Description :

1. Performed pre-admission screening on all patients referred to North Oaks Rehabilitation Hospital, which includes preparing documentation for medical director about patient's current medical condition, past medical history, prior level of functioning, and current level of functioning.
2. Reviewed entire acute hospital medical record to create the history leading to admission, gather all diagnoses, and gather all major medical events in order to show a need for acute inpatient rehab.
3. Disclosed insurance benefits for inpatient rehab to patients prior to admission.
4. Obtained insurance authorization prior to admission.
5. Facilitated peer to peer between insurance company and patient's doctor when insurance has denied inpatient rehabilitation.
6. Assisted patients and/or their families in completing appeals with insurance companies when they have been denied inpatient rehabilitation.
7. Aided in the admission process by functioning as liaison with medical director, referral source, patient, and family members.

Experience

7-10 Years

Level

Management

Education

Bachelor Of Science In Nursing

Description :

1. Obtained referrals from multiple sources.
2. Coordinated all care to be given.
3. Verified insurance and obtain insurance authorizations.
4. Followed all Medicare and Medicaid guidelines.
5. Entered all information into the electronic medical record.
6. Answered multi phone lines and route calls to appropriate personnel.
7. Maintained current state license, CPR certification and yearly education requirements.

Experience

5-7 Years

Level

Executive

Education

High School Diploma

Description :

1. Coordinated, screened and assessed home health care needs of patients referred to Agency using Medicare guidelines also using managed care insurances Reviewed patients clinical information Conducted patient interview via telephone and answered questions correctly and courteously Used clinical judgment in coordinating patients care Obtained physicians orders (ex; for wound care; insulin injections/care; Foley care etc) in a timely manner.
2. Documented and communicated plan of care to referral sources (Physicians, nurses and discharge planners) and informed patient/caregiver of same.
3. Used appropriate method of documentation according to departmental policy Completed intake process within established time parameters Collaborated with physicians, nurses and discharge planners to identify patient care needs and established the appropriate level of care for patients referred to the Agency Completed work, and documentation with accuracy and within agency time frames Notified referring party if patient will require alternative discharge plan Screened patients for palliative care triggers and refered for consult Accomplishments I had the ability to impress others, (my employer, co-workers and the patients) with my engaging attitude and energy as I loved what I did and my interest and love for the job and the profession as a whole was reflected in my attitude.
4. Dealt with many cases on a daily basis and had to get things done in a reasonable amount of time.
5. Stayed late not because I had to, but because I wanted to and wanted to make sure my work (if I was able) was complete before I went home.
6. Participated in training of new nurses if needed.I am a fast learner and learned the computer applications very quickly.
7. Used I was not only a team player but I was able to also work alone in my job capacity.

Experience

2-5 Years

Level

Executive

Education

Bachelor Of Science In Nursing

Description :

1. Provided professional nursing care to inmates assigned to facility including specialized & technical services (e.g., wound care, oxygen therapy, First Aid/CPR, suctioning, & phlebotomy duties).
2. Administered prescribed medication while monitoring restrained residents per standard procedure.
3. Triaged residents for emergency treatment while simultaneously providing treatment per protocol and standing orders.
4. Completed the transfer/intake assessment process (i.e, cursory medical exam to include skin, auscultation of breath & heart, oral/vision screens).
5. Advised Operations on proper course of action in medical situations; maintains constant & accurate inventory of all OTC & prescription medications, supplies, & equipment to ensure adequate supply.
6. Monitored & reported outdated medications & supplies to supervisor.
7. Developed relationships with physicians, healthcare service providers, and internal and external customers to help improve health outcomes for members.

Experience

5-7 Years

Level

Executive

Education

Associate Of Applied Science

Description :

1. Performed standard and/or complaint surveys of health care providers to assure compliance with State Licensure and/or Federal Regulations relative to the programs being surveyed.
2. Used findings obtained from on-site survey activity (i.e., observations, record review, interviews, etc.), prepare deficiency reports which provides legal documentation of provider' non-compliance with applicable State Licensure and/or Federal regulations.
3. Reviewed plans of correction submitted by providers in response to cited deficiencies resulting from on-site surveys.
4. Provided clarification and information to the public, providers, and prospective providers on the licensure and certification process, requirements, and interpretations.
5. Intaken complaints and concerns from the public for investigation.
6. Provided technical assistance in interpreting requirements to providers, the public, and other agencies.
7. Responded to written requests for information to the public, providers, and other agencies.

Experience

5-7 Years

Level

Executive

Education

High School Diploma

Description :

1. Facilitated the intake referral process, coordinate care with interdisciplinary team, and the referral source.
2. Participated in weekly stand up meeting to discuss patient care/needs Receive and appropriately document new referrals in a timely manner.
3. Participated in coordinating care with Nurse supervisors and patient interdisciplinary team.
4. Provided effective communication to patients, staff members, other health care professionals and referral sources.
5. Responded to agency and patient needs in a professional and creative manner.
6. Ensured staff documentation is complete and accurate in a timely manner Maintain Accurate patient census Demonstrate commitment, professional growth and competency.
7. Promoted Agency philosophy and Administrative policies to ensure quality of care.

Experience

5-7 Years

Level

Executive

Education

MS

Description :

1. Helped determine what disciplines and skill sets may be appropriate, according to the current and previous medical diagnoses.
2. Confirmed that the MD will sign the orders for the patient, then, I secure the insurance authorization (using ICD-10 codes), gather all the pertinent information through a variety of medical E-Systems, and put together a packet for the visiting nurse, physical, speech, occupational therapist, or social worker to use to treat the patient.
3. Able to redirect sources to other options when homecare may not be appropriate.
4. Learned a lot of new skills on this job that I really appreciate.
5. Learned much about ICD coding, insurance authorization, and I have learned how to utilize Allscripts, Meditech, LSS, Encore, Sorian & HIXNY, medial e-record systems.
6. Scheduled Nursing staff for Home Health Visits.
7. Collaborated with member/consumer in identifying prioritized needs and reviews service plans.

Experience

5-7 Years

Level

Executive

Education

LPN In Nursing

Description :

1. Contributed to the assessment of the health status of patients.
2. Participated in the development and modification of a patient's plan of care.
3. Performed delegated tasks, activities and functions that are consistent with prior educational preparation and within scope of practice.
4. Provided direct basic care to assigned multiple clients within the structure of the healthcare program at their facility.
5. Provided safe and effective nursing care and assumes responsibility for the care delivered.
6. Implemented patient education based on established teaching plans.
7. Utilized a problem solving approach as the basis for their decision making.

Experience

5-7 Years

Level

Executive

Education

Certificate In Practical Nursing

Description :

1. Performed assessment using NY state Uniform Assessment Tool (UAS).
2. Documented on client status, verify physician orders.
3. Collected medical history ,Develop a nursing care plan which outlines an assessment of patient status, including plans and goals for nursing care.
4. Maintained accurate, complete and up-to-date documentation of assigned cases.
5. Evaluated severity and intensity of illness 5.Communicate with interdisciplinary team.
6. Assisted in office as Intake Nurse.
7. Performed other nursing duties as assigned.

Experience

2-5 Years

Level

Junior

Education

Bachelors In Nursing

Description :

1. Assited in billing/ medicaid/medicare/hmo/ppo/private insurances.
2. Assissted administrator and don in day to day duties.
3. Ordered all supplies for priviate and medicare clients.
4. attended classes to stay updated on all changing laws, Accomplishments i am extremely orginanized and helped organize the office to maintain a more effectively run business Skills Used proficient in all computor proprams, can learn any program without guidence.
5. Collected patient information from referral sources.
6. Collaborated with insurance companies.
7. Accessed and consulted with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost effective care throughout the medical management process.

Experience

5-7 Years

Level

Executive

Education

BS In Nursing