Work:
La Amistad Behavioral Health
Utilization Review Nurse
Connextions - Orlando, FL
Telephonic Resource Nurse
MHNet, Inc - Casselberry, FL
Utilization Review Case Manager
DIMENSIONS, Inc
Remote Case Manager & Reviewer
LTCG, Inc - Maitland, FL
Case Manager
AIDS Healthcare Foundation - Orlando, FL
Field Nurse
Education:
FL Southern - Lakeland, FL
BSN in Nursing
Skills:
Skills/Expertise: Analytical and practical skills utilized to determine eligibility for insurance benefits. Resourceful and intuitive using cross-functional skills to solve complex challenges Accomplished in soft ware applications including EMR, word, excel, outlook, various data bases, and other internet applications. Revamped and simplified excel spreadsheet for statistical reporting used by MHNet's providers (community based mental health centers). By maintaining appropriate relationships with providers I was able to prevent the potential loss of a premier community health provider related to a payment issue. Increase client satisfaction using my extensive telephonic & clinical experience. Independent and Team working environment experience. Advocate for patient's rights as well as responsibilities to improve quality outcomes. Familiarity with various care guidelines, cpt coding, and ICD 9 diagnostic standards. Taking courses for new ICD 10 coding as well as DSM 5.