Professional Documents
Culture Documents
XXXXX XXXXXXX: Objective Experience
XXXXX XXXXXXX: Objective Experience
Deleted:
Objective Obtain advertised job of home-based RN Quality Improvement Coach for
five county area.
Comment [JCB1]: I would recommend
Experience Director, Case Management/Utilization Review boldfacing the job title, so that it pops out and
stands out from the other information.
2000 - present Clearfield Hospital, 809 Turnpike Avenue, Clearfield, PA
Oversee daily clinical chart reviews/updates electronically relayed to insurers.
Monitor and assure quality cost-effective patient care using concurrent and
retrospective chart audits and key indicator tracking reporting to the UR
committee and direct report to the VP of Nursing.
Ensure CMS guidelines for Medical Necessity of admissions and continued
stays using InterQual© Level of Care criteria. Daily communication with
physicians and physician advisors to ensure compliance and low denial rate.
Perform first line audits for CORE measure notification for CHF, MI, PNA.
Proactively auditing acute and outpatient stays for billing compliance and
quality indicators with service on Corporate Compliance, UR, and RAC
committees. Comment [JCB2]: Overall you have good
entries, largely because they are specific.
Nursing Office Supervisor
1996 - 2000 Clearfield Hospital
Self-directed House Supervisor acting in the absence of Hospital Comment [JCB3]: I wonder if this word is too
Administration. harsh, because it can imply that the
administration was derelict.
Displayed problem solving abilities by adjustment of staffing levels via acuity.
Comment [JCB4]: Not sure what this means.
Novice hard-working Project Manager appointed for install and conversion to
Electronic Medical Record for Emergency Department.
Interests Quality, cost effective care via evidenced based research. Comment [JCB7]: Interests sections are
usually just regarded as fluff or filler. They
really don’t add anything to the document.
References References are available on request.