OBJECTIVE:

Registered Nurse with practical experience in nursing is seeking a Confidential position in the medical field. I have extensive medical and pharmaceutical education, knowledge, skills and a wide range of experiences that can be utilized for the benefit of the organization. Strong interest in pursuing professional development opportunities and specialized training in the organization’s growth areas.

SUMMARY:

• Remarkable knowledge of Medicare, Medicaid, Confidential regulations, Confidential - 9 codes.
• Extensive clinical training in the medical/ surgical field, geriatrics, urgent care, dermatology, pediatrics.
• Strong knowledge of medical and pharmaceutical terminology, equipment, products, and medications (drug names, strength, classes, side effects, drug interactions)
• Patient education and Lab information interpretation skills.
• Extended knowledge of medical billing and claim reimbursement.
• Strong communication, negotiation and facilitation ability.
• Ability to work independently and in collaborative settings.
• Excellent problem solving and decision-making skills.
• Strong computer skills (MS Word, Excel, Outlook)
• Bilingual in Russian and English

NURSING RELATED EXPERIENCE:

Clinical Quality Improvement Specialist

Confidential, NY

Responsibilities:

• Perform medical record reviews to determine quality of care, identify quality issues and assure compliance with medical record standards.
• Work closely with Medical Director and Office Manager to coordinate and help facilitate services for patients that ensure quality care on assigned units.
• Work collaboratively with providers and educate them on all aspects of medical record review criteria, review their medical record documentation and offer tips for improvement to increase STARS ratings.
• Perform audits of medical records and create a form to improve performance, documentation and accountability to improve quality scores for providers.
• Perform chart abstractions for various projects throughout the year.

Field Case Manager

Confidential, NY

Responsibilities:

• Perform MLTC assessments, reassessments, create 485 forms. HHA/PCA supervision and teaching. Ongoing teaching of patients and caregivers.
• Coordinated care with physicians, hospitals, and other disciplines
• Development of comprehensive plan of care specific to each patient
• Coordinated patient care with all participants of the health team

Field Case Manager

Confidential, NY

Responsibilities:

• Admission assessments, evaluation, home visits, care planning, pre-pour medication.
• Provide patient education and direct supervision of home health aides
• Medical record documentations(evaluation, plan of care, recommendations)
• Skilled nursing home care: Vital Signs, Medication Management+Administration.
• Provide instruction to both patient and family in disease management, medication management and administration, signs and symptoms of improvement/decline/infection, wound care, and self-care. Provide assistance in short and long term planning.

Registered Nurse

Confidential, NY, NY

Responsibilities:

• Administer First Aid to students as needed.
• Document injuries and notify parents and school administration.
• Provide care of tracheostomy sites, g-tubes, insulin pumps.
• Ensure that all school children have access to and receive ongoing medical care.
• Supervise school medical records, i.e. immunization and medical administration records for accuracy.

Registered Nurse

Confidential

Responsibilities:

• Performed administrative and referral tasks: admissions, assessment, treatment, and discharge necessary record-keeping, charting, and documentation.
• Assisted MD in performing dermatology procedures: skin surgeries, biopsies, cryosurgery, psoriasis treatments, and melanomas preventions.
• Scheduled lab and diagnostic tests when appropriate and interpreted test results.
• Performed all necessary staff nurse responsibilities: injections, blood sugar assessment, tube-feeding, vital signs monitoring, intravenous and other forms of medication dispensation, skin integrity and infection monitoring.
• Educated patients and families about preventive care, medical issues, and use of prescribed medical treatments and medications.

Pharmacy Technician

Confidential, Brooklyn, NY

Responsibilities:

• Consult with physicians and patients in regard to the pre-authorization issues, medication dosage, drug interactions, medical equipment, disease management and potential side effects of prescription and Confidential medications.
• Fill prescriptions, bill surgical supplies and orthopedic shoes.
• Utilize daily extended knowledge of Confidential -9 codes, medical terminology and Confidential regulations.

Supervisor Pharmacist

Confidential

Responsibilities:

• Supervised the process of dispensing tablets, ointments, powders, solutions and other related medications by pharmacy technicians.
• Checked prescriptions for correct dosage and for drug interactions and incompatibilities.
• Interacted with HMOs concerning billing and reimbursement issues.
• Consulted and informed physicians, nurses and other medical staff regarding drug-to-drug integrations, side effects and new released medications.