and events, including room reservations, room set-up, agenda preparation, materials printing and calendar maintenance in multiple states including IL, KY, IN and MO.

●Assisted in the gathering of program data to compose thorough monthly reports.

●Corresponded with clients through email, telephone, or postal mail.

●Assisted senior administrative professionals with daily work tasks.

Blue Cross And Blue Shield Of Illinois - Multiple Positions

Marion, IL

10/1984 - 01/2010

Multiple positions throughout my 25 plus years including Customer Service Representative, Trainer, Provider Telecommunication Supervisor, Workforce Manager, and Provider Education Specialist. Management duties and responsibilities listed below:

●Developed accurate contact volumes, staffing forecasts, and schedules to meet departmental goals and accessibility to our customers.

●Monitored staff performance to optimize resources.

●Facilitate resolution of escalated and complex customer complaints and handled all executive inquiries.

●Identified and facilitated business process improvements to resolve root causes and streamline optimal performance.

●Promote self-service capabilities by educating providers and staff on information access methodology and use of available services such as NDAS online and Interactive Voice Response System.

●Compile and analyze operational data and service level indices in support of provider related initiatives.

●Facilitated Management and Associate Diversity Training.

●Involved in the transitioning to the Standard Operating Model to develop efficient standards of business activity.

●Supervised and coached staff to accommodate our customer needs and quality of work through excellent customer service while enhancing our company's bottom line.



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