Pamela Jovanovski

**** ******** **** * Ellwood City , PA 16117 * 724-***-*****

jovo555@zoominternet . net

PROFILE

Experienced Healthcare Professional , Licensed Practical Nurse , Certified Medical Coding Specialist , HEDIS abstractions , physician review, Utilization Management , Case Management, Marketing , Contract review/proposals/writing , Patient Advocate.

PROFESSIONAL EXPERIENCE AND ACCOMPLISHMENTS

Clinical Nurse Auditor/Medical reviewer May 2010 to present

BT Consulting/DPW-PA Pittsburgh, PA

• Extensive travel to several medical sites to perform medical record review for compliance according to state regulations(Department of Public Welfare)

• Review medical records at several medical locations throughout Pennsylvania for HEDIS abstractions

• URAC training

Community Relations Coordinator/Liaison November 2009 to May 2010

Case Management , Admissions Coordinator Pittsburgh, PA

Acute Inpatient Rehab Unit

• Marketing Acute Rehab services to physician offices and healthcare facilities , as community relations coordinator.

• Case Management and Admissions Coordinator for a large inpatient rehab unit throughout the Western Pennsylvania Hospital System. Clinical reviews with Health Insurance Companies for patients length of stay in rehab.

• Increased patient census from an average of 20 to an average daily census of 32.

HEDIS chart review/abstractions/auditor March 2009 to Jan 2010

Chart Pros W. Conshohocken, PA

• Travel throughout Pennsylvania to many physician offices to abstract pertinent medical data for insurance compliance.

• Reviewed an average of 50 charts per day at several locates.

Homecare Nurse December 2008 to present

Interim Healthcare Pittsburgh, PA

• Travel to different client locations to provide patient care.

• Patient Advocate , Medication administration , Documentation.

President/Branch Director April 2005 to Jan 2009

Northern Health Care Connections Ellwood City, PA

• Recruiting , hiring and training of healthcare professionals for temporary staffing at local nursing facilities.

• Human Resources duties, staff development , payroll , scheduling.

• Contract writing , review and approval between the agency and healthcare facilities.

EDUCATION

Certified Medical Coding Specialist Fort Collins, Colorado 5/2001-5/2002

LPN (NY & PA)-current NY & PA 9/1992 –6/1993

RN Program Buffalo, NY 9/2002-5/2004