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Jennifer Harris1-2
- 1. Jennifer L. Newman 153Rockport Drive McDonough, GA 30253 Tel: 678-727-8805 dnjn0304@gnail.com PROFILE My goal is to work with a team to achieve a common goal, in a positive way. CERTIFICATIONS/ASSOCIATIONS/AWARDS • American Heart Association BLS instructor • American Heart Association BLS certified • Certified Case Manager • Georgia Organization of Nurse Leaders: Community Health Improvement Award • International Nurses Association: Top Nurse in Atlanta- Worldwide Leaders in Healthcare EXPERIENCE Registered Nurse, Atlanta Anesthetics and Surgery Center, Atlanta, Georgia 03/12-12/12 • Maintain accurate, detailed reports and records. • Monitor, record, and report symptoms and changes in patient's conditions. • Record patient’s medical information and vital signs. • Modify patient treatment plans as indicated by patients’ responses and conditions • Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans. • Order, interpret and evaluate diagnostic tests to identify and assess patient’ condition. Registered Nurse, Piedmont Henry Hospital, Stockbridge, Georgia 06/11-12/12 • Maintain accurate, detailed reports and records. • Monitor, record, and report symptoms and changes in patient's conditions. • Record patient’s medical information and vital signs. • Modify patient treatment plans as indicated by patients’ responses and conditions • Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans. • Order, interpret and evaluate diagnostic tests to identify and assess patient’ condition. • Direct and supervise less skilled nursing/ health care personnel, or supervise a particular unit on one shift. • Prepare patients for, and assist with, examinations and treatments. • Instruct individuals, families, and other groups on topics such as health education, disease prevention, and health promotion. • A member of the Pneumonia Task Force Committee • Direct Admit Unit and NICU Occupational Registered Nurse, Briggs and Stratton Corp, McDonough, Georgia 01/13-11/2013 • Maintain accurate, detailed reports and records. • Monitor, record, and report symptoms and changes in patient's conditions. • Record patient’s medical information and vital signs. • Modify patient treatment plans as indicated by patients’ responses and conditions • Prepare patients for, and assist with, examinations and treatments. • Instruct individuals on topics such as health education, disease prevention, and health promotion. • Completely handle all worker’s comp claims • Health promotion activities and community involvement Registered Nurse, NICU Piedmont Henry Hospital through Medical Solutions 01/13-09/2014 Stockbridge, Georgia • Maintain accurate, detailed reports and records.
- 2. page 2 • Monitor,record, and report symptoms and changes in patient's conditions. • Record patient’s medical information and vital signs. • Modify patient treatment plans as indicated by patients’ responses and conditions • Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans. • Order, interpret and evaluate diagnostic tests to identify and assess patient’ condition. • Direct and supervise less skilled nursing/ health care personnel, or supervise a particular unit on one shift. • Prepare patients for, and assist with, examinations and treatments. • Instruct individuals, families, and other groups on topics such as health education, disease prevention, and health promotion. Concurrent Review Coordinator/Utilization Management Coventry Healthcare of Ga/Aetna 11/13-09/2014 Atlanta, Georgia • Performs concurrent and retrospective reviews on all inpatient, facility and appropriate home health services. Monitors level and quality of care. Responsible for the proactive management of acutely and chronically ill patients with the objective of improving quality outcomes and decreasing costs. In conjunction with, and under the supervision of physicians, evaluates and provides feedback to treating physicians regarding a member's discharge plans and available covered services including identifying alternative levels of care that may be covered. • Presents facility-patient status updates and addresses barriers to discharge/transition at regularly held concurrent review rounds. • Monitors all utilization reports to assure compliance with reporting and turnaround times. • Addresses care issues with Director of Care Management and Chief Medical Officer/Medical Director as appropriate. • Coordinates an interdisciplinary approach to support continuity of care. Provides utilization management, transfer coordination, discharge planning, and issuance of all appropriate authorizations for covered services as needed for members. • Actively participates in the discussion and notification processes that result from the clinical utilization reviews with the facilities. Prepares CMS-compliant notification letters of NON-certified and negotiated days within the established time frames. Reviews all NON-certification files for correct documentation. Field Case Manager for MHayes/Genex 09/2014 - Current McDonough, Georgia • Using clinical/nursing skills to help coordinate the individual’s treatment program while maximizing cost containment. • Serving as an intermediary to interpret and educate the individual on his/her disability, and the treatment plan established by the case manager, physicians, and therapists. • Explaining physician’s and therapists’ instructions, and answers any other questions the claimant may have in an effort to facilitate his/her return to work. • Working with the physicians and therapists to set up medical assessments to develop an overall treatment plan that ensures cost containment while meeting state and other regulator’s guidelines. • Researching alternative treatment programs such as pain clinics, home health care, and work hardening. • Coordinating all aspects of the individual’s enrollment into the programs, and then monitors his/her progress, in an effort to maximize cost containment and minimize time away from work. • Working with employers on modifications to job duties based on medical limitations and the employees functional assessment. • May provide testimony on litigated cases. • Coordinating injured workers’ appointments and arranges and/or personally escorts him/her to the appointments. • Documenting and reporting all case activity for accurate case management and billing procedures. • Preparing detailed evaluation reports, as per account guidelines, and case recording documenting for each phase of
- 3. page 3 activity asit is completed. • Reporting billing hours in accordance with case activity and billing practices. • Maintaining phone contact with all parties involved to monitor, update, and advance case activity to ensure the progress of the case. • Compiling a case inventory on a monthly basis for submission to the branch manager to allow for proper billing and to calculate hours for bonus purposes. • Completing insurance carrier reports on a monthly (or as required) basis, as well as other necessary paperwork for the insurance company, state, or other regulatory bodies. • Maintaining the necessary credentials and demonstrates a level of professionalism within the work place and in dealing with injured workers reflects positively on the company as a whole. • Acquireing and maintaining knowledge of developments in the medical case management field. • Keeping abreast of local workers’ compensation laws and regulations, as well as other issues related to the case management/managed care industry. EDUCATION Advanced Nursing Training, Jonesboro, Georgia Certified Nursing Assistant Faith Academy, Stockbridge Georgia High School Diploma with Honors and Dual Diploma Gordon College, Barnesville, Georgia Associate in Science Nursing-2011 Western Governors University, Salt Lake City, Utah Bachelor’s of Science Nursing -2012 Western Governors University, Salt Lake City, Utah Master’s of Science Nursing with Leadership and Management / Education-2013 Maryville University, St. Louis, OH Post Master’s Certificate for Nurse Practioner -Current REFERENCES Holly Hollis-Williams,MSN- Professor- 478-338-2728 hollyhobby09@aol.com Shantyl Stevens- Friend/Co-Worker - 678-516-5899 sstevens@pocatlanta.com Meryl Wesson-Co worker- 678-873-1470 ida.wesson@piedmont.com Shawna Vanderpool-Co worker-2816784420 Shawna.vanderpool@encompassgroup.net