RN, Medical Resume Samples

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NP
N Paucek
Nicole
Paucek
45006 Ondricka Drive
Philadelphia
PA
+1 (555) 788 7702
45006 Ondricka Drive
Philadelphia
PA
Phone
p +1 (555) 788 7702
Experience Experience
08/2014 present
Chicago, IL
Rn-medical / Surgical
Chicago, IL
Rn-medical / Surgical
08/2014 present
Chicago, IL
Rn-medical / Surgical
08/2014 present
  • Participates in performance improvement processes and projects
  • Participates in meetings, committees and continuing education to improve both individual departmental and organizational performance
  • Utilizes the nursing process to provide holistic, compassionate, safe, high quality, population based care
  • Evaluates and/or assists in the evaluation of practice in relation to existing evidence identifying opportunities for the generation and use of research
  • Performs job duties in a manner that supports WCCH’s core values & Code of Conduct, and in support of the mission of the organization
  • Administers & wastes medications in accordance to medication management policies
  • Valid Basic Life Support (BLS) through the American Heart Association for Healthcare Providers
06/2007 05/2014
Los Angeles, CA
Rn-medical Telemetry
Los Angeles, CA
Rn-medical Telemetry
06/2007 05/2014
Los Angeles, CA
Rn-medical Telemetry
06/2007 05/2014
  • Assessments - Collects, prioritizes, and synthesizes comprehensive data pertinent to the patient’s health or situation
  • Diagnosis - Analyzes assessment data to determine nursing diagnoses
  • Outcomes Identifications - Identifies expected outcomes individualized to the patient
  • Planning - Develops a plan that prescribes interventions to attain expected outcomes
  • Implementation - Implements the identified plan
  • Evaluation - Evaluates the patient’s progress towards attainment of the outcome
  • Quality of Practice - Systematically enhances the quality and effectiveness of nursing practice
07/2001 05/2007
Boston, MA
RN Medical Surgical
Boston, MA
RN Medical Surgical
07/2001 05/2007
Boston, MA
RN Medical Surgical
07/2001 05/2007
  • Uses the nursing process to provide continuum of care based on observation and documentation
  • Pain management
  • Medium Work - exert/lift up to 50 lbs force occasionally, and/or up to 20 lbs frequently, and/or up to 10 lbs constantly
  • Serves as the primary coordinator of all disciplines for well coordinated patient care
  • Instructs and educates patients and families
  • Orients and mentors new staff members
  • Carries out physician orders
Education Education
Bachelor’s Degree in Confidentiality
Bachelor’s Degree in Confidentiality
Columbia University
Bachelor’s Degree in Confidentiality
Skills Skills
  • Accountable for professional development by identifying realistic and measurable goals at least annually
  • Contributes to ongoing quality improvement in nursing practice and service delivery
  • Actively seeks customer feedback on quality of service provided
  • Utilizes professional judgment to consistently prioritize patient care
  • Delegates effectively by making efficient use of staff time and expertise
  • Stays informed of changes, updates and communications
  • Attends in-services and/or continuing education useful to area of practice
  • Practice reflects current methodology supported by evidence-based practice
  • Practices in accordance with the Texas Nursing Practice Act and ANA Code of Ethics
  • 3 shifts a week, 18:45 - 07:15
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1

RN Medical Management Services Director Resume Examples & Samples

  • Plans, directs and monitors Banner Plan Administration and Banner Health Networks utilization management program. Provides advice, counsel, feedback and coordination to promote a collegiality between staff, physicians and the company leadership teams
  • Ensures the strategic development of operations surrounding medical management services to support the organizations strategic plan. Designs and implements processes to achieve right services, at the right place, the right time and at the right cost
  • Provides leadership in the development, implementation and evaluation of new and re-engineered programs and services to address the changes in the Medical Management environment. Ensures support of system strategic direction through the development, improvement and delivery of coordinated and integrated system services. Directs the collection, analysis and presentation of data on utilization management patterns and other program outcomes
  • Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations. Participates in the development of medical management goals and objectives in accordance with company standards
  • Manages the financial and capital resources for utilization management operation services by monitoring operating revenue and expenses, establishing and maintaining cost control programs and developing and implementing new or revised programs and/or services
  • Develops and oversees the department budget in conjunction with corporate goals and objectives. Accountable for meeting annual budgetary goals
  • Oversees coordination and operations of highly matrixed programs and processes that support medical management strategy. Maintains optimal communication between stakeholders, staff and the associated programs
2

RN Medical Telemetry Night Resume Examples & Samples

  • Location/Facility – Baylor Scott&White Medical Center at Grapevine – North Texas
  • 2 - 3 years of professional nursing experience preferred
  • Previous experience with Med Surg or Med-Surg patients preferred
3

Rn-medical / Surgical Resume Examples & Samples

  • Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment
  • Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients
  • Demonstrates clinical competence in the care of stroke and neuro patients
4

Medical Audit Coord, RN Spec Resume Examples & Samples

  • Provides clinical expertise to other departments such as Workers Compensation, CSA/MSA outside case management in areas related to hospital and physician billing practices and cost containment activities
  • Works with legal department when indicated to resolve payment disputes
  • Serves as a consultant to CSA Continuing Care teams and case managers on issues on non-pricing, billing problems, procedures and benefit compliance issues. Identifies opportunities for cost containment. Works with regulatory compliance for review of benefit
  • Responsible for review ICD-9, CPT codes, medical records, UB-92 and HCFA forms and Kaiser Permanente internal systems (OTRS, Advice call logs). Determines if bills are payable or if additional informatio is needed, identification of potential fraud issues
  • Works with PRS staff as a resource for decision-making and medical terminology
  • Plans and organizes daily work to meet compliance timeframes. Provides feedback to manager to ensure work is within compliance
  • Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization
  • Acting with ethics and integrity, reporting non compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures
  • Minimum five (5) years of clinical experience
  • Minimum five (5) years of clinical experience in critical care preferred
  • Bachelor's degree preferred, OR four (4) years of experience in a directly related field
  • Certification or course completion certificates in coding preferred
  • The ability to make timely, sound decisions, and to act independently and negotiate successful resolution in difficult situations preferred
  • Familiarity with ICD-9 and CPT coding, hospital billing practices preferred
5

Clinical Documentation Specialist Rn Medical Records Fountain Valley Hospital Resume Examples & Samples

  • Candidate must have a RHIA, RHIT, or CCS credential or a valid RN or LVN license or international physician
  • Minimum of 3 years clinical or inpatient coding experience in an acute care setting preferred
  • Familiarity with ICD10 coding concepts and coding software desired
  • Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, hospital management staff, and health information systems coding staff
  • Ability to work independently in a time-sensitive environment
  • Computer literacy and familiarity with the operation of basic office equipment
  • Ability to stand and walk for periods of time is required in the performance of job responsibilities
6

RN Medical / Oncology Nights Resume Examples & Samples

  • Current Registered Nurse license in the State of Florida
  • Minimum of 2 years of clinical experience preferred
  • Current Chemotherapy Certification by ONS preferred
7

RN Medical Management Consultant Resume Examples & Samples

  • Monitors monthly and quarterly UM performance of assigned medical groups: conducts analysis of UM data and interprets results to assess the performance of the group; identifies strategies for improvement to include specific outcomes and metrics to monitor progress to a goal; provides feedback and makes recommendations in coordination with the Medical Director to Medical groups/Accountable Care Organizations
  • Conducts analysis of group and affiliated network contracts, local market data, and other utilization data to develop strategies for improvement; collaborates with assigned Medical Director to develop strategic initiatives for the Medical Group; presents findings at JOC meetings and in Medical Management meetings to the Group’s Medical Director and other clinical leaders; completes analysis of information focused on assigned region and is always current on regional market
  • Lead multi-disciplined practice transformation and practice performance improvement initiatives. He/she will guide practices in achieving targeted goals that include improved quality, efficiency and utilization
  • Provides training to medical groups and hospitals on a variety of topics
  • Participates in medical group and hospital orientation and conversion activities
  • Acts as an internal consultant to develop, implement and maintain new and revised medical management systems and business processes Acts as primary contact for the Medical Group to resolve general clinical and operational issues; attends regular internal meetings with Network Management and Sales staff
  • Attends and presents at external meetings such as the JOC, Orientations, Medical Group Training classes, PMG/IPA ACO and Hospital Utilization Management meetings
  • Assists other internal departments with Medical Group conversions and terminations
  • Travel is frequent, up to 25% of the month; typically, same day trips to Medical Groups Occasional overnight trips to the regional office and to outlying medical groups
  • Establishes and maintains strong working relationships with key internal and external constituencies
  • Using results of practice readiness assessments and other collected information, design practice transformation action plans and implement appropriate performance improvement initiatives designed to assist the practice in achieving contractually required transformation milestones. Monitor and review the progress of the practice in milestone achievement and insure the practice is accountable for successful completion
  • Current applicable CA state license - R.N
  • A minimum of three years of relevant work experience or management experience in the PMG/IPA or Health plan setting for concurrent review, prior authorizations, case management, referral management, retrospective review and discharge planning
  • A minimum of three years of experience in utilization/medical management, quality improvement, practice management, health care analytics, or experience in a primary care or multi-specialty practice that has successfully implemented ACO programs or quality improvement initiatives
  • Strong negotiation skills; including the ability to gain acceptance from others of a plan or idea to achieve a mutually beneficial outcome
  • Advanced proficiency with Microsoft Excel, Word, Access, and Power Point
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as the ability to understand and interpret complex information from others
  • Demonstrated ability to present in large groups
  • Advanced proficiency in industry knowledge
  • Delegation oversight experience
  • Master’s degree and/or managed care experience at the management level preferred
  • Clinical operations experience in the PMG/IPA/Hospital and health plan settings preferred, Acute inpatient experience desirable
  • Demonstrated effectiveness in performing statistical analysis and presentation of physician utilization data, including one-on-one meetings with physicians preferred
  • Demonstrated ability to work independently as well as in a virtual team environment
8

Rn Neuro Medical Resume Examples & Samples

  • Successful completion of approved hospital based Neuroscience nursing course within 3 months of employment
  • ACLS preferred, but not required
  • Eight hours of stroke-based or stroke-related education required within first year of employment and a
9

Rn-medical / Surgical Resume Examples & Samples

  • Two (2) years of recent medical/surgical experience in an acute care setting preferred
  • One (1) year of recent experience in telemetry preferred
  • Demonstrated clinical judgment with dialysis, renal, diabetic, and medical patients preferred
10

RN Medical Surgical & Telemetry Resume Examples & Samples

  • Location/Facility – Baylor Scott & White All Saints Medical Center at Fort Worth – North Texas
  • ADN required
  • BSN degree preferred
  • 2-3 years of experience preferred
  • Previous experience with Medical Surgical or Telemetry patients preferred
  • Previous experience in acute care setting highly preferred
11

RN Medical Surgical Resume Examples & Samples

  • Location/Facility – Baylor Scott & White Medical Center at Irving, Fort Worth, Grapevine, Carrollton, and Plano – North Texas
  • Minimum of 6 months of experience is required. 2-3 years of experience preferred
  • Previous experience with Medical Surgical patients preferred
12

Rn-medical Unit Resume Examples & Samples

  • Communication Skills: Verbal (with patients, families, grieving persons)[Use of SBAR when
  • Administration of Medications – knowledge of commonly utilized medications/proficiency with IV push
  • · Current TX RN licensure (or eligible for NCLEX)
13

Rn-medical Telemetry Resume Examples & Samples

  • Responsible for knowing and complying with the rules and regulations relating to the education, licensure and practice of the professional nurse as set forth in the Nurse Practice Act, Texas Occupations Code and/or other statutes and regulations relating to the practice of professional nursing
  • Candidates without ACLS are eligible for employment but must complete certification as noted
  • Experienced nurses must complete ACLS within six (6) months from date of hire
  • New Grads must complete ACLS within one (1) year from date of hire
  • Graduate from accredited school of nursing required
14

Optum Field Based RN Medical Management Parma Resume Examples & Samples

  • Nursing home chart reviews for ICD - 9 coding and medication reconciliation
  • Provide in-services to partnering nursing home staff for development and new home openings
  • Must travel to nursing home facilities daily throughout the Parma, Ohio, Cuyahoga county
  • 3+ years clinical experience as a RN in an acute setting, skilled nursing facility (SNF), long - term care facility, home health, hospice or nursing home
  • A background in managed care: Medicaid, Medicare, managed care experience
15

Medical Claims Review Rn-nationwide Posting Resume Examples & Samples

  • Function as a member of a self-directed team to meet specific individual and team performance metrics
  • Adapt to a highly changing environment and a heavy case load
  • A current unrestricted RN license in the state of residency
  • Exemplary clinical documentation skills; critical thinking skills
  • Background involving utilization review for an insurance company or experience in case management
  • Demonstrated written proficiency for Spanish
16

RN Medical Cardiac Resume Examples & Samples

  • Must be comfortable with using computers (EPIC) and working with a diverse patient population
  • Must be comfortable working in a fast paced environment
  • Training in medical clinical nursing and arrhythmia monitoring, basic EKG interpretation and cardiac drips is required or need to train and pass upon hire
17

RN Medical Management Consultant Resume Examples & Samples

  • A minimum of three years of relevant work experience in the PMG/IPA or Health plan setting for concurrent review, prior authorizations, case management, referral management, retrospective review and discharge planning
  • A minimum of three years of experience in utilization/medical management, quality improvement, health care analytics, or experience in a physician medical group that has successfully implemented quality improvement initiatives
  • Responsible for oversite of delegated capitated medical groups
18

RN Medical a-p Resume Examples & Samples

  • Execute physician orders and supervise the implementation of nursing interventions
  • Excellent technical, assessment, and documentation skills
  • Proficient verbal and written English communication skills
19

Rn-medical / Surgical PRN Resume Examples & Samples

  • Recognizes and responds to emergency situations and life threatening situations appropriately
  • Appropriately utilizes, maintains, and charges for equipment and supplies. Checks emergency equipment/drugs for proper operation and availability each shift
  • Initiates, coordinates, and communicates discharge planning in collaboration with other members of the health care team
  • Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms
  • Functions as a preceptor or an educational resource in the initial and on-going orientation of new personnel, students, etc
  • Respects and honors cultural and religious differences between patients and self
  • Participates in performance improvement processes and projects
  • Knowledge and skills necessary to provide patient care based upon the diverse population of Medical/Surgical patients, and based on physical, psycho/social, education, safety and related criteria, appropriate to the age of the patients served
20

RN st Medical / p-a Resume Examples & Samples

  • Executes physician orders and supervise the implementation of nursing interventions
  • Minimum of one to three years related Nursing experience
  • Effective verbal and written English communication skills
21

Rn-medical / Surgical Days, Sign on Bonus Resume Examples & Samples

  • Reviews and approves discharge instructions to ensure compliance with physician’s orders
  • Displays professionalism while completing multiple urgent tasks in a timely manner
  • Puts patient first. Always strives daily to give all customers excellent care
  • Participates in meetings, committees and continuing education to improve both individual departmental and organizational performance
  • Critical thinking, time management, and organizational skills
22

Rn Geropsych Days Los Alamitos Medical Resume Examples & Samples

  • Current California RN licensure
  • Current AHA BLS certification
  • Must complete Healthy Interventions course within 90 days of employment
  • Preferred: Previous inpatient psychiatric Geropsychiatric experience. Previous Medical/Surgical experience
23

Rn Neuro Medical Resume Examples & Samples

  • Employment Qualifications
  • Currently licensed to practice nursing in the Commonwealth of Virginia
  • CPR and NRP certified or able to be CPR and NRP certified
24

Rn-medical / Surgical Resume Examples & Samples

  • Educates patient about plan of care. Performs accurate ongoing assessment of the med/surg patient
  • Collaborates with physicians to prioritize treatment and medication, so that care is provided in a timely and safe manner
  • Certification in Basic Life Support (BLS)
  • Two years experience in a Skilled Nursing Facility
25

Medical Records Reviewer RN Resume Examples & Samples

  • Minimum of four years health care experience in clinical documentation and related regulatory requirements required. Experience with inpatient and/or outpatient rehab preferred, but not required
  • Associates or bachelors degree in nursing preferred
  • Knowledge of health care regulations and with coding guidelines for ICD-10-CN, CPT-4, PPS, and governmental reimbursement laws and regulations
  • Working knowledge of auditing techniques and auditing standards
  • PC literate (Microsoft Word, Excel, and email)
26

Medical Review RN Resume Examples & Samples

  • Recent UR experience preferred
  • Notifies admissions office of errors/changes in patient data including changes in physician orders/incorrect admission status designation
  • Documents insurance authorizations received in Midas
  • Indicates the working DRG in MIDAS and other tools
  • Initiates the appropriate letter (HINN: admission or continued stay, ABN) for any Medicare beneficiary if the outcome of the Physician Advisor secondary review indicates that the patient does not meet inpatient admission/observation status or continued stay medical necessity criteria
  • Professionalism, Quality, Growth and Safety
  • Supports the hospital quality, risk and performance improvement programs
27

Rn-medical Oncology Resume Examples & Samples

  • ACLS (within 6 months of hire/transfer)
  • Successful completion of Cardiac Dysrhythmia Recognition exam (within 6 months of hire/transfer)
  • Must complete the Chemotherapy and Biotherapy Certification within 12 months after eligibility following hire/transfer into the department, and maintain current certification. (Eligibility is defined as 6 months working experience in an Oncology unit.)
28

RN Medical Surgical Nights Resume Examples & Samples

  • Monitor, record, and communicate patient conditions as appropriate to the care team, physician, patient, and family
  • Evaluate learning needs of patient and/or family and provides patient/family education appropriate to age, culture, condition, and circumstances
  • Being a Nurse requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action
29

Rn-medical / Surgical Resume Examples & Samples

  • Receives physician orders, documents, follows up and evaluates patients’ outcomes. Assures that orders are carried out properly per policy. All orders are to be acknowledged and/or noted, signed and dated appropriately
  • May supervise nursing assistants, LPNs or students
  • Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining post treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation, as well as provides referrals to other healthcare professionals for follow-up treatment
  • Promotes cooperative relationships among health care teams by communicating information, responding to requests, building rapport, participating in team problem-solving methods
  • Recognizes safety hazards and takes action to maintain a safe environment for patients, staff, visitors and community
  • Ability to utilize keyboard, computer, and various pieces of general office equipment
30

Device Rn-mount Carmel Medical Group Resume Examples & Samples

  • Performs or assists with cardiac rhythm management device evaluation via
  • Plans and implements appropriate device surveillance at intervals based on
  • Graduate from a credited School of Nursing
  • Current License to practice as a Registered Nurse in the State of Ohio
  • Minimum of 1 year of RN experience
31

Rn-medical Office Resume Examples & Samples

  • Performs selective nursing procedures as approved by policy and maintains appropriate knowledge and skill level. Examples: medication preparation and administration, dressing applications and suture removals, first aid, administration of catheters, enemas, or irrigations
  • Assists physician or healthcare provider with specialized treatments, i.e. gynecological exams, minor surgeries, electrocautery, biopsies, sigmoidoscopies, casting, sterile technique procedures, and specimen preparation
  • Coordinates and directs, under the supervision of the ambulatory care setting manager, the activities of clinical personnel as determined by the specific needs of the site. May include tasks such as staff scheduling, quality assurance, oversight of students, nursing support, etc. Serves as a mentor
  • Performs office laboratory procedures, which may include assisting with collection, testing, handling, transporting, and documenting of specimens
  • Participates in professional development and enhancement activities, i.e. organizational sponsored CEU’s and informal educational opportunities
  • Demonstrates the ability to perform responsibly in emergency situations based on the assessed needs of the patient. Maintains scheduled office visits by demonstrating appropriate time management and priority setting skills
  • Provides operational and organizational assistance to the physician or healthcare provider by keeping the office running smoothly, ensuring patients are ready for examination to eliminate waiting time, anticipating the needs for equipment and instruments, and assuring all pertinent tests/reports are available
  • Assures all documentation in the medical record is complete, accurate, timely, and co-signed by the physician or healthcare provider
  • Demonstrates critical thinking in all aspects of patient care
  • Notifies patient of test results. This may include advising of medication changes, abnormal values, follow-up testing and other highly sensitive conditions
  • Handles all aspects of a prescription refill from retrieving the message from the script line, pulling the chart for review by the physician/healthcare provider and phoning or faxing the refill to the pharmacy. Appropriately documents in the medical record
  • Assists clinical associates with immunizations, lab draws, blood pressure checks, injections, rooming patients and other duties as necessary
  • Communicates with patients and visitors to the office in a professional, courteous, friendly and non-intimidating manner. Must be able to articulate the importance of the recommended directives of the physician or healthcare provider
  • Maintains technological competencies, organization and neatness in the work area. Completes all mandatory in-services in required timeframe. Regularly assists co-workers as needed. Utilizes resources in a manner, which reflects an understanding of proper stewardship
  • Performs other duties consistent with purpose of job as directed
32

Rn Medical Nights Resume Examples & Samples

  • Must be licensed in the State of Oregon as a Registered Nurse
  • Additional certifications as required by unit: ED/PEDS/ICU/OR: American Heart Association Pediatric Advanced Life Support for HealthCare Provider, (PALS) certification required or obtained within 6 months of hire. ED: Trauma Nurse Core Curriculum (TNCC) or Trauma Emergency Assessment and Management (TEAM) required or obtained within 6 months of hire date. OB: Neonatal Resuscitation Program (NRP) required or obtained within 6 months of hire date
  • Hand written communication is legible and understandable Critical Values reports are relayed and documented to physician in a timely fashion
33

RN Medical Oncology Resume Examples & Samples

  • Accredited with commendation by the American College of Surgeons Commission on Cancer
  • Capital Regional Medical Center's mammography program is accredited by the American College of Radiology
  • Jean Byers Award for Excellence in Cancer Registration
34

Rn-medical / Surgical, Sign on Bonus Resume Examples & Samples

  • Ability to accept regular on-call assignments for regularly scheduled shifts when acuity and/or census indicates need. Will be available to report to facility within 60 minutes of notification. This status will be determined by Department Director, Supervisor, Clinical Team Lead/Charge Nurse or House Supervisor
  • Maintains a safe patient and working environment by adhering to infection control and safety policies and procedures
  • Administers & wastes medications in accordance to medication management policies
  • Involves the patient and/or family in the utilization of processes which respect patient’s rights
35

Rn-medical / Surgical Resume Examples & Samples

  • Assume day-to-day assignments at a variety of UPMC inpatient facilities, congruent with their clinical skills and experience. Establish and maintain positive relationships with managers, physicians, non-physician providers, ancillary and support staff, nursing colleagues, other departments, as well as patients and families
  • Critical thinking skills necessary to exercise and to lead others in application of the nursing process
  • Develop and maintain productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues
  • Develop and maintain productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues. Take personal responsibility in improving patient satisfaction by delivering excellent quality of care and service
  • Good clinical judgment with critical thinking, analytical and problem solving abilities required as related to various aspects of patient care
  • Good clinical judgment with critical thinking, analytical and problem solving abilities required as related to various aspects of patient care. Critical thinking skills necessary to exercise and to lead in application of the nursing process. Mobility and visual manual dexterity. Physician stamina for frequent walking, standing, listening and positioning
  • Mobility and visual manual dexterity. Physical stamina for frequent walking, standing, lifting and positioning
  • Practice solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and unit practices. Patient documentation is comprehensive and promotes communication between caregivers. Provide detailed and appropriate teaching to patients and families to effectively guide them through the duration of their stay as well as transition to another level of care and/or home
  • Two years (2) of registered nurse experience required
  • Excellent communication skills necessary to effectively interact with patients, family members, visitors and staff members
36

RN Medical Information Specialist Resume Examples & Samples

  • Provide product and disease state information covering both on and off label information within the guidelines of Standard Responses
  • Provide world-class customer service and immediate resolution to inquiries at the point of customer contact
  • Respond to non-phone customer inquiries (e.g., e-mail, fax)
  • Communicate customer calls, issues, trends, programs and solutions
  • Interact with team members to manage a broad number of product, medical and business issues and share best practices
  • Licensed Registered Nurse, with valid, active state (any) RN license required
  • Experience providing medical information and customer service to healthcare professionals over the phone strongly preferred
  • Excellent verbal, telephone communication and written skills required
37

RN Medical Bill Review Resume Examples & Samples

  • Applies clinical editing
  • Reviews operative reports to determine if surgery services were appropriately billed
  • Contacts client or facility to obtain additional or missing information
  • Handles provider appeals as appropriate to fee schedule and contractual disputes
  • Identifies and effects reductions on selected medical bills that are determined to include inappropriate, unrelated or undocumented charges within state specific workers' compensation laws rules and regulations
  • Supports the organization's quality program(s)
  • Travel as required
  • Extensive knowledge of re-pricing rules and guidelines
  • Knowledge of medical terminology, anatomy and surgical terminology
  • Knowledge of CPT/ICD9
  • PC literate, including Microsoft Office products
  • High level of accuracy and attention to detail
  • Ability to multi task and function in high volume area
  • Problem solving skills and ability to handle deadlines
38

RN Mgr, or, Medical Mgmt Resume Examples & Samples

  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
  • Requires leadership/supervisory and/or management experience
  • NCQA experience highly preferred
  • Complex case management experience preferred
  • Computer skills: Must have experience working with MS Office (Word, Outlook, Excel) and be comfortable with computers in general with the ability to use web-based programs and toggle between applications for research and information
39

Medical Claims Review RN Resume Examples & Samples

  • Perform utilization and concurrent review using Milliman criteria
  • Approve bed days for inpatient cases when applicable
  • Arrange alternative care services; Contact and maintain communication with acute long term care, acute rehabilitation, or skilled nursing facilities to move patients through the care continuum
  • Adhere to ethical legal regulatory and accreditation standards
  • Consult with Medical Director as needed
  • 3 years RN experience in an acute setting
  • 2+ years of experience in utilization management and/or prior authorization
  • Knowledge of CMS and state regulations
  • Undergraduate degree (BSN)
  • Clinical documentation improvement experience
40

RN, Medical Procedures Unit Resume Examples & Samples

  • One (1) year inpatient or ASC Endoscopy experience within the last four (4) years
  • Current ICU, PACU or ED experience
  • Experience assisting with GI procedures
41

Rn Medical Oncology & Renal Resume Examples & Samples

  • Current State of GA RN licensure required
  • Minimum 2 years recent Med/Surg experience required
  • Graduate of an accredited school of Nursing
42

RN, Medical Surgical Nights Resume Examples & Samples

  • ONS or ONC to treat chemo patients within 12 months of hire
  • 2+ years experience as an RN in acute care setting preferred
  • EKG competency preferred
43

RN, Medical Surgical Days Resume Examples & Samples

  • Proficiency with computer skills - Microsoft Suite and computerized charting - EPIC/Care Connect
  • Very good verbal, written and interpersonal communication skills
  • A high degree of confidentiality
  • Ability to work in a fast-paced environment
  • Current certification: BLS for Healthcare Providers
  • Completion of PBDS competency assessment
  • Prefer 3 to 5 year's current Med/Surg experience as a RN from an acute care setting
  • Med/Surg Certification is a plus
  • Experience working with 5-6 patients at a time
  • ACLS certification is highly desired
  • Charge Nurse Experience preferred
44

RN, Medical Surgical p-a Resume Examples & Samples

  • Qualified candidates will be a Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs
  • For RNs hired after Jan 2014 completion of BSN within 3 years of THR RN start date as defined in offer letter. Effective Dec 2016 RNs hired or transferring in THR completion of BSN within 2 years
  • Responsibilities will include patient assessment, creating and maintaining a sterile and safe environment to include service as patient advocate. Initiate action to protect patient rights and/or preferences; adhere to HIPAA, Safety and Infection Control guidelines. Candidates will need to be able to effectively communicate in a clear manner with guests, patients, physicians, team members and other employees. equirements
45

Rn-medical Resume Examples & Samples

  • 7A-7P - 36 hour work week - Rotating weekends/Holidays
  • Graduate of a NLN (National League of Nursing) or CCNE (Commission on Collegiate Nursing Education) accredited nursing programs
  • Current AHA BLS and ACLS training
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RN, Medical Surgical a-p Resume Examples & Samples

  • Current AHA BLS training
  • Knowledge of computer documentation; good keyboard skills; working knowledge of the care and management of the patient in the setting
  • 2+ years experience as an RN in acute care setting
47

Medical Claims Review Rn-telecommute Resume Examples & Samples

  • Perform clinical coverage review services, which require interpretation of state and federal mandates, applicable benefit language, and consideration of relevant clinical information
  • Ability to communicate in writing and verbally, all types of benefit determinations including decisions regarding coverage guidelines, contractual limitations and reimbursement determinations
  • Telephonic discussion with health care providers and/or members to explain benefit coverage determinations and to obtain additional clinical information
  • Acts as a resource for others with less experience
  • Work independently and collaborating with Medical Directors and non-clinical partners
  • Minimum of 3 years total RN experience including recent clinical experience in an inpatient/acute setting
  • Demonstrate a proficiency in computer skills – Windows, Instant Messaging, Clinical Platforms, Microsoft Suite including Word, Excel and Outlook
  • Must have a quiet designated work space and access to install secure high speed internet (minimum speed 1.5 download mps & 1 upload mps) via cable/DSL in home (wireless/cell phone provider, satellite, microwave, etc. does NOT meet this requirement)
  • NLC (Nurse License Compact) RN license
  • Familiarity with Milliman Care Guidelines
  • Excellent communication skills both verbal and written
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Clinical Coordinator Rn-medical Resume Examples & Samples

  • Clinical Role Model - Demonstrates an advanced level of clinical skills and the ability to support others to achieve the delivery of quality care. Demonstrates knowledge and application of the nursing process
  • Leadership - Demonstrates interpersonal skills and competency in leadership, supervision and management of staff. Supports, maintains and provides an environment which is supportive of quality patient care through effective use of resources and personnel
  • Customer Service - Demonstrates awareness of his/her unique position and method of dealing with customers. Continuously strives to exceed customer's needs. Practices, develops and endorses customer service skills in relationships with internal and external customers. Prompt/effective interventions in pt/family situations as they arise
  • Participates and cooperates in the unit based Quality Improvement processes. Maintains monthly reports and
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RN Medical Surgical Services Resume Examples & Samples

  • Promotes customer service initiatives along with Eastside Medical Center’s Service Values
  • BLS – American Heart Association - required
  • Good communication skills
50

Rn-medical / Surgical Sign on Bonus Resume Examples & Samples

  • The staff RN prescribes, delegates and coordinates the nursing care for assigned patients throughout the scheduled shift according to the plan of care and in collaboration with other members of the health care team (physicians, pharmacists, dieticians, physical therapists, occupational therapists, case managers, etc.)
  • Identifies both actual and potential needs/problems through nursing assessment to facilitate an organized and prioritized plan of care
  • Documents admission and shift assessments, plan of care, interventions and educational needs of each patient, as well as, documenting the patient/family response to interventions
  • Delivers patient care activities according to the policy for Standards of Care – Adult or Pediatric
  • Evaluates, communicates and documents care delivered to the patients to other members of the health care team through shift report, nursing care plans, patient care notes, and/or direct communication
  • Handles conflicts and concerns in a timely and professional manner, utilizing crisis-de-escalation skills when appropriate
  • Effective Oral and written communication skills, including SBAR and AIDET
  • Ability to prioritize work assignments during periods of stress and high patient volume
  • Corrected hearing and visual acuity to read monitors, hear alarms, etc
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Rn-medical Surgical Unit Resume Examples & Samples

  • Completes all nursing multi-system assessments that include head to toe assessments, vital signs, dressing changes, suctioning, bathing, and repositioning
  • Reviews patient admission history, prepares and accurately completes the discharge planning process as per department and hospital policies & procedures
  • Provides nursing care that includes IV site monitoring, specimen collection, and assists medical team with special procedures
  • Follows physician’s orders, administers and reconstitutes medications as directed. Adheres to the six rights of medication administration
  • On-call assignment per department and hospital policy
52

Rn-interventional / Medical Imaging Resume Examples & Samples

  • Education:BSN or ADN (with equivalent hospital/acute care experience)
  • Experience:One to three yearscritical care or emergency nurse experience
  • Experience:Experience in interventional radiology, special procedures or cardiac cath
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Rn-neuro Medical Unit-orlando Resume Examples & Samples

  • Organizational and multi - tasking skills
  • Ability to work as a team player within a unit
  • Effective verbal and oral communication and problem solving skills
  • EKG (based on patient population)
  • Bachelor's degree in nursing (preferred)
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RN TL Medical Surgical Services Resume Examples & Samples

  • Maintains a positive and effective working relationship with organizational leaders, coworkers, patients, and visitors
  • Provides professional clinical guidance to staff by acting as a role model and mentor to staff in the clinical role by ensuring that standards of care are being maintained and evidenced-based practices are being followed for all patients
  • Ability to problem solve, address situations and grasp new ideas as they arise
  • Ability to prioritize work, organize, and manage time effectively
  • Follows safety and security procedures by ensuring compliance with regulatory requirements and organizational policies and procedures
  • Demonstrates the ability to analyze monthly dashboards with clinical manager to discuss opportunities and recognition, ensure that assigned audits are completed, proactively review opportunities during rounding to improve patient care and formulate plan of action
  • Participates in performance improvement processes by ensuring that performance initiatives (hourly rounding, care boards, bedside shift report, etc.) are being performed, reward and recognize and/or coach staff when opportunities are identified, proactively develop plan of action for identified opportunities for improvement with the manager
  • Perform administrative and managerial functions, such as assisting with peer review for staff performance evaluations, budget planning with the clinical manager for the unit, and planning for successful achievement of long range quality improvement goals by attending and participating in required meetings
  • 2 plus years work experience performing Registered Nurse duties and responsibilities
  • Successful completion of EKG and Advanced Cardiac Life Support (AHA) if working on a monitored unit. Must be maintained throughout employment
  • Bachelor's degree in Nursing from an accredited school of professional nursing
  • 2 plus years of leadership experience
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RN Medical Services Senior Specialist Resume Examples & Samples

  • Manages calls in a personal, systematic and organized manner
  • Display exemplary phone etiquette following approved call scripts
  • Completes all necessary compliance training in specified timeframe
  • Administer programs that enable patients to overcome adherence barriers to medication
  • Manage performance to consistently meet or exceed KPI's
  • Act as a readily available resource to answer any questions on administration of product
  • Complete all tasks while complying with federal, state, and local regulations, HIPAA guidelines, and corporate and departmental policies and procedures
  • Conduct and coordinate appeals on issues of utilization and therapy management
  • Travel required up to 25% or as needed
  • Excellent follow-up Skills
  • Must have clinical knowledge
  • Experience in telephonic nursing environment desirable
  • Excellent verbal communication skills; above average written communication skills
  • Excellent at multitasking: talking on the phone, following a script, entering data, thinking and deciding on appropriate course of action, and providing advice
  • Courteous attitude toward patients, health care professionals, clients, and fellow employees
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Medical Claims Review Rn-telecommute Resume Examples & Samples

  • Unrestricted, active RN license
  • 3+ years RN experience in an acute setting
  • Ability to create, edit, save and send documents utilizing Microsoft Word
  • Ability to navigate a Windows environment, Microsoft Outlook, and conduct Internet searches
  • Working knowledge of Milliman Care Guidelines
  • Knowledge of HIPAA Regulations
  • Knowledge of ICD-9, ICD-10, CPT and HCPCS codes
  • 2+ years of Medical Claims Review experience
  • Working knowledge of Sierra Nevada Facets and Macess systems
  • Clinical appeals experience
  • Strongly able to multi task and work under pressure with fluctuating workloads
  • Ability to work and communicate effectively in a team environment
  • Ability to read and interpret medical business correspondence, procedure manuals, and specific plan documents
  • Strong keyboarding skills
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Rn-riverbend Medical Group Resume Examples & Samples

  • Responsible for clinical job duties as designated by department
  • Works to achieve high levels of patient satisfaction by helping to resolve patient concerns or complaints. Provides emotional support to the patient and family
  • Encourages active participation by all support staff in problem-solving strategies
  • Serves as a clinical resource to medical assisting, LPN staff and business staff
  • Performs back office lab testing and administers treatments per department protocol
  • Assists providers with special exams and procedures; handles insertion and maintenance of IV catheters
  • Assists with coordination of patient care at office visits, on the phone, or through the electronic medical record
  • Coordinates follow-up appointments post hospital discharge/ER visits
  • Encourages and enrolls patients in MyChart
  • Provides outstanding customer service to internal and external customers. Contributes to a positive work atmosphere. Exhibits a spirit of teamwork in all interactions
  • Maintains cleanliness of patient care areas, clinical equipment and medical instruments following designated protocols
  • Regular and reliable attendance in accordance with department needs and company policies
  • Multi-tasking, problem solving and decision-making skills required. Ability to organize, analyze and interpret clinical data. High level of dependability and accuracy required
  • Responds to information and situations in a tactful and self-controlled manner. Maintains a calm composed manner during stressful times. Accurately assesses own strengths and weaknesses
  • Builds on strengths and looks for ways to build positive relationships on the work team. Demonstrates trust and respect for other in the work environment and adheres to high personal standards of acceptance, integrity, reliability, openness and consistency of action with words
  • Flexibility to meet the coverage needs of the department
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Appeals & Medical Review RN Resume Examples & Samples

  • Review NCD and LCD on regular bases to ensure that up to date requirements for medical necessity documentation are communicated to physicians
  • Familiar with contract terms for major payers
  • Identify and report trends in initial and concurrent review process contributing to denials
  • Knowledge of Code of Ethics policy and procedure
  • Identifies and reports ethical issues following appropriate chain of command
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Rn-new Grad / Novice Medical / Surgical Resume Examples & Samples

  • Graduate of Accredited School of Nursing with successful completion of NCLEX prior to start date
  • Associate Degree required with a letter of acceptance to BSN program within 6-12 months of start date as RN
  • Valid license to practice registered nursing in Minnesota. Registered Nurse MN (RN) license through the Minnesota Board of Nursing
  • One year RN experience preferred
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Manager, Pre-service Medical Review RN Resume Examples & Samples

  • Advanced degree in related field
  • Experience managing in a call-center environment
  • Utilization Management (UM) experience
  • Knowledge of CMS and NCQA guidelines
  • Experienced in ICB, Diamond, Siebel and Jiva
  • Experience leading or participating in projects affecting multiple functional areas
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RN Medical Surgical Nights Resume Examples & Samples

  • 3 shifts a week, 18:45 - 07:15
  • Models Promise behaviors
  • Actively participates in shared governance
  • Promotes the forces of magnetism and Magnet philosophy throughout the organization
  • Stays informed of changes, updates and communications
  • Attends in-services and/or continuing education useful to area of practice
  • Practice reflects current methodology supported by evidence-based practice
  • Accountable for professional development by identifying realistic and measurable goals at least annually
  • Utilized by other staff/units as a resource
  • Supports cultural diversity through cooperative relationships with all customers
  • Utilizes SBAR communication with multidisciplinary team members in coordination of patient care
  • Identifies patient needs and coordinates with physicians to facilitate patient throughput/flow
  • Reviews plan of care with physician(s) to provide optimum opportunity for patient-focused care and ensure appropriate processes supports
  • Utilizes chain of command
  • Communicates concerns to the Ethics Committee
  • Utilizes professional judgment to consistently prioritize patient care
  • Anticipates work flow each shift and organizes resources and interventions accordingly
  • Delegates effectively by making efficient use of staff time and expertise
  • Adapts to changes in workload by demonstrating flexibility related to patient needs, staffing and nurse patient ratio
  • Coordinates efficient patient flow/throughput
  • Complies with reimbursement related standards
  • Identifies ineffective and costly processes and provides suggestions for improvement
  • Utilizes resources cost effectively
  • Contributes to the recognition and implementation of contemporary evidence based nursing practice
  • Contributes to ongoing quality improvement in nursing practice and service delivery
  • Consistently reflects National Patient Safety Goals (NPSG) in daily practice
  • Seeks assistance/supervision/consultation when performing new or unfamiliar skills/tasks
  • Establishes, maintains and terminates appropriately therapeutic relationships with patients/families
  • Consults with patient and significant others regarding care and treatments
  • Actively seeks customer feedback on quality of service provided
  • Utilizes HEART (Hear, Empathize, Apologize, Respond, Thank) service recovery model in addressing customer concerns
  • Initiates actions to meet patient and/or significant others needs for information
  • Meets patient needs through utilization of the nursing process and applicable standards of nursing care
  • Develops/implements/coordinates plan of care based on identified patient needs
  • Evaluates patient progress toward attainment of goals
  • Revises plan of care as indicated
  • Adapts care measures to reflect population-specific and developmental considerations
  • Anticipates actual or potential patient problems or human responses and takes action to reduce/eliminate patient risks
  • Develops and revises a discharge plan, based on anticipated needs at discharge
  • Safely administers medication in accordance with medication administration guidelines
  • Produces documentation that initiates, follows and revises the patient's plan of care and is supportive of regulatory requirements
  • Assesses the knowledge, skills and learning needs of team members in relation to the needs and acuity level of patients before the delegation of care
  • Supervises and evaluates the performance of delegated activities
  • 2) Charge RN
  • 3) Workplace Accountability and Professionalism
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Clinical Rn-columbia Gateway Medical Resume Examples & Samples

  • Coordinates recovery care of patients post sedation
  • OB/GYN experience preferred
  • Willing to trained float to another Department