This document is a resume for Eileen Perry, who has over 20 years of experience in nursing and utilization management. She is currently the Director of Utilization Management, with responsibilities including overseeing medical coding, policies and procedures, budgets, and staff. Her experience also includes discharge planning, clinical record reviews, supervision and training, and utilization of data software. She has credentials as an RN, CPC, CPMA, and is pending CPHQ certification.
1. EILEEN PERRY RN CPC CPMA
1044 Egret Cir N , Jupiter Florida, 33458
561-818-5951
EMPRN1@GMAIL.COM
PROFESSIONAL SUMMARY
Current responsibilities as Director of Utilization Management include:
Extensive knowledge and use of medical coding guidelines and principles to include ICD-10, ICD-9,
CPT, HCPCS, MS-DRG. Use InterQual, Microsoft Office Outlook, Word, Excel and Medical
Management Systems.
Creating and revising policies and procedures , writing and negotiating annual budget.
Interviewing, hiring and management of the Utilization Department staff. Providing guidance,
supervision and leadership to the Authorization Manager and Senior UR Nurse. Monitoring and
resolving departmental compliance wit h federal and state regulations. Working in conjunction with
the Medical Director and Executive officers to support the mission and achieve the goals of the
Health Care District.
Experience includes:
Providing discharge planning for acute medical and reha bilitation inpatients.
Clinical record review experience spanning the spectrum of healthcare services including
outpatient services, surgery, inpatient acute and rehabilitative services. Including Medicaid HMO,
Flex plan, and indigent care plan.
Extensive experience in supervision, evaluation, and training of technical and nursing staff.
Consultant for policies and procedures regarding HIPPA compliance, risk management,
overutilization, and nursing policies and procedures.
Extensive clinical knowledge and experience in ophthalmology, orthopedics, cardiology, and
surgical services.
Utilization of data documentation and tracking software to include Microsoft Excel
Responsible for negotiations regarding annual budget restraints and fiscal responsibility for
pharmaceutical and surgical supplies, and staffing expenditures including overtime considerations.
CREDENTIALS
RN, licensed, State of Florida - Current
CPC-Certified Professional Coder - Current
CPMA- Certified Professional Medical Auditor –Current
CPHQ – Pending Certification Exam
EXPERIENCE
Director of Utilization Management
Utilization Management Registered Nurse
Present
2010-3/1/15
Health Care District of Palm Beach County, Lake Worth, FL
Senior Nurse 2006-2010
Bascom Palmer Eye Institute, University of Miami, Palm Beach Gardens, FL
Clinical Coordinator 6 mos. 2006
Palm Beach Orthopedic Institute, Jupiter FL
Case Manager
PA CU RN
2002-2006
St Mary’s Medical / Trauma Center, West Palm Beach, FL
OR/PA CU RN 1999-2002
Jupiter Eye & Surgical Center, Jupiter, FL
STA FF RN, Cardiac step-down/ telemetry 1997-1999
St Mary’s Medical / Trauma Center, West Palm Beach, FL
2. EDUCATION
BSN pending completion of 1 course Present
Florida Atlantic University, Boca Raton, FL
A SN 1997
Palm Beach State College, Palm Beach Gardens, FL
Biology Major – 3 years of study
University Of Central Florida, Orlando FL
AFFILIATIONS
AAPC 2013-Current
American Society of Ophthalmic Registered Nurses Inactive
American Association of Orthopedic Nurses Inactive
COMMUNITY SERVICE
Volunteer 2002-present
MIMA Foundation, Jupiter, Florida
Active volunteer in fund raising, supply donations, and event organization for surgical mission trips
to Bolivia and Guatemala.
References available upon Request