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Project Manager Quality Assurance

Location:
United States
Posted:
April 10, 2012

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Resume:

Karisma Saulsbury

**** ******** ***** ****. #****

Fort Worth, TX 76137

817-***-****

fmej1p@r.postjobfree.com

SKILLS PROFILE

• Bilingual. Fluent in English and Spanish (speak, read and write).

• Exceptional interpersonal, written and verbal communication skills.

• Meticulous attention to detail.

• Advanced computer skills.

• Ability to learn fast and apply new concepts and procedures effectively.

• Extremely reliable.

• Proficient in medical terminology.

• Typing speed 45 wpm.

• IV and blood withdrawal certified.

• Basic Life Support (CPR and AED) certified.

• Knowledgeable of Medicaid guidelines.

EMPLOYMENT HISTORY

Correctional Nurse April 2012 - Present

Parkland Hospital – Dallas County Jail

Dallas, TX

• Coordinate medical care for inmates and provide treatment or refer to physician accordingly.

• Administer medications as indicated.

• Respond to medical emergencies as needed.

• Take and give thorough report to other nurses.

• Attend in-service classes on a regular basis and keep up with policy changes.

• Chart on a daily basis on inmates’ medication administration, condition and treatment.

• Record incidents and accidents according to policy.

• ¬Contact pharmacy to order medications, supplies and stock items.

• Perform wound treatments as indicated, using proper technique.

Service Coordinator January 2012 – April 2012

HealthSpring

Bedford, TX

• Perform telephonic Health Risk Assessments of pediatric, pregnant and adult Medicaid recipients.

• Audit member’s records to ensure Medicaid benefits are being utilized accordingly to guidelines.

• Identify member’s deficiencies and coordinate benefits to ensure all needs are met.

• Process authorization requests from providers.

• Identify members that require Disease Management and make referral for field nurse assessment.

Charge Nurse August 2011 - Present

The Waterton Plaza

Texarkana, TX

• Coordinate care of patients assigned to skilled/rehab wing of skilled nursing facility.

• Take and give thorough report to other nurses on patients’ condition.

• Admit/discharge Medicare patients to/from skilled nursing facility.

• Interview patients and family members as needed to obtain required information to complete admission records.

• Perform admission assessment and record findings.

• Take vital signs manually or using facility automated equipment.

• Monitor, assess and treat patients according to care plans and physician’s orders.

• Administer medication, including narcotics, following patient’s rights.

• Administer medication via oral, nasal, topical, rectal, intramuscular, subcutaneous, and intravenous routes.

• Report lab and x-ray results to physician; write orders as needed.

• Perform blood withdrawals and start IVs as needed.

• Assist physician with patient examination as needed.

• Chart on a daily basis on patient’s medication administration, condition and treatment.

• Record incidents and accidents according to facility policy.

• ¬Contact pharmacy to order medications, supplies and stock items.

• Perform wound treatments as indicated, using proper technique.

• Answer phones and respond to patients, family members, vendors inquiries as needed.

• Attend bi-weekly in-services.

• Supervise and direct Certified Nursing Assistant personnel to ensure safety and maximum productivity.

Engagement Specialist (temporary assignment) February 2011 – April 2011

MedImpact through Office Staffing Resources

San Diego, CA

• Participate in diabetes project by collecting A1C patient data from reports, or by contacting physician offices to obtain information, using HIPAA guidelines.

• Analyze patient/physician data using Excel and internet tools to organize potential seminar groups according to patients’ zip codes and seminar provider resources.

• Review and compose scripts to be utilized when calling patients and physicians, to meet client needs.

• Review project reports on a daily basis and adjust data as needed.

• Locate potential seminar venues for 12 sessions, and coordinate reservations.

• Coordinate with project manager to keep a continuous and productive work flow.

Office Clerk (2 week assignment) January 2011 - January 2011

The Salvation Army through Pridestaff

San Diego, CA

• Match donation to donor’s record; file alphabetically when no longer in use.

• Navigate database to retrieve donor’s total donation amounts for the year 2010, and provide information in a letter for tax purposes.

• Scan correspondence, match to tax letter and donation, and attach to the correct profile in database.

• Place follow up calls to donors to verify credit card numbers for rejected donations.

Call Center Supervisor September 2004-February 2009

Amacore Goup / Lifeguard Benefit Services, Inc

Irving, TX

• Responsible to meet Call Center department productivity and quality goals.

• Answer questions and recommend corrective services to address customer complaints. Handle escalation calls from irate members as needed with effective complaint handling skills.

• Process referrals to medical providers, process medical claims, and answer questions regarding health benefits; insurance verification.

• Prepare daily/weekly/monthly reports. Analyze data, recommending action plans as needed based upon key performance indicator data.

• Monitor team performance and employee productivity. Maintain records of actual performance versus employee goals, providing quarterly scorecards to each team member. Motivate, Coach and Counsel team members to enhance performance levels.

• Monitor phone calls (English and Spanish) on a daily basis and deliver feedback.

• Assist in the Quality Assurance department creation and implementation by making recommendations that reflect strong orientation for customer satisfaction.

• Responsible for interviewing, hiring, and training Call Center employees.

Sales Assistant March 2004-September 2004

CSB Battery, Inc

Fort Worth, TX

• Point of contact for clients all over the U.S., Latin America and Spain.

• Prepare daily and weekly sales and inventory reports.

• Reconcile and collect on past due accounts.

• Review sales managers expense reports.

Help Desk Administrator September 2003-January 2004

Applied Computing Technologies, Inc

Jacksonville, FL

• Assist over 5000 customers with internet, e-mail and other computer problems.

• Configure email via remote tools.

• Responsible for back up and recovery of data.

• Perform other System Administration tasks as needed.

Petty Officer Third Class November 1999-November 2003

United States Navy

Jacksonville, FL

• Maintain over 1000 LAN accounts.

• Responsible for briefing new personnel on the policies and use of email and government computers.

• Point of Contact for the IT department.

EDUCATION

Vocational Nursing Certificate, Sep 2009 – Dec 2010

Kaplan College – 3.87 GPA

San Diego, CA

Bachelor’s in Public Health, 90 semester hours, In progress

National University

San Diego, CA – 3.06 GPA



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