Part Time In Nursing Assessments For Elderly and Disabled Clients Referral From Dhs
Per Diem Registered Nurse For A Home Agency
Ntional Heritage Insurance 2000 - 2011
Registered Nurse Medical Reviewer and Ur
Cal Bisc 2003 - Aug 2003
Registered Nurse Consultant- Fraud Department
Veterans Inc. Jul 1991 - Dec 1999
Inpatient Admission and Transfer Coordinator
Education:
Antelope Valley College 1969 - 1984
Associates, Bachelors, Associate of Arts, Bachelor of Science, Nursing, Journalism
Silliman High School
Pierce College
Antelope Valley College
Silliman University
Bachelors, Bachelor of Arts, Journalism
Skills:
Healthcare Insurance Medicare Nursing Clinical Research Medicine Medicaid Emr Inpatient Managed Care Hipaa Leadership Development Leadership Training U.s. Health Insurance Portability and Accountability Act Electronic Medical Record Public Speaking Customer Service
Interests:
Children Civil Rights and Social Action Environment Poverty Alleviation Science and Technology Human Rights Animal Welfare Health
Languages:
English Tagalog
Certifications:
Past Certifications: Ur, Acls, Psychiatric Staff Cert
Dec 2004 to Jan 2011 Review Nurse AnalystEDS Santa Monica, CA 2008 to 2008Well Point /Blue Cross Insurance Company LA, CA
Dec 2003 to Dec 2005 RN ReviewerDOU
2002 to 2002 Case ManagerNational Heritage Insurance Company
2001 to 2002 Title remains as RN reviewerTrans America Insurance Co
Jan 2000 to 2001 RN AnalystVeterans Administration Los Angeles, CA Dec 1991 to 1999 UR//QM analystMGM-UNIHEALTH Chatsworth, CA 1991 to Dec 1991 RN benefit coordinatorPRUDENTIAL INSURANCE Woodland Hills, CA Dec 1989 to Dec 1991 Psychiatric RN reviewerOLIVE VIEW MEDICAL CENTER
1989 to 1989 Psychiatric staff nurse
Education:
COLLEGE OF THE CANYONS Valencia, CA 1988 DiplomaANTELOPE VALLEY COLLEGE Lancaster, CA 1984 ASSOCIATE OF ARTSSilliman University Culver City, CA 1968 Bachelor of Journalism in Evaluation Inc
National Heritage Corporation/ EDS / Hewlett Packard LA, CA
Dec 2004 to Jan 2011 Review Nurse AnalystWell Point /Blue Cross Insurance Company LA, CA
Dec 2003 to Dec 2005 RN ReviewerSt. John Health Center Santa Monica, CA 2002 to 2002 DOU Case ManagerNational Heritage Insurance Company
2001 to 2002 Title remains as RN reviewerTrans America Insurance Co. LA, CA
Jan 2000 to 2001 RN AnalystVA West Los Angeles Medical Center Los Angeles, CA Dec 1991 to 1999 RN utilization review managementMGM-UNIHEALTH Chatsworth, CA 1991 to Dec 1991 RN benefit coordinatorPRUDENTIAL INSURANCE Woodland Hills, CA Dec 1989 to Dec 1991 Psychiatric RN reviewerOLIVE VIEW MEDICAL CENTER Roxford, CA
1989 to 1989 Psychiatric staff nurse
Education:
COLLEGE OF THE CANYONS Valencia, CA 1988 DiplomaANTELOPE VALLEY COLLEGE Lancaster, CA 1984 ASSOCIATE OF ARTS & SCIENCE in Sciences and artsSilliman University Dumaguete Bachelor of Science in Journalism
Skills:
computer literate- word, excel and different computer systems from different employers.medical necessity criteria - CMS, Milliman and Interqual . Did post pay as well as pre pay for fraud dept.
Jody Walker, Ken Hempen, Nanette Clevenger, Paula Brothers, Pamela Atkinson, Tom Pekarek, Maureen Mccullough, Tricia Morse, Trung Phan, Elaine Murray, Frank Mcgriff, Tami Stim
Roger Walter, Jeff Burthwick, Pamela Willis, Robert Brekke, Charlene Marty, Renate Vatthauer, Lynn Arntson, Steven Haugen, Michael Norby, Mark Genereux, Zoe Mortensen