ELISA BOSTICK

*** *** **. ****** ****, Fl. ***** · 904-***-****

adwe1r@r.postjobfree.com · www.linkedin.com/in/elisa-bostick-erb

PROFESSIONAL SUMMARY

Seasoned nursing professional offering proven clinical knowledge, natural interpersonal.

strengths, and technical abilities. Knowledgeable about EMR charting, medication

administration, and interdisciplinary collaboration focused on optimizing patient care.

and support. Quality-focused and efficiency-driven leader.

EXPERIENCE

JUNE 2022- CURRENT

REVENUE INTEGRITY CLINICAL NURSE AUDITOR - BAPTIST HEALTH, REMOTE

Assist service lines in identifying deficiencies to optimize reimbursement.

The Patient Accounts Department is a segment of the revenue cycle, responsible for the billing of hospital and professional claims to insurance carriers.

Performs medical record reviews to establish the accuracy of patient billing, and to monitor departmental compliance to charge policies.

Identifies and recommends corrective actions to departmental Directors when repeated errors or trends occur.

Represents the hospital on issues related to billing, documentation, and reimbursement with third party payers, patients, and hospital personnel.

Responsible for performing job duties in accordance with mission, vision, and values of Baptist Health.

MARCH 2022- JUNE 2022

TRAVEL NURSE, AYA HEALTHCARE – TWIN FALLS, ID

Assumed responsibility for monitoring and reporting condition of post-operative patients.

Reviewed post-operative orders and continuously monitored patients.

post-operative status

Informed patients and families of effective treatment options and at-home care

strategies, enhancing long-term outcomes.

Supported accurate treatments.

Evaluated healthcare needs, goals for treatment, and available resources.

Taught patients how to improve lifestyle choices, dramatically reducing chance of

symptom reoccurrence.

Worked with multiple interdisciplinary healthcare teams to develop, implement.

and manage care plans, ensuring inclusion of patients' individual needs.

Delivered high level of quality care to diverse populations.

Admission and triaging based on acuity to facilitate appropriate department admission.

Followed all personal and health data procedures to effectively comply with HIPPA laws and prevent information breaches.

JULY 2021 – MARCH 2022

CLINICAL NURSE COORDINATOR, Orange Park Medical center

Assumed responsibility for direction and coordination of all unit functions during assigned shift.

Supervised 18-bed unit operations to ensure 100% availability of resources and high-quality nursing care.

Initiated 100% behavioral and medical-surgical nursing care plans to improve patient care standard.

Identified 25%-50% of issues related to staffing, hospital equipment, and adequate supply utilization to

ensure smooth operation.

Maintained detailed records, reports, and documents for analysis of operational efficiencies and workflow.

Analyzed 100%-unit procedures for identification of process improvements.

Performed 100% evaluation of departmental protocols and cases for adherence to compliance standards (JCAHO, CMS, OSHA)

Evaluated 50% of patient-nurse interactions to identify improvement opportunities for maximizing patient satisfaction (Nurse Leader Rounding)

AUGUST 2018 – JULY 2021

CLINICAL REVIEW NURSE, novitas-solutions

Applied clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review.

Managed sustained accountability for 100% reviewing and making medical determinations.

Executed and validated 50% of health claims and levels of payment to meet national CMS guidelines.

Coordinated 50-60 case management accounts with 98% accuracy for three years.

Recognized 99% inconsistencies in internal and external healthcare benchmarking data and implemented action plans to resolve them.

Collected and analyzed 100% provider feedback to drive positive changes that improve quality, safety, and provider experience.

Directed 50% of complex medical reviews to reduce appeals and provider burden.

Conducted 100% provider education to improve adherence to CMS documentation and reimbursement guidelines.

FEBRUARY 2017 – AUGUST 2018

REGISTERED NURSE, Orange Park Medical center

Behavioral/Telemetry

Behavioral/Telemetry unit

Observation unit

Relief Charge Nurse

Preceptor

OCTOBER 2009 – FEBRUARY 2017

LPN/RN, integrity health services

Pediatric home care

IV administration and maintenance

Growth development and monitoring,

Adult and pediatric ventilator management

Tracheostomy care and replacement

DME management

Medication management

EDUCATION

FEBRUARY 2022

MASTER OF SCIENCE IN NURSING (MSN) EXECUTIVE LEADERSHIP, chamberlain university

GPA 3.78/4.0

Dean’s List

Sigma Theta Tau International Honor Society of Nursing, STTI, March 2019-February 2022

APRIL 2019

BACHELOR OF SCIENCE IN NURSING (BSN), chamberlain university

GPA 3.6/4.0

President’s Honors

Sigma Theta Tau International Honor Society of Nursing, March 2019

SKILLS

Clinical Nursing

Coordinating Nursing Care

Nursing Operations

Personalized Care Plan

Coordination of care

Above-average communication skills

Microsoft Office competency

Managed care

ICD-10 & CPT

CMS regulations

CERTIFICATIONS

American Heart Association ACLS Expires March 2024

American Heart Association BLS Expires August 2023

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