RNs Seeking Remote Professional Opportunities
Resume:
Kessy Rozan
Phone: 267-***-**** Email: *****.*****@*****.***
Education
Temple University, College of Liberal Arts – Philadelphia, PA Bachelor of Arts in Political Science Community College of Philadelphia – Philadelphia, PA Associate of Nursing, Multistate RN License Professional Experience
Clinical Reimbursement Manager Aug 2023 – December 2024 Caring Senior Services – Jenkintown, PA
Evaluate services provided to a caseload of 100–150 active home health clients
Ensure optimal clinical outcomes, regulatory compliance, and financial viability.
Collaborate with interdisciplinary teams and payers to determine the viability of care, balance clinical necessity with reimbursement potential to support sustainable in-home care.
Ensure accurate ICD-10 coding and diagnosis sequencing for all claims to support proper billing and minimize reimbursement delays or denials.
Review and sign all Medicare form 485s (plans of care) and physician service orders to ensure alignment with clinical guidelines and agency standards.
Track clinical documentation quality and utilization efficiency to support continuous improvement and maximize agency profitability within regulatory frameworks. Registered Nurse (RN) Med-Surg, Tele June 2021 -Aug 2023 Chestnut Hill Hospital - Philadelphia, PA
Performed comprehensive patient assessments, monitored clinical status, and made data-driven decisions in fast-paced hospital units.
Developed personalized care plans with providers, social workers, and therapists.
Administered medications and treatments and operated complex medical equipment, including ventilators, infusion pumps, and EKG machines.
Documented care accurately and ensured compliance with hospital protocols and regulatory standards.
Educated patients and families on disease prevention, treatment options, and post-discharge care to optimize outcomes.
Recognized for attention to detail and advocacy in improving patient experiences and safety. Registered Nurse (RN) October 2018-June 2021
Foulkeways at Gwynedd– Gwynedd, PA
Supervised CNA staff, coordinated care transitions, and contributed to interdisciplinary case discussions.
Administered medications and performed wound care, IV therapy, and other nursing interventions.
Managed medical devices and documentation for patients with complex needs, including PICC lines and feeding tubes.
Provided timely escalation of care changes and coordinated follow-ups per clinical protocols.
Delivered direct care to clients with physical and cognitive limitations.
Communicated health concerns and status changes to nursing staff.
Maintained accurate logs and supported daily living activities. Behavioral Health Code Abstractor February 2014 - August 2017 BCDS Philadelphia PA.
Ensure the precision of codes ICD-10 to avoid claim denials and optimize reimbursement for behavioral health services
Analyzed patient records to ensure accurate abstraction and coding of behavioral health data.
Worked with cross-functional teams to minimize claims denials and support reimbursement efforts.
Maintained strict adherence to HIPAA and regulatory requirements in data handling.
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