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Telecommute Nurses - Chart Review

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Telecommute Nurses - Chart Review

Please review entire Job Posting before applying!

MedAssurant. Inc. a medical informatics company based in Bowie, Maryland, and is currently recruiting for RNs and LPNs to perform home-based medical record reviews and quality overreads.

As a Remote Data Review Consultant, you will be responsible for performing medical record reviews/quality overreads during normal business hours between 8am - 5pm EST. You will work with a team of nurses who report to a Lead Data Review Consultant.

Requirements for this position include:
Unrestricted Registered Nurse (RN), Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN);
Must have a valid and unrestricted nursing license in State of primary residence.
2 plus years of clinical experience required;
Experience in performing chart reviews and familiarity with CPT coding and/or Utilization Management preferred, but not required;
Ability to manage and meet deadlines;
Must have high speed internet access and landline telephone;
Computer literate;
Detail oriented;
Meticulous organization skills, and;
Professionally skilled in verbal and written communication.

If interested, please send a resume to tgoldbeck@medassurant.com. In the subject line, type "RDRC and the State you live in" to ensure swift resume processing.
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Pamela Pamela
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Re: Telecommute Nurses - Chart Review

I completed a LNC course and have started obtaining experience as a chart reviewer at the hospital where I work in PACU.  Have worked as an RN with a BSN since 1980.  Am interested in working from home reviewing charts.  Thank you.
Pamela Elliott
Walla Walla, WA
elliotpk@ah.org
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Re: Telecommute Nurses - Chart Review

Hi Pamela,

Make sure to read the ad and send your resume to the email address mentioned.  Good luck!

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lawson74 lawson74
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Re: Telecommute Nurses - Chart Review

In reply to this post by Work Pays At Home
I tried to send my resume to the email address mentioned and delivery failed. Checked for email accuracy several times and still not delivered.
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Re: Telecommute Nurses - Chart Review

Try this link to upload and send your resume regarding this position:

http://www.medassurant.com/Pages/Submit-Resume.aspx

Please note the original position was listed last year so this particular job may not be open.

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Jess Carey Jess Carey
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Re: Telecommute Nurses - Chart Review

In reply to this post by Work Pays At Home
I am very interested in this posting. I am an RN/BSN with 11 yrs. clinical experience in an ICU setting. I work full time now but I am getting cancelled a lot. I have a family to support and I am willing to do whatever it takes. I am very organized and a good time manager. PLease contact me with any info, pay, advice on this or other jobs like this.
THank you
Jess Carey
585-205-6983
liuhuan liuhuan
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Jayne Jayne
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I am intrigued!  please review my resume and contact me at your earliest convenience. Sincerely, Jayne Serna

                                                                                      JAYNE ALM SERNA

436 Monroe | Irvine, CA 92620| H: 949.651.0165 C: 949.394.1552 | jaynekae@juno.com


REGISTERED NURSE

RN | Chart Review | Quality Assurance

Highly motivated and accomplished Registered Nurse, experienced in Quality Review for Medical Management, certified in Neonatology, BLS, and computer literate. I have Demonstrated success in both clinical and operational efficiency. Proven ability to review and analyze complex data, contributing valuable insight to ensure organization’s financial success and delivery of quality patient care. Ability to work independently or as part of a larger team and successfully work well under pressure to meet company goals and objectives.


PROFESSIONAL EXPERIENCE
SCAN HEALTH PLAN, Long Beach, CA (Feb-July 2012)
HEDIS Project Chart Review and Abstraction

• EMR Senior charts, reviewed assigned outpatient charts searching member claims and pursued necessary information used to complete the Quality Measurement

HEALTH NET INSURANCE, Huntington Beach, CA (2007,’08, ’09, ’10 and ‘11)
HEDIS Project Chart Abstractor

• Reviewed assigned Medical Records abstracting specified and required clinical data for HEDIS reporting
• Developed expert familiarity with the clinical content and layout of Medical Records
• Documented abstraction findings and communicated needed additional pursuit strategies to other members of the team per department’s policies and procedures

BUILDING BLOCKS HOME HEALTH, Newport Beach, CA (2000-2008)Field Nurse

• Assisted parents with their Neonates transition from hospital to home
• Welcomed and informed patients of the services provided, explained doctor orders and the recommended course of action
• Weighed measured babies, taught mothers breastfeeding tips/skills for taking care of their babies based on their baby’s specific health condition, medication administration, etc.
• Provided follow up calls to PCP’s, laboratory follow-ups and worked with ancillary departments to order appropriate DME.
• Visited homes 2-3 times/week initially, phased out gradually
• Managed multiple caseloads at once (i.e. start meds at one home and leave to work on another, return, etc.)
• Worked with DME and doctors to plan care for patients
• Spent a season assisting as relief Case Manager
terelong30 terelong30
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I am inquiring about the Telecommute Nurse-Chart Review.  I have provided my resume for your review, I can be contacted via cell phone or email address should my resume be of interest.

Thank you in advance for your anticipated consideration.

Teresa M Long, DHsc, MPA, BSN, RN, CCM


TERESA M. LONG
 9 EDGAR S TR E E T, EAS T ORANGE, NEW J E R S E Y 0 7 0 1 8
9 7 3. 2 2 0. 9 1 1 9  T ER E SALONG1 9 3@MSN.COM

Page ▪ 1

Organizational Management | Time Management and Prioritization
People Management | Problem Resolution | Interpersonal Relations
Leadership and Team Building | Oral and Written Communication
Solutions-oriented, highly organized, and dedicated professional, with more than 27 years of
immense experience in performing diverse nursing functions within various facilities, including
correctional nursing, physical rehabilitation, extended care, home care, public health, case
management and military nursing. Skilled in team management, training, and development;
process and performance improvement; and program and project leadership within the healthcare
environment., outstanding leadership skills in rendering high-level staff productivity and efficiency.   Knowledgeable of efficient processes and standards for the improvement of total quality of care and consistently recognized for strong dedication and commitment to delivering excellent patient care and meeting expectations; management qualifications in developing and implementing effective strategies and plans.

PROFESSIONAL EXPERIENCE

Staff Nurse-Ambulatory Care
NEW JERSEY VETERAN’S ADMINISTRATION (VISN-3)-365 Tremont Ave, East Orange, NJ 07018
June 2014- Present: Salary per Year: $110K | Hours per Week: 40
Supervisor: Nancy Cotter | Contact No.: 973.676.1000 x 3082 | May be contacted
- Integrative Pain RN with duties Triage and assess walk in patients to determine need for visit
-communicate with patients via telephone, secure messaging and in person
-assess patient’s personal knowledge and attitudes as they relate to pain management,
-disseminates information about pain management through a variety of ways including coordination of in-services, journal article reviews and (Agency for Health Care Policy and Research) AHCPR guidelines
- identifies the need and assists in the development of pain management patients educational materials and updating policies/procedures
- collaborates with the Integrative Pain Management Team to evaluate the progress of the treatment plan and address any challenges that may affect the success of the plan
-utilizes the Integrity, Commitment, Advocacy, Respect, and Excellence (ICARE) philosophy as part of the patient and team interaction.

Staff Nurse-Ambulatory Care
NEW JERSEY VETERAN’S ADMINISTRATION (VISN-3)-365 Tremont Ave, East Orange, NJ 07018
May2014- June 2015: Salary per Year: $110K | Hours per Week: 40
Supervisor: Vicky Johnson | Contact No.: 973.676.1000 x 3116 | May be contacted
-Staff Nurse in the Ambulatory Care Clinics provided nursing assessment including preventive health screening for an array of specialty clinic patients, such as  Endocrinology, Sleep, Pulmonary,  Dermatology, Pain, Surgery, ID, Urology and Rheumatology


TERESA M. LONG
 9 EDGAR S TR E E T, EAS T ORANGE, NEW J E R S E Y 0 7 0 1 8
 9 7 3. 2 2 0. 9 1 1 9  T ER E SALONG1 9 3@MSN.COM

Page ▪ 2

Staff Nurse-Community Living Center
NEW JERSEY VETERAN’S ADMINISTRATION (VISN-3)-151 KNOLLCROFT RD, LYONS, NJ 07939
OCT 2012-May2014: Salary per Year: $110K | Hours per Week: 40
Supervisor: Meising Wu | Contact No.: 908.647.0180 | May be contacted
-Complete various nursing functions interdependently in executing nursing process, nursing orders, and policies and procedures as they relate to the patients plan of care
-Directly collaborate with other members of the interdisciplinary treatment team in conducting, planning, development, and coordination of the care for the patients and their family

Army Remote Case Manager
DEPARTMENT OF THE ARMY-CBWTU-MA, 696 VIRGINIA ROAD, CONCORD, MA 01742
 AUG 2010–JULY 2012: Salary per Year: $99,756 | Hours per Week: More than 50
Supervisor: Andy Price, LTC | Contact No.: 978.318.8940 | May be contacted
-Function well in administering care for wounded, ill, and injured soldiers to support present
operations while they reside at home
Career Accomplishments:
-Provided and demonstrated utmost dedication to the mission and Warriors in Transition
- Showed compassion for the Soldiers and passion for the mission
- Spent hours above and beyond what is required to guarantee proper management of Warriors
-Correctly identified critical medical issues that affected the health and well-being of the Soldiers; provided immediate intervention to ensure the safety of the Soldier
-Exemplified outstanding case management expertise which endorsed high levels of satisfaction to the soldiers

Registered Nurse
PATIENT CARE/ALMOST FAMILY, 300 EXECUTIVE DRIVE, SUITE 175, WEST ORANGE, NJ 7052
FEB 2010–JULY 2012: Salary per Year: $60K | Hours per Week: 40
Supervisor: Jennifer Delgado | Contact No.: 973.323.2396 | May be contacted
-Demonstrate expertise in providing direct patient care in their homes
- Directly collaborate with primary care physicians to provide the best health intervention
- Expertly perform phlebotomy techniques to accurately collect blood specimens for certain physician-ordered examinations
-Deliver nurse services to homebound patients as defined by Medicare, which require medication management, diabetes care, wound care, services coordination, referrals to other services, and scheduling appointments to services such as dialysis and specialty doctors
Career Accomplishment:
-Gained referrals to other care providers based on physician’s orders




TERESA M LONG
9 EDGAR S TR E E T, EAS T ORANGE, NEW J E R S E Y 0 7 0 1 8
 9 7 3. 2 2 0. 9 1 1 9  T ER E SALONG1 9 3@MSN.COM

Page ▪ 3

Case Manager | Med/Surg Nurse| Personnel Officer | Commander
UNITED STATES ARMY RESERVE, 7245TH IMSU BLDG 3359, PICATINNY ARSENAL, NJ
DEC 1979–PRESENT: Salary: $900/weekend | Hours per Month: More than 16
Supervisor: Craig Yunker | Contact No.: 973.724.2347 | May be contacted
- Supervised subordinates in the role of combat nurse and handle additional duty of personnel
officer, which entails managing all personnel actions for 200 unit members; work as an effective part of the executive staff
Career Accomplishment:
-Obtained promotion from 1st Lieutenant to present rank of LTC (P)

Registered Nurse for the Minute Clinic
ON ASSIGNMENT HEALTHCARE STAFFING, PHILADELPHIA, PA
SEP–NOV 2009: Salary per Hour: $35 | Hours per Week: 32
Supervisor: Zach Greer | Contact No.: 215.569.0355 | May be contacted
-Vigorously provided seasonal flu vaccines to patients through minute clinics at CVS drugstores across the State of New Jersey
Career Accomplishments:
-Vaccinated over 1000 patients

Nurse Consultant Medical Management Programs
TRICARE MANAGEMENT ACTIVITY, SKYLINE 5, SUITE 810, 5111 LEESBURG PIKE, FALLS CHURCH, VA
22041-3206: AUG 2008–AUG 2009: Salary per Year: $102,000 | Hours per Week: 40
Supervisor: Shemille Flinta | Contact No.: 847.212.8404 | May be contacted
- Functioned well in rendering verbal and written guidance in developing and overseeing Military Health System (MHS) medical management policies, which included utilization management, disease management, and clinical case management.
-Executed effective identification of problem areas for the Deputy Chief Medical Officer and Chief Medical Officer; suggested appropriate corrective action
-Clarified TRICARE Medical Management policies to representatives of each military service, TRICARE regional offices, senior MTF clinical leadership, and Veterans Health Administration (VHA) personnel
-Gathered and disseminated information regarding best practices in the area of medical management and market achievement through poster sessions, reports, publications, lectures, and content development for web-based learning platforms
-Completed the classification and development of realistic benchmarks as well as exemplified
outstanding team-building and leadership skills in attaining consensus for the improvement of
medical management processes





TERESA M.LONG
9 EDGAR S TR E E T, EAS T ORANGE, NEW J E R S E Y 0 7 0 1 8
9 7 3. 2 2 0 . 9 1 1 9  T ER E SALONG1 9 3@MSN.COM

Page ▪ 4

Career Accomplishments:
- Utilized expertise in formulating, implementing, and monitoring evaluation measurement plans for medical management initiatives; prepared data or conditions; and responded to customer service letters and congressional inquiries - Rendered professional, clinical, and managerial input in developing software systems to support medical management, including interface with the VHA
-Worked as an effective contracting officer’s representative for contracts, providing assistance in the completion of medical management activities
-Performed extensive travels to various sites for the presentation of medical management courses to motivate diverse groups; adapt to new methods and processes; and re-think, change, or improve practices

Director of Public Health Nursing
CITY OF NEWARK-DEPARTMENT OF HEALTH, NEWARK, NJ
APR 1998–AUG 2008: Salary per Year: $96,000 | Hours per Week: More than 40
Supervisor: Kathy Lardieri | Contact No.: 973.733.5310 | May be contacted
-Oversaw the entire Nursing Department for the City of Newark Department of Health and Human Services, including a budget of more than $2.5 M
-Developed, assessed, and spearheaded public health programs for the community and residents of the City of Newark
-Directed the establishment and implementation of policies, rules, and procedures regarding Public health nursing
- Worked well in accurately preparing required reports and correspondences for internal, local, state and federal review
-Correctly coordinated program operations and operations with other agencies for the timely delivery of services to the residents of the City of Newark
-Efficiently performed studies and surveys related to community and public health nursing
-Synchronized the referral process of cases needing other medical, social, or mental health services outside the scope of the Health Department
-Provided assistance to physicians in the public health program
-Managed the evaluation of public health nursing services as well as expertly recommended and employed changes, as necessary
-Carried out proficient planning and assignment of work for 9 city registered nurses, 4 city clinic attendants and 15 contractual registered nurses
- Assumed full responsibility in assessing employee performance and conduct, which enabled the effective recommendation of the hiring, firing, promotions, and discipline of employees
-Ensured preciseness in gathering and disseminating public health information
-Cultivated and maintained cooperative working relationships with other municipalities, counties and state government
-Worked in collaboration with the Newark Public School System in vaccinating middle school students with Hepatitis B vaccine




TERESA M.LONG
9 EDGAR STREET, EAST ORANGE, NEW JERSE Y 07018
9 7 3. 2 2 0 . 9 1 1 9 TER E SALONG1 9 3@MSN.COM
Page ▪ 5

Career Accomplishments:
-Functioned well in coordinating and staffing the cooling sites throughout the City of Newark during days when temperatures reached above 90 degrees and 80% humidity
-Organized and enforced programs based on the State of New Jersey’s Healthy NJ 2010 guidance set forth by the CDC Healthy People 2010
-Closely worked with the Emergency Management Team for the City of Newark, handling programs related to employee health and infection control such as the Immunization Program, Pediatric Practice, TB Control, Lead Program, STD, and Adult Medicine; organized and handled the State of New Jersey’s smallpox clinics.

Nurse Case Manager Augmented Inspector (In support of Operation Enduring Freedom)
DEPARTMENT OF THE ARMY, ARLINGTON, VA
 NOV 2007–AUG 2008: Salary per Year: $90,000 | Hours per Week: More than 40
Supervisor: Dolores Fischer, LTC (R) | Contact No.: 706.536.5620 | May be contacted
-Carried out thorough assessment of operations compliance with DoD policies as well as execution and timeliness of the Medical and Physical Evaluation Board and Review processes
-Evaluated the implementation, oversight, care and support of warriors and their families in the Warriors in Transition system to guarantee adherence to Army policy
- Played a pivotal role in assessing other aspects of the medical treatment process while
supporting facilities and programs along with their effects on Army readiness, such as
transition to the Department of Veterans Affairs and soldier and family programs
Career Accomplishment:
-Gained recognition as subject matter expert in policy and execution of nurse case manager duties

WTU/Med Hold Case Manager/Senior Case Manager (In support of Operation Enduring Freedom)
DEPARTMENT OF THE ARMY-IRELAND ARMY COMMUNITY HOSPITAL, 289 IRELAND AVENUE FORT KNOX, KY 40121-5520
JAN 2004–NOV 2007: Salary per Year: $90,000 | Hours per Week: More than 40
Supervisor: Lance Raney, LTC, MD | Contact No.: 502.624.9822 | May be contacted
-Worked as nurse case manager and nurse case manager supervisor for 7 (4 military and 3civilian) case managers responsible for medical and administrative case management of soldiers who were deployed or returning from deployment due to medical conditions that did not allow them to complete the mission
-Established and maintained open lines of communication with the soldier and their family, commandants, providers, and other members of the Health Care Team regarding the appropriate, efficient, and cost effective treatment plan for soldiers
-Dealt with data systems utilized within the military system, such as CHCS I and ALTHA (CHCS II)
-Led the alteration of ALTHA system for the development of a template with specific problems unique to warriors (soldiers)
Career Accomplishments:
-Played an integral role in the collaborative process of assessment, planning, implementation, coordination, monitoring, and evaluation by coordinating the medical evaluation, treating, and disability processing of more than 250 soldier
 -Functioned as soldier and staff advocate while effectively promoting interdepartmental communications and team work
TERESA M.LONG
9 EDGAR S TR E E T, EAS T ORANGE , NEW J E R S E Y 0 7 0 1 8
9 7 3. 2 2 0. 9 1 1 9 -T ERESALONG193@MSN.COM

Page ▪ 6

Weekend Supervisor
PARKWAY MANOR EXTENDED CARE, 480 NORTH WALNUT STREET, EAST ORANGE, NJ 07017
AUG 2001–JAN 2004: Salary per Hour: $32 | Hours per Week: 32
Supervisor: Rebecca Ronquilla | Contact No.: 973.674. 2700 | May be contacted
-Performed effectual management of more than 200-bed extended care facility, which included a weekend staff of 24 professional nurses and paraprofessionals
-Strategized and coordinated the implementation of established policies within the units
-Led the development, application, and assessment of proper and effective work methods
- Rendered assistance in conducting thorough evaluation of nursing care and employee performance as well as generated recommendations for improvement to the DON
-Administered patient admittance and discharge into and from the building or area
-Guaranteed the maintenance of high customer service standards for all residents of the facility
-Managed and kept essential records, reports, and files
Career Accomplishments:
-Completed the successful promotion of positive guest relations as well as efficiently handled complaint resolutions and performed administrative functions as necessary, which included quality assurance studies and cost analyses

EARLIER CAREER

Director of Clinical Services
CORRECTIONAL HEALTH SERVICES, 271 GROVE AVENUE, VERONA, NJ 07044
SEP 1995–APR 1998: Salary per Year: $55,000 | Hours per Week: 40
Supervisor: Alan Zalkind | Contact No.: 973.571.9550 | Do not contact

Director of Nursing / Staff Nurse
NO BARRIERS HEALTH CARE AGENCY, NEWARK, NJ
AUG 1988–APR 1998: Salary per Hour: $42 | Hours per Week: 32
Supervisor: Keith DeCosta | Contact No.: 862-220-5537 | May be contacted

Health Educator / Clinical Services Manager
PHP HEALTH CARE, JERSEY CITY, NJ
DEC 1994–SEP 1995: Salary per Year: $52,000 | Hours per Week: 40
Supervisor: Steven Briggs | Contact No.: 201.951.9660 | May be contacted

Assistant Unit Coordinator
KESSLER INSTITUTE FOR REHABILITATION, 1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052
SEP 1984–DEC 1994: Salary per Year: $50,000 | Hours per Week: 35
Supervisor: Kathleen Sawyer | Contact No.: 973.731.3600 | May be contacted




TERESA M.LONG
9 EDGAR S TR E E T, EAS T ORANGE , NEW J E R S E Y 0 7 0 1 8
9 7 3. 2 2 0. 9 1 1 9 -T ERESALONG193@MSN.COM

Page ▪ 7


EDUCATION

Doctorate in Health Administration ▪ June 2005
NOVA SOUTHEASTERN UNIVERSITY, FORT LAUDERDALE, FL 33314

Master of Public Administration, with Concentration in Health Care Administration ▪ Aug 1997
KEAN UNIVERSITY, UNION, NJ 07083

Bachelor of Science in Nursing ▪ May 1991
KEAN UNIVERSITY, UNION, NJ 07083

Associate of Applied Science in Nursing ▪ May 1984
ESSEX COUNTY COLLEGE, NEWARK, NJ 07102

High School Diploma ▪ Jun 1977
WEST SIDE HIGH SCHOOL, NEWARK, NJ 07103

PROFESSIONAL DEVELOPMENT

MILITARY SCHOOLS ATTENDED:

Unit Prevention Leader Course ▪ 2009
Unit Victim Advocate Course ▪ 2009
United States Army Command and General Staff College-Intermediate-Level Education (ILE) ▪ 2007
Combined Arms and Services Staff School ▪ 2001
AMEDD Reserve Component Officer Advanced Course ▪ 1996
AMEDD Officer Basic Course ▪ 1994
Commander -7245th Medical Support Unit, Picatinny Arsenal, NJ-April 2013-Present
Executive Officer ▪ 7245th Medical Support Unit, Picatinny Arsenal, NJ ▪ Jan 2009–April 2013
Case Manager ▪ 7245th Readiness Support, Picatinny Arsenal, NJ ▪ May–Jul 2010
Case Manager ▪ 7245th Medical Support Unit, Picatinny Arsenal, NJ ▪ Oct 2008–Jan 2009
S1 Officer-in-Charge ▪ 4219th United States Army Hospital, Picatinny Arsenal, NJ ▪ Jan 2000–Jan 2004
Observer Controller ▪ Regional Training Site-Medical, Fort McCoy, WI (non-rated) ▪ Aug 2003
Observer Controller ▪ Regional Training Site-Medical, Fort Devens, MA (non-rated) ▪ Aug 1997
CERTI F ICATIONS
Case Manager Certification ▪ May 2009
Basic Life Support (BLS) Certification ▪ May 2017
Certification in Contracting Basics for COTRs ▪ Oct 2008



TERESA M.LONG
9 EDGAR S TR E E T, EAS T ORANGE , NEW J E R S E Y 0 7 0 1 8
9 7 3. 2 2 0. 9 1 1 9 -T ERESALONG193@MSN.COM

Page ▪ 8

AFFILIATIONS

Member ▪ Military Officers Association of America (MOAA)
Member ▪ Reserve Officers Association (ROA)
Member ▪ Arkansas Northeastern College (ANC) Scholarship Program
Member ▪ National Collegiate Athletic Association (NCAA)
Member-Case Management Society of America (CMSA)


PUBLICATION
Medical Management Guide for the DoD Military Health System. 2009
Tony Hernandez Tony Hernandez
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Re: Telecommute Nurses - Chart Review

In reply to this post by Work Pays At Home
I am a registered nurse with ICU / Telemetry Management skills, RCP of 15 yrs, Directorship experience / Would like some info regarding your position
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