Goal-oriented Healthcare Administrator. Presently I am working as a Care Reviewer Processor in the UM department of a Health Insurance Company. Presently seeking a position of Supervisor or Manager.
Overview
38
38
years of professional experience
Work History
Care Review Processor
Molina HealthCare
11.2022 - Current
Supported timely decision-making on case reviews by accurately maintaining case information within the database system.
Streamlined workflows for healthcare providers by promptly identifying discrepancies in patient documentation and recommending corrective actions.
Inpatient Admission Supervisor
Good Shepherd Rehabilitation Hospital
10.2006 - 09.2022
Responsible for management of admissions office staff
Maintained record keeping used to create reports utilized by Senior Leaders, marketing, and corporate compliance
Maintained daily census reports utilized by Senior Leadership
Maintain frequently changing daily bed board showing new admission
Entered confidential patient information into Electronic Health Record
Assisted Insurance verification specialist with verifying insurance benefits
Maintained excel spread sheets, documenting referrals, and disposition of those referrals
Super user and subject matter expert with Cerner, Electronic Health Records
Participated in Cerner testing.
Licensed Practical Nurse
Good Shepherd Rehabilitation Hospital
09.2002 - 10.2006
As an LPN I worked as a Brain Injury rehabilitation nurse
I was responsible for the care of patients who had traumatic brain injuries, non-traumatic injuries brain injuries and strokes.
Construction Scheduler
Ron Del Development
03.1996 - 08.2002
I was responsible for scheduling the construction of houses at the direction of the construction manager
Schedule jobs with sub-contractors.
Insurance Coordinator
Eck Kellow and Company
09.1985 - 03.1996
Performed general clerical duties, customer service, policy changes.
Education
Master of Science - Health Care Management
Western Governors University
Salt Lake City, UT
07.2021
Bachelor of Science - Business Administration and Management
Cedar Crest College
Allentown, PA
05.2015
Associate of Science - Business Administration
Northampton Community College
Bethlehem, PA
01.2013
Associate of Applied Science - Licensed Practical Nurse
Northampton Community College
Bethlehem, PA
08.2002
Skills
Process Management
Workflow Optimization
Staff Development and Training
Performance Management
Multitasking and Organization
Team Management and Supervision
Handling Customer Complaints
Coaching and Mentoring
Microsoft Office Suite
Decision Making
Customer Service
New Hire Orientation
Report Preparation and Analysis
Complex Problem Solving
Team Building
Handling Complaints
Recruitment and Hiring
Time Management
Team Leadership
Office Management
Experience in Medical Admissions
Understanding of Insurance Options
Hospitable and Friendly
Adaptable and Resilient
Delegation and Work Assignment
Methodical and Organized
Remote Work Coordination
Customer Service Management
Verbal and Written Communication
Administration and Operations
Honesty and Integrity
Microsoft Office
Timeline
Care Review Processor
Molina HealthCare
11.2022 - Current
Inpatient Admission Supervisor
Good Shepherd Rehabilitation Hospital
10.2006 - 09.2022
Licensed Practical Nurse
Good Shepherd Rehabilitation Hospital
09.2002 - 10.2006
Construction Scheduler
Ron Del Development
03.1996 - 08.2002
Insurance Coordinator
Eck Kellow and Company
09.1985 - 03.1996
Master of Science - Health Care Management
Western Governors University
Bachelor of Science - Business Administration and Management
Cedar Crest College
Associate of Science - Business Administration
Northampton Community College
Associate of Applied Science - Licensed Practical Nurse