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Sound Physicians - Hospitalist RN Resume Example

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Zoey Brooks
XXXX XXXXXXX XXXXX XX, Columbus, OH 43231
Ph: XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXX
Professional Summary
18 years nursing experience within the hospital and 13 years Case Management experience in hospital and managed care settings with a passion for detail, teaching, customer service.
Skills
  • Strong interpersonal skills
  • Detail-oriented
  • Trainer/precepting/teaching
  • Strong Customer Service Skills
  • Auditing
Experience
Hospitalist RN Sep 2012Present Sound Physicians Westerville, Oh

Key individual assisting with measurably improving quality, satisfaction and financial performance of healthcare delivery. Monitors core processes with identification of barriers and develop solutions. Partner with site Chief to engage physician team. Assist with facilitating clinical process, physician education, participate on hospital committees. Strong involvement with hospital administration.

UR Case Management Specialist Apr 2011Dec 2012 Mt. Carmel St. Ann's Hospital Westerville, Oh
  • Liason to staff, managed care team, revenue coordinator for PI within CM dept
  • Anthem liason -attended quarterly meetings
  • Track/Review Monthly CM denials for PI
  • RAC audits utilizing Quickbase. Medical necessity reviews, monitored RAC cases through Level 4. Included reporting to VP of Finance
  • Orient/Train new CM to web-based/computer programs utilized in CM dept
  • Assumed more managerial responsibilities x 3mth while no interim/manager. Duties included assisting with rollout of EMR, staff meetings
  • Precertifications for weekend admit/discharges
  • Genesis DOER for roll out of EMR
  • Super-user/Trainer/Administrator to CM staff for Interqual
  • Administrator for UHC web-based notifications. Monitored electronic denial from same
  • Administrator/Trainer for Anthem secure email process
  • PI audits. Peer UR audits for yearly evaluations
  • New physician orientations
  • Resouce for physician offices to assist with denial/precert issues
  • Super user/Trainer for TRACE
  • Collaborated with UR RNs regarding private payors, issues, PI
  • Maintained UR payor book with contact name/phone and fax numbers, requrements, etc
ER RN Case manager Nov 2002Apr 2011 Mt. Carmel St. Ann's Hospital Westerville, Oh
  • Collaborated with ER MD to determine correct patient type based on Milliman or Interqual criteria. Also utilized Executive Health Resources for patient type
  • Attended ER PI meetings
  • Strong working relationships with ER physicians
  • Met with patients to assure correct demographic /payor information while in ER which led to less precert/reimbursements issues
  • Liason/trainer to other ER RN CM to keep informed
  • Daily utilizaton review on 14 bed OBS unit-changing patient type, initiating precerts, meeting with patients as needed
  • Six Sigma assistant guide training
  • Screened direct admits from MD office for correct patient type
Clinical Educator Jun 2002Oct 2002 St Angela's Rehab Facility Columbus, Oh
  • Assisted with writing and updating Policies and Procedure Manuals in prep for JCAHO accreditation
  • Weekend coverage ad house supervisor
  • Case manager for skilled unit
Diabetic Disease Manager/Preadmission RN Aug 2000May 2002 United Healthcare Worthington, Oh
  • Telephonic follow up with patients after hospitalization to assure maximizing benfits, follow up, patient education, assessing discharge needs.
  • Also performed preadmission calls to member scheduled for elective surgery to proactively assist with discharge plan, assess understanding of patient regarding LOS, assist with transportation if needed or DME/rehab.


*remained contingent in UR /CM at MCHS as well

Case Manager Aug 1999Aug 2000 Mt. Carmel St. Ann's Hospital Westerville, Oh
  • Discharge planning and UR on acute care unit
Staff Rn Jul 1986Aug 1999 Mt Carmel West Hospital Columbus, Oh
  • Staff RN on endo/renal unit: ventilators, CAPD, telemetry, charge nurse responsibilities, meds, electronic documentation
Education
Associate of Science : Diploma in Nursing. 3 year program May 1981 Ohio Valley Hospital School of Nursing Steubenville, Oh
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Resume Details

This is a real resume for a Hospitalist RN in Columbus, Ohio with experience working for such companies as Sound Physicians, Mt Carmel St Anns Hospital, St Angelas Rehab Facility. This is one of the hundreds of Hospitalist RN resumes available on our site for free. Use these resumes as templates to get help creating the best Hospitalist RN resume.

Previous Companies:

  • Sound Physicians
  • Mt Carmel St Anns Hospital
  • St Angelas Rehab Facility

Previous Job Positions:

  • Hospitalist RN
  • UR Case Management Specialist
  • ER RN Case manager
  • Clinical Educator
  • Diabetic Disease Manager

Schools:

  • Ohio Valley Hospital School of Nursing

Level of Education:

  • Associate of Science

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Hospitalist RN

Columbus, Ohio

Companies Worked For:

Sound Physicians, Mt Carmel St Anns Hospital, St A...

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