Cecilia Teague, RN Myersville, MD 240-***-**** adypor@r.postjobfree.com
I bring 37 years of clinical experience in hospital, home care, long term care, and clinical review.
I’m highly-motivated, adaptable to change, and able to both work independently and with other team members and will leverage my experience and bring value to the position.
Areas of Expertise
Advanced communication skills
Attention to detail and strong organizational skills
Proficient in Microsoft Word, Excel; insurance claim and authorization platforms
Work collaboratively with team members, other departments, and outside vendors
Education and Licenses
Bachelor of Science in Nursing-University of Maryland School of Nursing-graduated 1986
Certified Rehabilitation Registered Nurse
Professional Experience
United Health Group (November 1997-June 2023)
Clinical Claim Review RN
Primary role reviewing reconsiderations for physician and facility claims including working with Medical Directors on resolving reconsideration cases
Working as preceptor/trainer for multiple clinical and non-clinical staff
Reviewed data and identified billing trends, potential defects, and savings leading to process improvements or savings projects and coordinated with Legal on complaints and assisted with cases for pending arbitration
Potomac Valley Nursing and Rehabilitation Center (1995-1997)
Restorative Rehabilitation Coordinator
Developed program in LTC and SNF to continue with rehabilitation/restorative care of residents discharged from skilled Rehabilitation and managed and trained assistants to follow Care Plan on each resident in the program
Frederick Memorial Hospital (1991-1995)
Home Health Care nurse and supervisor
Developed plan of care for patients in home setting and provided nursing visits including wound care, infusions, lab draws, hospice care, and education to family and patient and as supervisor coordinated visits and schedules for home health nurses
Sinai Hospital and John Hopkins Hospital (June 1986-1991)
Staff nurse and Agency nurse
Provided nursing care to assigned patients in Rehabilitation/Traumatic Brain Injury unit
Agency nurse on multiple medical surgical units