Sally J. Carver, RN, BSN, PLNC

**** ******* *****

Arlington, TN 38002

901-***-****

Email: adwdb1@r.postjobfree.com

SUMMARY OF

QUALIFICATIONS

EDUCATION

WORK

EXPERIENCE

• Twenty-five years of Cardiovascular, Internal Medicine, Critical Care, Assisted Living, Workers’ Compensation Utilization Review, and Legal Nurse Consulting experience combined

• Extensive knowledge and experience in the inner workings of hospitals and the health care environment

• Registered Nurse

• Professional Legal Nurse Consultant certification 2020-2021 Baptist Health Sciences University- Bachelor’s Degree in Nursing, graduated Summa Cum Laude

Memphis, TN

1994-1997 Baptist Memorial Hospital School of Nursing- Diploma Memphis, TN

1990-1994 Houston High School- Diploma

Memphis, TN

2022-Present Varsity Tutors

Nursing Tutor

• Provide tutoring services for nursing students through an online platform. 2018-Present Advance Talent

Remote Analyst

• Review medical and other plaintiff or defense-related records for preparation of a medical analysis, abstract, chronology, overview, executive summary, and/or other products.

• Prepare product(s) in a format which will be of the most value to the client.

• Participate as an integral member of the team to continually improve processes and productivity, enhance technical systems, and to ensure the highest quality of deliverable(s) to the client.

• Perform other duties such as organization of records, data entry, and proofing as required by the workload and deadlines.

2017-2018 CareWorks Managed Care Services

Utilization Review Senior Unit Manager

• Maintain efficient workflow and timeframes by establishing appropriate procedures.

• Maintain all company operational performance goals and quality standards.

• Continually monitor, evaluate, and improve workflow and processes.

• Communicate daily, monthly, quarterly activities of UM Team to Manager of FROI/UM.

• Provide leadership to team members by coaching, evaluating, and providing feedback on performance in a timely fashion.

• Utilize team building and counseling skills with team members to further their professional growth.

• Maintain ongoing Associate Recognition activities through an approved plan.

• Interview and recommend hire of new associates.

• Consult with manager and HR department on potential feedbacks/disciplinary actions and provide to associate in a timely fashion.

• Improve operational performance via analyses of processes and reports.

• Provide/assure timely performance evaluations/reviews on all team members.

• Maintain excellent customer service provided by all team members.

• Coordinate special client needs, such as, implementation, special handling instructions and training.

• Meet with both internal and external customers to identify and resolve issues.

• Contribute to overall department success by identifying and resolving issues. 2012-2017 MCMC, LLC (Merged with CareWorks Managed Care Services) Utilization Review Supervisor

• Supervise 3 RN Nurses Reviewers and 3 Administrative Assistants

• Supervise the processing of their reviews per company and clinical guidelines; ensures productivity, quality assurance reporting, and customer service; and oversees scheduling and coverage issues.

• Supervise clinical and support staff and related performance review including management of productivity standards.

• Provide oversight for clinically related questions or issues that arise for administrative assistants and nurse reviewers.

• Maintain communication and reporting with existing accounts and participate in review meetings and sales meetings as requested.

• Participate in recruitment and staffing as needed.

• Orient and train new staff and create development plans as needed.

• Ensure compliance with State regulations and guidelines as needed.

• Maintain/update applications and approvals as necessary including formal responses to complaints.

• Ensure internal compliance with QA policies and procedures.

• Devote approximately 40% of activities to the Quality Management Program

• Develop quarterly projections for UR volume and tracks reviews by account.

• Participate in database upgrade planning and implementation.

• Participate in program development aspects of new business development.

• Oversee and ensure qualitative requirements are being met as specified by URAC compliance by way of auditing 3 registered nurses and 3 administrative assistants.

• Educate nurses on the best practices and implement innovative procedures to improve the quality of work.

• Provide new-hire training and ensure compliance with policy and procedures. 2012-2013 MCMC, LLC (Managing Care Managing Claims, LLC) Utilization Review Nurse

• Handle 10-12 requests for treatment per day coming from different states, keeping within each state’s time frame and guidelines, and following all workers’ compensation guidelines, and by-laws.

2011- 2013 SomerOak Senior Living

Director of Nursing of Assisted Living Facility

• Manage Licensed Professional Nurses in performing tasks for residents in an assisted living facility.

• Responsible for adhering to state regulations.

• Oversee medication management of residents.

• Support administrator with multiple tasks, provide direction through training and monthly in-services.

• Participate in marketing with case managers and potential resident families. 2009-Present Professional Legal Nurse Consultant

RN

• Examine, review, and analyze medical and nursing issues in a variety of legal cases to assist attorney-clients in discovery, pre-trial motions, depositions, jury selection, etc.

2007-2012 Sedgwick Claims Management Systems

Utilization Review Nurse

LICENSES,

CERTIFICATIONS,

ACCOMPLISHMENTS

• Handle at least 15 requests for treatment per day coming from different states, keeping within each state’s time frame and guidelines, and following all worker compensation guidelines, and by-laws.

2007-2007 Sara Cannon Research Institute

Clinical Research Coordinator

• Fulfill role as a clinical research coordinator for gastrointestinal research studies. 2001-2007 Internal Medicine Associates of Cordova

RN/Assistant Manager - Specialize in Internal Medicine

• Fulfill role of assistant manager, by supervising a staff of 5 medical assistants and 5 registered nurses.

• Personnel, scheduling, and providing direction through training.

• Assist physician with patient care in the office; provide venipuncture; medication administration; 12-lead EKG; assist with flexible sigmoidoscopy procedures.

• Responsible for handling a large volume of patient calls and medical contacts daily.

2000-2001 Methodist North Hospital

RN - Specialize in Cardiovascular Intensive Care

• Responsible for providing nursing care for patients in the intensive care unit, with emphasis on post-operative CABG, valve, and vascular procedures.

• Work daily with pulmonary artery catheters, chest tubes, and ventilators. 1998-2000 Stern Cardiovascular Center

RN - Manager of the Coumadin Clinic

• Responsible for providing daily Coumadin management of approximately 900 patients for 10 physicians of this large group practice.

• Managed all clinical services, conducting blood testing, patient medication information, providing treatment and regulating medication dosages.

• Documented all clinical records and lab values in patient medical records; conducted briefings with physicians to advise on patient progress or condition changes.

RN - Hospital/Clinic Nurse

• Assisted physicians with making hospital rounds by serving as an information and patient monitoring “right arm” to leverage physicians’ time for managing patient information, patient condition, patient progress, patient needs, and patient response to treatment.

• Registered Nurse License- TN Compact State

• Professional Legal Nurse Consultant

• Basic Life Support Provider

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