Charge Nurse-LPN
09/2013 to
11/2015
Cedars of Chapel Hill –
chapel Hill,
NC
Perform nursing care to include medication administration, wound care, venipuncture, collection of laboratory specimen, foley care, head-to-toe assessments and admissions/discharges. Administer immunizations, maintain all patient documentation and doctors orders.
LPN
06/2001 to
03/2014
Superior Medical Staffing –
Wake Forest,
NC
Performed nursing care in a variety of settings to include hospitals, long term care, assisted living, home health and private duty. Measure and record vital signs, administered medications, performed wound care head to toe assessments, trachea care, foley care, maintained gastric tubes, administered blood products, collected blood, urine and sputum for stat and routine laboratory test. Supervised nurses' aides, Made appointments, prepared patients for examinations, test and procedures, inventoried and requisitioned supplies. Traveled all over North Carolina to military installations administering immunizations to the troops deploying overseas.
Medical Review Analyst
09/2001 to
12/2013
Blue Cross Blue Shield of NC –
Durham,
NC
Performed review of medical necessity eligibility on claims suspended for review of medical policy guidelines. Determined medical necessity eligibility and appropriate reimbursement allowance for complex claims or products by using clinical experience, medical literature, medical records, certificates guidelines and medical policy. Informed members, providers and internal customers of claims status and determinations. Assessed the need for medical director reviews of individual cases by preparing initial case analyses and summaries. Served as a clinical resource to customer service, professional relations and other plan areas.
MSP Subrogation Analyst
06/2000 to
09/2001
Blue Cross Blue Shield of NC –
Durham,
NC
Performed reviews of payment record to determine if Medicare has payment that are subject to recovery. Notified relevant parties of the legal requirements to reimburse Medicare out of any settlement that may be obtained. Worked with attorneys, third party insures, beneficiaries, hospitals and health care financing administration. Followed the process of the case and negotiations to ensure Medicare's right of recovery were protected. Reviewed accounts of funds received and maded sure funds were submitted in a timely manner. Discussed various waiver options and reimbursements to provide accurate and timely recovery functions to protect the Medicare trust fund.
LPN
03/2000 to
06/2000
Kelly Services –
Morrisville,
NC
Worked as a contract nurse for an insurance company, performed reviews of payment record to determine if Medicare has payment that are subject to recovery. Notified relevant parties of the legal requirements to reimburse Medicare out of any settlement that may be obtained.
LPN
09/1999 to
02/2000
Medical Staffing Network –
Raleigh,
NC
Performed nursing care in a variety of settings to include hospitals, long term care, assisted living, home health and private duty. Administered medications, performed wound care, head to toe assessments, trachea care, foley care, maintained gastric tubes, administered blood products, collected blood, urine and sputum for stat and routine laboratory test. Supervised nurses' aides, Made appointments, prepared patients for examinations, test and procedures.
LPN Evening Supervisor
12/1998 to
01/2000
Central Carolina Health and Rehabilitation –
Columbia,
SC
Supervised a 257 bed facility, managed a monthly work schedule for 55 employee. Prepared performance appraisals and other personnel action for the nursing staff. Performed hospital admissions and discharges to include Medicare subscribers. Developed and maintained patient's care plan with head to be assessments for emergency transfers to local hospitals. Administered medications, performed wound care, head to toe assessments.
LPN
04/1995 to
12/1998
Medical One Nursing Agency –
Columbia,
SC
Performed nursing care in a variety of settings to include hospitals, long term care, assisted living, home health and private duty. Measured and recorded vital signs, administered medications, performed wound and trachea care, foley care and maintained gastric tubes. Supervised nurses' aides, prepared patients for examinations, test and procedures.
LPN
09/1995 to
04/1998
South Carolina Department of Mental Health –
Columbia,
SC
Performed nursing care in a mental health facility. Measured and recorded vital signs, administered medications, performed wound care, head to toe assessments, collected blood, urine and sputum for routine laboratory test. Made appointments and prepared mentally challenged patients for examinations, test and procedures.
Student Nurse
12/1994 to
09/1995
South Carolina Department of Mental Health –
Columbia,
SC
Shadowed a Registered Nurse and assisted with nursing notes, doctor's orders, wound care, patient care and vital signs.
Customer Service Representative
04/1991 to
01/1992
J.B. White Department Store –
Augusta,
GA
Assisted customers with problems related to charge accounts. Accepted payments on accounts receivable. Maintained cash for all store registers, reconciled store accounts for customers. Resolved customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money or adjusting bills.
Accounting Technician
04/1987 to
03/1991
Fifth Finance Group –
Frankfurt,
West Germany
Received and organized documents including debits and credits of travel orders. Automated reimbursements, allotment ledgers and activities cost reports. Assisted with formulation of an annual budget which was over ten million dollars.Traveled all over West Germany to different military installations performing accounting audits.
Accounting Technician
09/1981 to
07/1984
Field Artillery School –
Fort Sill,
OK
Compared computer printouts to manually maintained journals for military command activities to determine if they matched. Reconciled accounts payable and receivable ledgers for command vouchers. Traced errors for obligations ledger files and travel vouchers. Assisted with military payroll.
Budget Analyst
09/1981 to
04/1984
Third Support Command –
Frankfurt ,
West Germany
Reconciled financial reports, adjusted travel allowances, voucher deduction and decentralized voucher checks. Assisted with the formulation of an annual budget of fifteen million dollars. Allocated budget letters to thirty-two military units in the command. Traveled throughout European command to perform audits and budget allocations.
