CARMEL M HAINES
Nursing in Pilesgrove, NJ
License number
New Jersey 26NO06829600
Issued Date
Jan 3, 1979
Expiration Date
May 31, 2018
Category
Nursing
Type
Registered Prof. Nurse
Address
Address
Pilesgrove, NJ
Professional information
Carmel Haines - Woodstown, NJ
Work:
Cooper University Medical Center
Senior Compliance Auditor Crozer-Keystone Health System - Brookhaven, PA
Senior Clinical DRG Analyst 2008KEYSTONE MERCY HEALTH PLAN - Philadelphia, PA
Medical Claim Review Auditor UNITED HEALTHCARE - Millville, NJ
Medical Claims Review Consultant 1998CHRISTIANIA CARE HEALTH CARE SYSTEM
Precertification Coordinator/ Supervisor Precertification Unit - Wayne, PA
Precertification Coordinator/ Supervisor Utilization Management - Camden, NJ
Case Manager 1993UNDERWOOD-MEMORIAL HOSPITAL - Woodbury, NJ
Utilization Management Coordinator/Supervisor One Brandywine Gateway - Wilmington, DE
Managed Care Representative UNDERWOOD-MEMORIAL HOSPITAL - Woodbury, NJ
Charge Nurse- I.C.U./C.C.U SACRED HEART MEDICAL CENTER - Chester, PA
Charge Nurse-Medical/Surgical Unit WEST JERSEY HOSPITAL - Camden, NJ
Charge Nurse- Medical
Senior Compliance Auditor Crozer-Keystone Health System - Brookhaven, PA
Senior Clinical DRG Analyst 2008KEYSTONE MERCY HEALTH PLAN - Philadelphia, PA
Medical Claim Review Auditor UNITED HEALTHCARE - Millville, NJ
Medical Claims Review Consultant 1998CHRISTIANIA CARE HEALTH CARE SYSTEM
Precertification Coordinator/ Supervisor Precertification Unit - Wayne, PA
Precertification Coordinator/ Supervisor Utilization Management - Camden, NJ
Case Manager 1993UNDERWOOD-MEMORIAL HOSPITAL - Woodbury, NJ
Utilization Management Coordinator/Supervisor One Brandywine Gateway - Wilmington, DE
Managed Care Representative UNDERWOOD-MEMORIAL HOSPITAL - Woodbury, NJ
Charge Nurse- I.C.U./C.C.U SACRED HEART MEDICAL CENTER - Chester, PA
Charge Nurse-Medical/Surgical Unit WEST JERSEY HOSPITAL - Camden, NJ
Charge Nurse- Medical
Education:
St. Joseph College
Masters in Healthcare Administrative Services St. Joseph College
BS in Health Administration Wilmington School of Nursing - Wilmington, DE Archbishop Carroll High School - Radnor, PA American Academy of Professional Coders
Masters in Healthcare Administrative Services St. Joseph College
BS in Health Administration Wilmington School of Nursing - Wilmington, DE Archbishop Carroll High School - Radnor, PA American Academy of Professional Coders
Skills:
Certified Clinical Documentation Specialist-CCDS, INTEQUAL- Certified Professional in Healthcare Management- CPHM DRG Training Program American Association of Managed Care Nurses Certification-CMCN American Health Information Management Association-CCS American Academy of Professional Coders: CPC- CPC-H AHIMA Academy for ICD-10-CM/PCS Trainers HCPRO Medicare Utilization Review Boot Camp
Carmel Haines - Woodstown, NJ
Work:
Cooper University Medical Center
Senior Compliance Auditor Crozer-Keystone Health System
Senior Clinical DRG Analyst I Health Technologies, Inc. - Atlanta, GA
DRG Auditor KEYSTONE MERCY HEALTH PLAN - Philadelphia, PA
Medical Claim Review Auditor UNITED HEALTHCARE - Millville, NJ
Medical Claims Review Consultant FIRST STATE HEALTH PLAN - Newark, DE
Precertification Coordinator/ Supervisor MEDISYS, INC - Wayne, PA
Precertification Coordinator/ Supervisor COOPER HOSPITAL/UNIVERSITY MEDICAL CENTER - Camden, NJ
Temporary Positions UNDERWOOD-MEMORIAL HOSPITAL - Woodbury, NJ
Case Manager BLUE CROSS BLUE SHIELD OF DELAWARE - Wilmington, DE
Utilization Management Coordinator/Supervisor UNDERWOOD-MEMORIAL HOSPITAL - Woodbury, NJ
Managed Care Representative SACRED HEART MEDICAL CENTER
Charge Nurse- I.C.U./C.C.U Upland Avenue - Chester, PA
Charge Nurse-Medical/Surgical Unit
Senior Compliance Auditor Crozer-Keystone Health System
Senior Clinical DRG Analyst I Health Technologies, Inc. - Atlanta, GA
DRG Auditor KEYSTONE MERCY HEALTH PLAN - Philadelphia, PA
Medical Claim Review Auditor UNITED HEALTHCARE - Millville, NJ
Medical Claims Review Consultant FIRST STATE HEALTH PLAN - Newark, DE
Precertification Coordinator/ Supervisor MEDISYS, INC - Wayne, PA
Precertification Coordinator/ Supervisor COOPER HOSPITAL/UNIVERSITY MEDICAL CENTER - Camden, NJ
Temporary Positions UNDERWOOD-MEMORIAL HOSPITAL - Woodbury, NJ
Case Manager BLUE CROSS BLUE SHIELD OF DELAWARE - Wilmington, DE
Utilization Management Coordinator/Supervisor UNDERWOOD-MEMORIAL HOSPITAL - Woodbury, NJ
Managed Care Representative SACRED HEART MEDICAL CENTER
Charge Nurse- I.C.U./C.C.U Upland Avenue - Chester, PA
Charge Nurse-Medical/Surgical Unit
Education:
St. Joseph College
Masters in Healthcare Administrative Services -MHSA St. Joseph College
BS in Health Administration Wilmington School of Nursing - Wilmington, DE Archbishop Carroll High School - Radnor, PA American Academy of Professional Coders
CPC-CPC-H
Masters in Healthcare Administrative Services -MHSA St. Joseph College
BS in Health Administration Wilmington School of Nursing - Wilmington, DE Archbishop Carroll High School - Radnor, PA American Academy of Professional Coders
CPC-CPC-H
Skills:
INTERQUAL Utilization Management Certification CPUR