Service Representative Customer
Resume:
Helen C. Lee R.N. MA HCS
Vestal, NY 13850
607-***-**** Cell
********@****.**.***
NY State Registered Professional Nurse License: 287851-1
OBJECTIVE
To expand my role as a Professional Health Care Provider, offering my expertise and education to those who could benefit from my knowledge.
EDUCATION
Binghamton General Hospital School of Nursing
R.N. Diploma
In-depth study of physical and mental assessments and develop and interdisciplinary approach to returning patient to a state of wellness.
New School for Social Research
B.A. Health Services
Concentration on Health Care Symposiums; Health Systems Analysis, studies of Business Accounting; Statistical Research and Development in changing Health Care. Ethical and Legal Health Care subjects. In-depth studies of Medicare, Medicaid and HMOs.
New School for Social Research
M.A. Health Services
Studies of Health Care Issues and Reform; Economic Impact of Issues and Reform, Human Resources Issues, and Conflict Resolutions.
American Red Cross BLS Certified
New York State Insurance Licensing Certificate of Completion of
New York Life and Health Course #3133
EXPERIENCE:
Fidelis Care New York (New York State Health Organization), December 2014 to September 2016. I was then placed on Social Security Disability due to two Surgical Back Procedures.
Summary of Position:
The Intake Specialist works closely with a team of health care professionals to help develop a plan of care for members enrolled in Fidelis' Managed Long Term Care program. The Intake Specialist is responsible for conducting assessments and reassessments of applicants and enrollees using the Uniform Assessment System ('UAS') and will be responsible for developing individualized proposed services within the plan's benefit package. The Intake Specialists are expected to use critical thinking and sound clinical judgment when making recommendations for proposed services.
Responsibilities:
I conducted in-person and hands-on assessments and re-assessments of applicants and enrollees;
I completed internal and external documents and information for data submissions to local Departments of Social Service (LDSS) and the Department of Health (DOH) prior to established dates due; creates and modifies plans of care that include authorized services, need based non-covered services, family, and caregiver support to meet identified treatment goals within specified timeframes;
I communicated with patients, family, and medical personnel to facilitate a desired outcome;
I collaborated with providers to ensure appropriate outcomes;
I practiced and adhered to departmental and State guidelines and clinical standards of care;
I managed electronic patient files to document patient records, treatments, and progress.
I attended educational workshops; reviewed professional publications to keep updated on industry trends; established personal networks and participated in professional societies to maintain professional and technical knowledge.
Compassionate Care of Central New York, May 2012 to December 2014
Director of Patient Services including ILST and SDP
Responsible for planning, organizing, directing, and coordinating healthcare and direct supervision of professional services of the Licensed Home Care Service Agency/TBI Waiver Provider. This position oversees the day to day clinical operation of home care in conformance with the organization’s mission, philosophy and goals as well as in-field supervision. The Director of Patient Services ensures the services he/she is responsible for is delivered in an efficient and cost-effective manner maximizing customer satisfaction. Ensures that all aspects of the home care/programs operate within the standards of all applicable laws, rules and regulations.
SafeGuard Services, February 2011-December 2011: Medicare/
Nurse Reviewer/Insurance Specialist .responsibilities are as follows: Prepare monthly summaries or consultant statement summaries on all pre and post payment case reviews and submit the summaries regarding the pertinent findings discovered during the review process, to the investigators who are assigned to the case.
United Methodist Homes, October 2010-January 2011:
Staff Educator/ Employee Health Nurse.
Responsible for all in-service programs that were presented during this time, including training of interdisciplinary team, of the new MDS 3.0 coding guidelines of Activity of Daily Living, I was also responsible to provide all physicals, that were out of state compliance from prior Employee Health Nurse and, including, physicals from October 4th, 2010 through January 13th, 2011, (27 in total).
United Methodist Homes, May 19th 2008-October 4th 2011:
Unit Manager of a 40 bed skilled nursing unit at Elizabeth Church Manor.
Responsible for developing an individualized resident centered care plan, for each of our residents, and coordinate our interdisciplinary care team to provide this plan of care to all of our residents. Responsible for the 24 hour operations of this unit, including supervision of all resident centered staff and clerical personnel, assuring standards of care are being met, HIPPA guidelines were followed and compliancy of New York State and Federal regulations are being strictly enforced. During the New York State Survey, this unit was the only unit at Elizabeth Church Manor, who had no deficiencies.
Lourdes Hospital, December 2005-May 2008:
Intake, Scheduler, Start of Care Supervisor, Hospital Case Manager of a Certified Home Care Agency.
Responsible to assist the Intake Supervisor in managing all aspects of the patient intake process, in compliance with state, federal and JCAHO regulatory requirements. Responsible for the scheduling of the nurses’ cases, to meet the needs of our patients.
Parrish Medical Center, 2004-2005:
Cardiac-Medical-Surgical Unit Charge Nurse.
Responsible for running a 32 bed Unit. Focusing on Cardiac-Respiratory-Surgical assignments and utilizing ACLS protocols.
Nurses Rx Traveling Company, 2003-2004:
Assigned to Parrish Medical Center, Cardiac-Medical, Surgical Unit
Lourdes at Home, 2001-2003
Case Manager for the CHHA Division of Lourdes at Home, a Certified Home Care Agency
Provides skilled nursing interventions in the treatment of the patient/clients' illness, rehabilitative needs and preventive care.
Utilizes a holistic approach in the provision of ongoing assessments problem identification and specific therapeutics, teaching, and training activities.
Member of Broome County Health Care Advisory Board.
Our Lady of Lourdes Hospital, Binghamton, New York 13905, 1/12/87 - 2001
Registered Professional Nurse
(Relief Charge Nurse on a 36 bed telemetry unit)(/Relief Pediatric Office Manager)
•Assess and facilitate advance coronary life support of lethal arrhythmias of our patients.
•Care for acutely unstable and stable cardio/pulmonary patients.
•Command of CPR team until a doctor arrives; defibrillate and assess patients' condition.
•Relief charge of a 20-bed telemetry unit and direct an interdisciplinary team to serve our patients' needs.
Binghamton General Hospital, Binghamton, New York 13901, 1976 - 1987
Registered Professional Nurse
•1976 - 1979 Registered Professional Nurse. Medical/Surgical Psychiatric Unit.
•1979 - 1981 Registered Professional Nurse. Intensive Care Unit.
•1981 - 1984 Registered Professional Nurse. Medical/Chemo Unit.
•1984 - 1987 Registered Professional Nurse. Medical/Surgical Pediatric Unit.
CLINICAL EDUCATION
Clinical Education on Telemetry Unit
•Facilitate extensive education of congestive heart failure, angina; myocardial infarctions; prevention of cardio-pulmonary diseases to patients, their families and significant others to assist them in making wise health care choices in the future due to level of wellness.
Clinical Education
•Have facilitated and assisted in developing many policies and procedures to assist patients in a simple, easy-to-follow education guide to take home with them after discharge from our unit.
AWARDS AND ACCOMPLISHMENTS
•Wrote Lourdes Hospital's new Allergy Policy and Protocol.
•Awarded a Mayor's Award for Bravery in 1976 for assisting and rescuing patients in a hospital fire.
•Received a VIP Award at Our Lady of Lourdes Hospital for putting the needs of patients above the needs of career advancements.
Past President of Broome County Coalition For Home Care
RELATED SKILLS
•Strong organizational skills.
•Well regarded for interpersonal, written, and verbal communication skills.
•Effectively handles multiple tasks simultaneously.
•Demonstrated ability to acquire and apply knowledge rapidly.
•Independent; works with minimal supervision, and contributes to an interdisciplinary team.
American Red Cross BLS Certified
New York State Insurance Licensing Certificate of Completion of
New York Life and Health Course #3133
Volunteer Catechist of St. James Church for 31 years.
Author of “The Other Side of the Vent” copyrighted 2010
Active Volunteer BSA Troop 284 Endicott NY
Active Volunteer for Triple Star CPR Company Endicott NY
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