1. MICHAELA V ANDREWS
6208 Pine Summit Dr. Jacksonville, FL 32211 (904) 574-1900 michaelavandrews@gmail.com
PROFESSIONAL SUMMARY
To use my Bachelor’s Degree in Business and Health Care Administration, in tandem with over 20 years
of clinically working as an LPN, in hospitals, SNFs, ALFs, LTACs,multi-specialty groups and urgent
care health clinics. Advocate for continuing education and training regarding all aspects of the continuum
of health care. I am a hybrid candidate with a blend of clinical expertise, salesmanship and a passion for
business administration, including, but not limited to, operations/project management, financial reporting,
staffing, educational needs of team and all needs associated with the care of residents, patients and
caregivers.
Experience includes Financial and Human Resources Management,Program and Facilities Planning,
Policy and Procedures,Billing, Quality Assurance,Compliance, and Social Work Services, Psychosocial
Case Management and Behavioral Health.
CORE COMPETENCIES
ICD-9/10 and CPT Coding
Medical Terminology
Knowledge of Microsoft Office Suite
HIPAA and OSHA Compliance
Great organization, planning,
scheduling, training and communication
skills
IV Therapy Certification
Group Health and Workers’
Compensation Guidelines
Experienced in the education of
employees, students, patients and
caregivers
PROFESSIONAL EXPERIENCE
November 2015-March 2016 One Call Care Management,Inc. Jacksonville,FL
Nationwide provider of specialized services in the workers’ compensation industry, annual salesof $2.1B
Nursing Supervisor / Operations Manager
Analyzed performance results and implemented department improvements based on an operations
environment that met all service level agreements (e.g.,24/7 availability, response time
parameters,etc.) and availability targets in a new In-Patient Facilities Solutions program
Developed and recommended tactical and strategic plans for processing operations for a team of
11 employees
Responsible for all departmental training dealing with processes,telephone and e-mail etiquette,
proper documentation and implementation of team standards and policies in an every changing
environment
Also responsible for proper billing and coding dealing with the ICD-9/10 and CPT Code criteria
for AR and AP business units, that ensured proper charges and payments were received for the
services provided based on a monthly budget of 1.3 million dollars
Identified and recommended cost-savings and continuous improvement initiatives
Developed and executed project plans, budgets, and schedules for documentation of work and
results
March 2013-November 2015 Care Core National d/b/a EviCore Bluffton, SC
National provider of integrated medical benefits management solutionsacrossthe healthcare continuum
Clinical Reviewer
2. MICHAELA V ANDREWS
6208 Pine Summit Dr. Jacksonville, FL 32211 (904) 574-1900 michaelavandrews@gmail.com
Processed preauthorization requests received by telephone, fax, or via web
Performed review activities for procedures that require preauthorization utilizing the correct ICD-
9/10 codes that correlated with the proper CPT codes required by insurance companies for
authorization and payment of services
Provided optimum customer service
Maintained productivity, quality, telephonic, and other service standards
Participated in on-going training programs to ensure quality performance and compliance with
guidelines
Assisted colleagues with any and all questions on every other weekend rotation as one of the
tenured employees
March 2008-March 2013 Doctors Care Myrtle Beach, SC
Regional organization specializing in Urgent,family, preventative and occupational health care
Assistant Manager and Licensed Practical Nurse
Assisted in managing a team of 16 full-time and part-time employees such as nurses, MA,
radiology techs, also assisted with billing/coding needs of another 8 full-time, front office staff,
after 5 pm and every evening prior to closing
Assisted all doctors, physician assistants and family nurse practitioners with every level of care
Assisted with monthly budgeting, employee scheduling and compliance with OSHA and DHEC
guidelines
Responsible for training all student phlebotomy and MA technicians that were assigned to our
center for clinical rotations. (Horry County Technical College and Miller-Motte Technical
College) In four years,I was a preceptor for approximately 12 students, as we received two
students each semester
Daily responsibility of maintaining all patient records to certify that all diagnosis, treatments and
tests (labs, X-rays, drug screens,injections, procedures, minor surgery trays, etc) were coded
properly prior to patient discharge so the front office staff could collect appropriate funds for
services rendered
Responsible for maintaining all administrative employee training files, licensures
and certifications
Also responsible for the administrative duty of ensuring all inventory was ordered, adequately
stocked and monitored monthly
Assisted with the scheduling and follow-up of approximately 200-400 referralcases monthly,
ensuring all referrals had proper ICD-9/10 and CPT Codes necessary for insurance and diagnostic
coverage
September 2007 – February 2010 Lighthouse Care Center ofConway Conway,SC
Regional in-patient acute psychiatric and substance abuse treatment clinic for adolescents and adults
Licensed Practical Nurse
Provided psychiatric and inpatient care for patients ranging from children through geriatric ages
Performed daily tasks including but not limited to medication administration, phlebotomy,
charting, doctors' orders, admissions, discharges
Held daily educational classes, each an hour long, ranging from mental disorders to medication
compliance with every patient assigned in each unit
Also responsible for being a preceptor for up to three days, to all minors and new patients
admitted to a unit
Served as a member of the crisis stabilization unit
3. MICHAELA V ANDREWS
6208 Pine Summit Dr. Jacksonville, FL 32211 (904) 574-1900 michaelavandrews@gmail.com
Provided a calm and safe environment while following specific physicians' orders to treat a
variety of psychiatric disorders
April 2006 – July 2007 Crosswinds Health and Rehab Greenville, FL
Regional skilled nursing and rehabilitation facility
Licensed Practical Nurse
Provided excellent patient care while helping to manage the geriatric population of the facility
Performed daily tasks including but not limited to medication administration, phlebotomy,
charting, doctors' orders, Foley catheter care (indwelling and supra-pubic), g-tube care and
monthly changes
Assisted in patient care during rounds, bathing, assisting with meals and the monitoring of all
patient needs
Also educated all family and caregivers on specific disease processes,medication management,
rehab services and care given to each of their loved ones
July 2004 – April 2006 Granberry Crossroads Headland, AL
Local convenience store and restaurant
Owner and Operator
Owned and managed the operation of a small convenience store and grill in rural Alabama
Responsible for daily accounting, inventory, ordering and operation of the registers
Provided excellent customer service to a wide range of people
Served breakfast and lunch for crowds of as many as 50 customers
Trained all new staff and was responsible for all administrative duties of the entire operation from
financial to customer service
September 1994 – January 2004 The Agency Tallahassee, FL
Regional nursing staffing agency providing specialized services for all nursing modalities
Licensed Practical Nurse
Worked as a contract staff nurse for a variety of different facilities such as nursing homes,
hospitals, psychiatric facilities, prisons and home health within a 100 mile radius of Tallahassee
Employed as a contracted staff nurse for over three years with the Department of Corrections in
Jefferson and Taylor county where I was responsible for the education of over several hundred
inmates in the Diabetic and Heart Disease programs
Educated inmates on the disease process,medication compliance, diet compliance the need for
accurate records dealing with glucose and blood pressure monitoring, also the need for continued
medical management after release from facility
Administered and educated 1200 inmates and over 400 employees annually dealing with
compliance of TB and Flu requirements
Was able to work independently in unfamiliar facilities and adapt quickly to accomplish goals
within each shift
August 1998- September 1999 Madison County Memorial Hospital Madison, FL
Floor nurse and ER stand-by
Licensed Practical Nurse
Floor nurse responsible for patients of all ages and disease processes
4. MICHAELA V ANDREWS
6208 Pine Summit Dr. Jacksonville, FL 32211 (904) 574-1900 michaelavandrews@gmail.com
Use of proper documentation skills and good communication with patients and co-workers to
ensure proper patient care
IV Therapy, phlebotomy, medication administration, injections, education of disease processes
and need for compliance
Preceptor for all nursing students during clinical rotations and assisted in proper documentation,
medical administration and education of specific patient disease processes
September 1998- June 1999 Madison County School Board Madison FL
Substitute Teacher
Educated children from all school ages including Kindergarten through High School
Responsible for following daily lesson plans as deemed appropriate by the resident teacher or
administrator
Worked every other week during the school year and educated every age, including the disability
program dealing with the ESE children
Gave and graded tests,assignments and any prior homework assignments
Lectured,utilized blackboard and overhead projector as needed
Had to pass an extensive background check as well as a 200 question educational test prior to
employment
EDUCATION
September 2012- Present 2016 Strayer University Herndon, VA
Bachelor of Business Administration with a concentration in Health Services Administration
Anticipated graduation April 30, 2016
January 1992 – April 1994 Southwest Georgia College
Thomasville,GA
Licensed Practical Nurse
Valedictorian of Graduating Class
Graduated with High Honors