Prestige Health Choice Jul 2014 - Dec 2016
Clinical Care Reviewer, Prior Authorizations W and Later Transition To Inpatient Concurrent Reviewer
Amerihealth Caritas Jul 2014 - Dec 2016
Utilization Management Corporate Clinical Auditor
Shriners International Hospitals For Children Corporate Feb 2014 - Jul 2014
Utilization Review Specialist
Veterans Administration/Orlando Jul 2012 - Nov 2013
Va Community Health Nurse
Florida Hospital Sep 2009 - Jun 2012
Utilization Management Nurse Coordinator
Education:
University of Miami 1968 - 1972
Master of Education, Masters, Bachelors, Bachelor of Science In Nursing, Biology, Nursing
Miami Dade College 1967 - 1968
Master of Education, Masters, Biology
Our Lady of Lourdes Academy
Skills:
Discharge Planning Case Management Utilization Management Medicare Medicaid Health Insurance Managed Care Healthcare Navigation Primary/Specialist Physician Support Patient Care Coordination Hospitals Nursing Ehr Quality Improvement Medical/Surgical Oncology Microsoft Office Microsoft Word Microsoft Excel Windows and Internet Navigation Healthcare Liason
Interests:
Personal and Professsional Growth Art History Health Children Education Healthcare Innovation Science and Technology Music Human Rights Family Patient Satisfaction Ocean Sports Transitional Care Improvement Customer Service Disaster and Humanitarian Relief Social Services Quality Improvement Politics Geneology Domestic and International Travel Animal Welfare Arts and Culture
Certifications:
Chcqm (Certified Health Care Quality Management) Bls (Basic Life Support) Licensed Registered Nurse Abqaurp (American Board of Quality Assurance Utilization Review Physicians), License # 46511 American Heart Association State of Florida Department of Health, License Rn617792 License # 46511 License Rn617792
Christina Hatcher (1974-1978), John Doe (1997-2001), Pat Raines (1966-1970), Amelia Craft (1981-1985), Elaine Smith (1963-1967), Thomas Gibson (1962-1966)