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RN Management

Location:
United States
Posted:
June 15, 2009

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Resume:

**** ****** **** **** ***

JACKSONVILLE, FL *****

PHONE 904-***-**** • E-MAIL ******@*******.***

TROY A. SCRIVEN

OBJECTIVE

To obtain a challenging and rewarding career with an that will allow me to utilize my educational background, knowledge, skills, experience, and abilities in the field of Nursing and Management with opportunities for career advancement within a Healthcare setting or Insurance industry.

EXPERIENCE

2008-present Essential Management Savannah, GA

Regional Nurse Consultant

Responsible for oversight of Seven LTC facilities in Northern GA

Training and guidance to Director of Nurses to ensure compliance is being

met in accordance to State and Federal Regulations.

2006-2008 Harts Harbor Healthcare Center Jacksonville, FL

Director of Nursing

Long Term Care/Skilled Nursing Facility Medicare Part A/B

Responsible for ensuring Medicare A & B Documentation was

In compliance with CMS guidelines

180 bed Long-term Care Facility

2005-2006 Bradford Terrace Starke, FL

Director of Nursing

120 bed Long-term Care Facility

2003-2005 Northeast Florida State Hospital Macclenny, FL

Sr. Registered Nurse Supv/Geriatrics

Charge Nurse

Responsible for Utilization Review and Case Management for

Medicare Part A/B psychiatric residents

80 Bed Geriatric Psychiatric Medicare Unit

State Mental Health Facility

2000-2003 Sun Healthcare Phoenix, AZ

Director of Nursing

Long Term Care/Skilled Nursing Facility Medicare Part A/B

Responsible for reviewing Part A and Part B documentation

for compliance

120 Bed Facility

204 Bed Facility

92 Bed Facility

1996-2000 The Davenport Center Jacksonville, FL

Director of Nursing/Utilization Review Nurse

Responsible for conducting concurrent reviews for inpatient days with

Various manage care companies such as BCBS/Humana/Aetna

Function as a Utilization Review Nurse as well as DON

Wrote letters to insurance companies in regards to appeals and denials on

behalf of the resident and the facility.

40 Bed Substance Abuse and Mental Health Facility

Impaired Nurse and Physician Program for Florida

JCAHO Accreditation

1996-1998 St. John River Hospital Jacksonville, FL

Case Manager/Utilization Review Nurse

60 Bed Geri-Psych Unit

1992-1996 Northeast Florida State Hospital Macclenny, FL

Registered Nurse Specialist/Geriatrics

Charge Nurse

Responsible for Utilization Review and Case management of Medicare

Part A/Part B

Concurrent review nurse for Inpatient Psychiatric and Substance Abuse

Patients

Concurrent Review Nurse for Partial Hospitalization

60 Bed Geriatric Psychiatric Medicare Unit

State Mental Health Facility

EDUCATION/CREDENTIALS

1989-1991 Santa Fe Community College Gainesville, FL

Associate of Science, Nursing

2004-2006 University of Phoenix Jacksonville, FL

Bachelor of Science Degree, Nursing

2006-2007 University of Phoenix Jacksonville, FL

Master of Science Degree, Nursing

State of Florida and Georgia Registered Nurse License

Licensed Assisted Living Facility Administrator

SUMMARY OF QUALIFICATIONS

Detail and team oriented

Excellent Management and Leadership Skills

Highly proficient computer skills (Internet, Microsoft Office)

Excellent oral and written communication skills

Ability to work around highly confidential materials

Able to effectively handle multiple tasks

Knowledge of regulatory issues both State and Federal (CMS) guidelines

Commitment to quality patient care

Highly proficient in psychiatric nursing, forensic and correctional nursing

Case Management/Utilization Review Skills as a Concurrent Review Nurse

With various Managed Care Companies

Performance Improvement Specialist for Appeals and Reconsiderations

Assisted Living Facility Core Training



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