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Barbara E

Registered Nurse - 20 Years of Experience - Near 37040

Occupation:

Registered Nurse

Location:

Fayetteville, TN

Education Level:

Master

Will Relocate:

YES

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SUMMARY OF QUALIFICATIONS Nurse with 40+ years' experience in training and coaching employees, peers, and superiors and quality assurance and medical record reviews experience resulting in outstanding results. * Active RN licensure in all compact and non-compact states * Experienced in medical record review, clinical data/chart review and quality improvement Experience with utilization review, review criteria development and quality assurance chart reviews in a variety of settings. Experience with URAQ accreditation process. Experience in multiple settings with medical record review, clinical data/chart reviews and quality improvement. * Experience in a managed care health services 2.5 years UR with Tennessee, Louisiana and Mississippi CHIP Medicaid and with a TennCare Medicaid insurance provider. Responsible for the Mississippi CHIP program accomplished decreased bed days to meet corporate goals, acted as a subject matter expert with Milliman guidelines and InterQual. * Proven ability to effectively train clinical staff - 100% percent LPN NCLEX pass rate with students of PN program which I developed and managed. Mentored and trained staff and students throughout my career. Experience with curriculum and program development for a for-profit nursing program, marketed the program, trained and developed instructors for program. Served as clinical instructor for PN and RN students. * Demonstrated interpersonal/verbal communication skills -Always provide exceptional customer service to anyone I encounter and work well with my current team. Assist with coverage in other areas of the department, * Strong consultation and influencing skills -Instrumental in obtaining approval for an LPN program from the Colorado Board of Nursing. Supervised a challenging medical practice including two different labor unions and exempt employees, two groups of antagonistic care providers, changes in the practice for one group of providers and addition of regional wide services and specialists: proven track record for getting opposing parties to work together with common goals. * Ability to multi-task and work in a fast paced environment with changing priorities -Current position on an inbound phone line and prior telephonic positions demonstrate ability to multitask and function in a fast paced environment. Utilization review position required time frames be met per Medicaid/Medicare contracts. * Proven ability to implement process improvements -Made immediate and drastic changes to the nursing home facility, thus reversing an adverse determination by Health Department: Created successful proposal to the Colorado Board of Nursing, with board approval of the first for-profit college LPN program in Colorado.

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SCHOOL MAJOR YEAR DEGREE

Austin Peay State University Healthcare Administration 2017 Master Degree
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