Data Entry Review Nurse

Sycilia T Banks

Cell: 813-***-**** Email: *******@*******.***

Summary/Skills

-7+ years of customers service in fast pace environment inbound and outbound calls.

-Proficient in telephonic navigation of complex medical conditions and treatment pathways.

-Ability to multitask proficiently, use critical thinking and decision-making skills.

-Strong written and verbal communication skills with the ability to listen well.

-Proficient in MC Office, Outlook, Excel and PowerPoint. Home office remote capability. Experience

Banyan Medical Systems, Tampa, FL Review Nurse (Hybrid) June 2022 to Jan 2023

-Answer inbound and make outbound calls resolving inquiries concerning admissions and discharges.

- Manages client concerns by conducting and responding to complaints, grievances and appeals.

-Communicate with staff, patients and family ensuring the facility offers the highest level of patient care.

-Review clinical information assessing medical necessity and appropriateness of the treatment setting. Salus care/NTH, Fort Myers, FL Charge Behavioral Nurse (Onsite) contract July 2021 to June 2022

- Oversee and nursing evaluation of data entry of admissions for Behavioral Health clients pediatric, adult and geriatric experiencing mental health illness, suicidal ideation and substance disorders.

-Lead in de-escalating patients experiencing mental health crisis. Request physicians’ orders.

-Communication with team and work collaboratively to provide care that exceeds patient’s needs. Chapters HealthCare, Tampa, FL Case Coordinator (Hybrid) June 2020 to July 2021

- Effectively balance needs and influence decisions that are in the best interests of patients.

-Follow NCQA and CMS guidelines, working use of ICD 10 codes.

- Assist with discharge planning for home, skilled nursing, LTAC or hospice house, DME education. AQS RN Travel RN: Pro-staff, AMN, Maxim RN (onsite) October 2017-June 2020-2022

-Manage diverse populations with complex medical or behavioral needs in ICU, PCU and Telemetry.

-Apply regulations of Advent Health, HCA, Behavioral Health and Detox rehab facilities. Kindred Hospital, (LTAC) St. Petersburg, FL. RN (on site) 01/2017-01/2018

-Caring for critical care patients at bedside, communicate changes to physicians and IDG team.

-Patient education, care planning, discharge planning, coordinating with patient, family, and team. Education

BSN, Western Governors University 2018-2020

ASN, Christian Intl School of Nursing-2015-2016

LPN, Keiser Career College-2008-2009

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