Linda Jensen, RN

Pinckney, MI *****

adyuzy@r.postjobfree.com

517-***-****

RN with 17 years of experience, including 7 years as a triage nurse for a family medicine practice that consisted of 5 physicians servicing 10,000 patients. Highly skilled in telephonic and ambulatory patient assessment in emergent and non-emergent presentations. Proficient in all aspects of acute and chronic care disease management, including suicide prevention, diabetic teaching and SDOH resource advocacy. Two seasons of HEDIS experience, to provide highly accurate abstraction and overreading of medical records that utilized the following applications: EPIC, NexGen, CIOX, Advantmed, rateLift, rateMax, Facets, ILEAD Cosmos, ISET, Labcorp, Quest Diagnostic, and BioReference. Interested in making quality work my full-time passion.

Work Exerience

Clinical Quality Specialist - Contracting for United Healthcare and Optum

Equity Staffing Group - Englewood, CO

January 2022-April 2022 and January 2023- April 2023.

•Abstracted and reviewed electronic medical records and charts to verify clinical data that ensures compliance with HEDIS measure guidelines.

•Utilized rateLift and rateMax applications to review up to forty or more charts a day while maintaining an over 99% accuracy rate.

•Abstract clinical data, mechanism, diagnosis, and procedures in ICD-9 & ICD-10 versions, AIS coding systems

Triage Nurse/Care Manager

IHA Pinckney Family Medicine - Pinckney, MI

August 2012 to June 2019

•Telephonic and walk-in triage of pediatric and adult patients

•Performed care management activities such as arranging for specialist care, addressing deficits and barriers to care, and communicating critical lab results.

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•Responsible for updating CPT CODES OR ICD CODES with the complete knowledge of Medical Records

•Provided emotional and goal setting support

•Utilized motivational interviewing techniques to partner with patients to develop plans that resulted in meaningful health changes and optimal outcomes

•Performed medication reconciliation

•Utilized techniques in the Barton Schmitt triage protocols for pediatric, OB/GYN and adult patients

•SDOH advocate working with local agencies and patient assistant programs to optimize the quality of care

•During two separate telephonic triage events, identified a rare shingles side effect called postherpetic abdominal pseudo hernia, which was verified by a physician during a subsequent office visit

•Suicide prevention contact

•Attended conferences for telephonic triage, Barton Schmitt triage protocols, and suicide prevention

Contract RN

Exam One - Grand Rapids, MI

July 2012 to November 2014

•Conducted health events at various retail and employment locations screening patients for diabetes, high cholesterol and hypertension

•Educated the attendees on test results and health implications

Maternal Infant Health Program Nurse

Noetic Health, Inc - Flint, MI

January 2012 to June 2012

Immunization Clinic Nurse

Mollen Immunizations - Scottsdale, AZ

August 2010 to December 2011

RN

Pennock Hospital - Hastings, MI

April 2007 to January 2009

RN

Maxim Healthcare Services - Lansing, MI

October 2006 to March 2007

Education

Bachelor of Science in Nursing (GPA 3.44)

Eastern Michigan University - Ypsilanti, MI

September 2016 to December 2019

Associate in Nursing (Graduated with Honors)

Lansing Community College - Lansing, MI

June 2006

Skills

•Public health education (7 years)

•Medical surgical (2 years)

•Telephonic and in-person triage (7 years)

•Medical office experience (7 years)

•Motivational Interviewing techniques

•Care management of complex patients

•Experience administering injections/immunization

•Vital signs, EKG interpretation

•Transition of care management, including timely outreach after discharge, medication reconciliation

•HEDIS quality abstraction and overreads

•Medication administration, IV and PICC lines

•Crisis intervention and suicide prevention training

•Prior authorizations (medical and procedural)

•Diabetes education

•Medical records review and data entry

•ICD-10 coding

•CPT coding

•Assisted patients in obtaining free, or low-cost medication utilizing patient assistance program facilitation and advocacy

•Wound care

•Excel spreadsheet experience

Languages

•Spanish – intermediate

Certifications and Licenses

RN, BSN

July 2021 to July 2023

BLS

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