Kepro Qio Jul 2014 - Oct 2015
Medicare Appeals Nurse Reviewer
Unitedhealth Group Jul 2014 - Oct 2015
Senior Clinical Quality Manager
Carecentrix Feb 2013 - Jul 2014
Clinical Review Nurse and Utilization Management
Wellcare Health Plans Jan 2012 - Feb 2013
Qi Analyst
Universal Health Care St Petersburg Fl Jun 2012 - Nov 2012
Hedis Nurse Specialist
Education:
Hillsborough County School of Practical Nursing
University of North Georgia
Skills:
Insurance Managed Care Disease Management Chronic Care Management Long Term Acute Care Hedis Hospice Palliative Care Community Education Staff Development Long Term Care Triage and Intervention Health Insurance Medical Case Management Process Improvement Medicare Medicaid Health Policy and Procedure Hipaa Ahca Palmetto Gba Cms Access Microsoft Excel End Stage Disease Management Risk Management Microsoft Office Microsoft Word Vendor Databases Nursing Clinical Research Call Centers Inpatient Healthcare Management Utilization Management Healthcare Industry Leadership Training Inpatient Care
Interests:
Civil Rights and Social Action Education Human Rights Animal Welfare Arts and Culture
Certifications:
National Hospice and Palliative Care Organization Certified Hospice and Palliative Licensed Nurse
Pyramid Healthcare Solutions Clearwater, FL 2014 to 2014 Infusion Billing / Collections RepresentativeCareCentrix Tampa, FL Dec 2012 to Nov 2013 Medical Claims AdjudicatorCareCentrix National Claims Center Hartford, CT 2010 to 2012 Infusion Claims ProcessorMount Snow Area Rural Vermont 2001 to 2010 Non-Healthcare PositionsTeamsters Local 443 New Haven, CT 1999 to 2001 Manager Health Services and InsuranceEmployee Benefits Administrators Avon, CT 1991 to 1993 Claims SupervisorCIGNA East Hartford, CT 1989 to 1991 Member Service RepresentativeConsulting Cardiologists, P.C Hartford, CT 1987 to 1989 Insurance Billing and CollectionsProvident Life and Accident Dallas, TX 1982 to 1986 Claims Examiner
Skills:
Management / Supervisory / Collections / Accounts Receivable / Member Services / Traditional Home Health / DME / Infusion Therapy / Coordination of Benefits / Extensive Customer Service Training / Medicare / Medicaid / Audit / Appeals / Medical / Dental / Disability Claims / Medical Terminology / CPT / ICD9-10 / HCPCS / Exceptional Communication Skills / Call Center Experience
Flickr
Youtube
Juice Newton - Angel Of The Morning (Official...
#JuiceNewton #AngelOfTheMorni... #Remastered.
Duration:
3m 54s
Janet Newton
An Electric Silent Spring reports the effects of electrification and w...
Duration:
5m
Flaws in FCC Safety Policy - Janet Newton
Janet Newton of the EMR Policy Institute (EMRPoicy.org) analyses the s...
Duration:
44m 59s
Janet Newton on Group Think - 2014
Duration:
4m 34s
Frequency of Earth Astrologer Pam Gregory Wi...
Frequency of Earth Astrologer Pam Gregory With Janet Treloar & Hazel N...
Duration:
56m
Juice Newton - Queen Of Hearts TopPop
Juice Newton originally was a member of the band Silver Spur. Later sh...
Hartington High School Hartington NE 1973-1976, Newcastle Public High School Newcastle NE 1976-1986
Community:
Joe Lanphear, Chris Miller, Christen Pearson, Rick Pearson, Peggy Wohlman, Beverly Pedersen, Bill Olsen, Therese Wiebelhaus, John Weddingfeld, Craig Pearson, Karma Andrews
Janet Newton and Maria Thibodeau were denied a marriage license last week and they filed a lawsuit that led to a ruling by District Court Judge Sheri Raphaelson that same-sex couples are entitled to be married in New Mexico.
A same-sex couple from Los Alamos County, Janet Newton and Maria Thibodeau, filed a lawsuit last week after being denied a marriage license. Raphaelson ordered the clerk to issue the couple a marriage license or appear in court to explain why that shouldnt happen.