RN Specialist Resume Sample
Griffin Abshire
876 Sylvan Mill,
Chicago,
IL
+1 (555) 194 0146
Work Experience
RN Specialist
09/2015
-
PRESENT
San Francisco, CA
- Registered Nurse ensures that patient Medical Screen Examination is performed by a Qualified Medical Professional prior to completion of the initial psychiatric intake assessment
- Ensures admission and hospital criteria are met
- Current/active nursing licensure in state and CPR certification
- Active/current agency health requirements
- 10) 10 CEU’s per year within specialty area for knowledge base maintenance OR current certification in clinical specialty. Based on learnings, provide educational sessions for care management teams
- Registered nurse with current MN license and with no restrictions
- Relevant oncology care experience
Clinical Documentation Specialist RN
11/2010
-
05/2015
Detroit, MI
- Excellent conceptual thinking skills
- Flexibility to work varied hours
- Managed care experience; e.g. case management/health coach, utilization management and/or auditing experience
- Outstanding telephonic skills
- Oncology certification (OCN, CPHON, AOCNS, CPON, AOCN)
- Collaborates with nursing services and medical staff in identifying educational needs, providing education, and ensuring competency of the clinicians caring for patients with sepsis
- Develops and maintains content for an in-depth sepsis course regarding the pathophysiology of sepsis, screening tools, and Hoag’s protocol for treatment. Educates all new-hire nurses. Provides customized education to specialized units including OR, ED, and critical care
Rn-denial Specialist Clinical
06/2007
-
07/2010
San Francisco, CA
- Leads the Sepsis Committee: provides feedback to the multidisciplinary team on current state data and quality metrics as well as provides the group with updates regarding progress on process improvement initiatives. Directs small group work to promote continuous improvement among the various areas hospital-wide
- Establishes and maintains relationships with the multidisciplinary team
- Manages a staff of specialized sepsis nurses
- Engages in research opportunities and facilitates submission of professional abstracts/poster presentations and journal articles to professional affiliates
- Presents updates on the sepsis program to Senior Leadership/Board as appropriate
- Identify outlier trends that could benefit from additional education. Convey support and education as needed to providers focused on improving processes and the quality of their documentation on a case-by-case basis to accurately reflect patient care in the medical record
- Works collaboratively with all department to not only improve documentation for quality reporting, but to report on trends associated with documentation to ensure continued improvement including best practices and protocol driven improvement
- CEU’s per year within specialty area for knowledge base maintenance OR current certification in clinical specialty. Based on learnings, provide educational sessions for care management teams
- Relevant direct clinical care experience
Education
Argosy University, Chicago
2001 - 2006
Bachelor's Degree in Public Health
Professional Skills
- Outstanding communication skills, analytical thinking skills and task facilitation skills
- Demonstrates solid skill in medical record review, abstraction of data, NHSN and other entity surveillance definitions and reporting
- Relevant experience (Emergency Department, Public Health or Community Social Services, direct clinical experience with the Medicaid population)
- Intermediate computer skills in Microsoft Office suite (Excel, PowerPoint, Word) and Outlook
- Good verbal communication skills and the
- Recent experience in an ASC or acute care setting: Critical care, Operating Room, Emergency Room, Recovery Room, Endoscopy, GI Lab
- Experience supporting large projects
How to write RN Specialist Resume
RN Specialist role is responsible for clinical, health, microsoft, oncology, credit, training, database, auditing, coding, reporting.
To write great resume for rn specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For RN Specialist Resume
The section contact information is important in your rn specialist resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your RN Specialist Resume
The section work experience is an essential part of your rn specialist resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous rn specialist responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular rn specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative RN Specialist resume experience can include:
- Managed care experience; e .g. case management/health coach, utilization management and/or auditing experience
- Uses critical and clinical thinking skills to review claims and other clinical data in order to determine appropriate adherence to program guidelines
- Maintains and updates his/her professional knowledge and skills in the areas of training, adult education, healthcare issues, trends and clinical practice
- Gain new skills (wound vacs, advanced wound care, chronic disease management, and more!),
- Relevant clinical care experience including renal transplant
- Condition specific related experience within last 5 years (could be a part of 3 years)
Education on a RN Specialist Resume
Make sure to make education a priority on your rn specialist resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your rn specialist experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in RN Specialist Resume
When listing skills on your rn specialist resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical rn specialist skills:
- A current valid driver’s license and good driving record are required
- Attends at least two infection prevention meetings per year and keeps up working knowledge of infection prevention control evidenced based information
- 3+ recent RN experience in an in-patient care or ASC setting
- Conducts clinical assessments with members and providers; gathers, analyzes, synthesizes and prioritizes member needs and opportunities
- Process and/or project management experience
- Zero (0) to two (2) years experience
List of Typical Experience For a RN Specialist Resume
1
Experience For Clinical Documentation Specialist RN Resume
- Utilizes standardized definitions for community-associated and healthcare associated infection and case finding methodology. Develops data collection tools for the identification and classification of events, indicators and outcomes, based on available software and healthcare personnel support
- At least annually, evaluates surveillance activities that generate healthcare associated and occupationally acquired infection statistics with consideration to population served, services provided including high risk, high volume and problem prone populations/procedures and critical pathogens
- Based upon this evaluation and analysis, collaborates with the Director of Quality/Patient Safety Officer, Chief Nursing Officer and the Infection Prevention Committee Chair to design and implement the infection prevention and control strategies
- Recognizes outbreaks associated with communicable diseases, identifies strategies to control outbreaks, implements interventions, educates staff and evaluates actions
- Supports unit and validation testing in conjunction with Information System’s Quality Team and its Application Lifecycle Management web based tool
- Maintains accurate database of infections. Compiles, analyzes, validates and disseminates infection rate data as required
2
Experience For RN Admissions Specialist Hospice Resume
- Manages projects and leads project teams to ensure attainment of targeted outcomes in a timely and effective manner
- Collaborates with onsite Clinical Effectiveness team regarding patient's discharge readiness
- IR experience
- Zero (0) to two (2) years of experience
- Provides clinical oversight of the ongoing management of members in RRP
- Two years as critical care nurse or other specialized nursing unit or two years as medical technologist
- Advocates for the patient, visitor and healthcare worker throughout the continuum of care by creating, implementing and revising at least every three years infection prevention policies
3
Experience For Rn-denial Specialist Clinical Resume
- Identify unsafe infection control practices and hazards. Design and implement alternative solutions to system-wide, departmental or unit problems
- Formulates, implements and evaluates strategies for system-wide, departmental, and unit based multidisciplinary staff education for Infection Prevention. Provides education and infection prevention strategies at New Employee and Nursing orientation and departmental in services
- Prepares accurate written and verbal reports describing studies, outcomes, and plan of action. Presents reports at multidisciplinary meetings including but not limited to: Infection Prevention, Patient Safety and Clinical Quality Committee, and Environment of Care
- Identifies opportunities for improvement on the basis of indicators, process and outcome measures, other findings or observations. Coordinates/participates in quality/performance improvement activities
- Reviews national evidence based Infection Prevention and Safety standards and procedures, published studies, and recommendations to design corporate and departmental policies, interventions, and educational activities to reduce the risk for healthcare associated infections and improve patient outcomes
4
Experience For Esrd Renal Care RN Specialist Resume
- Collaborates with Facilities in policy development, investigation, and recommendations for corrective action related to healthcare facility construction and moisture management activities
- Completes and/or attends all required educational offerings
- Demonstrates the ability to manage time, coordinate departmental functions and promote professional growth as evidenced by completing assignments, attending programs and conferences, and preparing for and successfully obtaining certification
- Supports the development of new workflows that help imbed documentation concepts into the provider’s daily work (i.e. problem list, orders, 3rd Party Application such as ePREOP and Iodine) and assists with the education of these tools and workflows to maximize compliance
- 10 CEU’s per year within specialty area for knowledge base maintenance OR current certification in clinical specialty. Based on learnings, provide educational sessions for care management teamsClick Enter to preview the description of AccountabilitiesPreview
- Provides clinical oversight of the ongoing management of members in RRP. Uses critical and clinical thinking skills to review claims and other clinical data in order to determine appropriate adherence to program guidelines. Identifies potential clinical issues for escalation to the Behavioral Health Medical Director and RRP Clinical Governance
- Accountable for overall program performance as evidenced by quality metrics and outcomes, and through internal and external audit performance
- Coordinates care across member’s health care team as needed to minimize risk of harm to self or inappropriate usage of services. This could include coordination with primary care, pharmacies, community and county resources, and emergency room facilities
- Acts as a point of contact for RRP program information for providers and facilities
5
Experience For Advanced Rn Practitioner Specialist Resume
- Educates members on the appropriate usage of health care services that maximize their outcomes and refers members to other programs as needed
- Identifies potential clinical issues for escalation to the Behavioral Health Medical Director and RRP Clinical Governance
- Leads and /or facilitates clinical performance improvement teams/taskforce as indicated
- 10) 10 CEU’s per year within specialty area for knowledge base maintenance OR current certification in clinical specialty..Based on learnings, provide educational sessions for care management teams
- 10) 10 CEU’s per year within specialty area for knowledge base maintenance OR current certification in clinical specialty. Based on learnings, provide educational sessions for care management teamsClick Enter to preview the description of AccountabilitiesPreview
- Condition specific related experience within last 5 years (could be a part of 3 years). ·
- Transplant certification (CPTC, CCTC, CCTN)
6
Experience For RN Regional Clinical Specialist Resume
- 10 CEU’s per year within specialty area for knowledge base maintenance OR current certification in clinical specialty. Based on learnings, provide educational sessions for care management teams
- Provides consultation and support as a nursing / clinical practice subject matter expert to regional and health care team leaders
- Assists in preparation and opening of new medical offices or internalization of services / departments to ensure training of staff and compliance with regulatory requirements
- Coordinates the Nursing QI Monitoring Program, identifies areas for improvement and supports the nursing staff to effect improvements and regulatory compliance
- Researches, writes, and assists in the review/revision/approval process of Nursing Policies&Procedures and Telephone Advice Guidelines
- Researches and recommends the use or purchase of commercially prepared educational, audio-visual and/ or electronic materials
7
Experience For Sepsis Specialist RN Resume
- Utilizes educational resources and equipment efficiently to support departmental and Regional financial targets
- 10) 10 CEU’s per year within specialty area for knowledge base maintenance OR current certification in clinical specialty. Based on learnings, provide educational sessions for care management teamsClick
- Follows through on vendor requirements for change in the application’s hard coded features with the required documentation including enhancement request templates and business case impact documentation
- Works directly with Information System’s change process requirements and assist in the documentation necessary for application enhancement installs
- Maintains knowledge of all health plan benefits, network, CMS, regulations, health plan and/or MSO policies
- Maintains positive open communication with system-wide CDI leadership, regional CDI management, local CDI team, interdisciplinary care team members and on-site department manager support
- Serves as a member of the system-wide CDI team and participates in the scheduled meetings
8
Experience For Rn-practice Specialist Resume
- Collects, analyzes, and interpret data (CDI) for physician endorsement of program initiatives
- Additional condition certification
- Care for ONE PATIENT AT A TIME
- Be on the front-line of the transitions in health care from inpatient settings to the community – home health care is the future!
- Initiates and performs concurrent documentation review of selected inpatient records to clarify conditions/diagnoses and procedures where inadequate or conflicting documentation is suspected
9
Experience For Clinical Integration Specialist RN Resume
- Communicates with the individual physician or medical staff departments to facilitate complete and accurate documentation of the inpatient record
- Serves as a resource for physicians to help link ICD-9-CM coding guidelines and medical terminology to improve accuracy of patient severity of illness, risk of mortality and final code assignment
- Works in a collaborative fashion with the Coders and Case Managers concurrently reviewing the inpatient medical record to assure correct provisional and final Diagnosis Related Group (DRG) assignment
- Monitors and evaluates the effectiveness of concurrent chart review and query outcomes at designated intervals. Maintains accurate records of review activities to comply with departmental and regulatory agency guidelines
- Ensures for the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes
- Reports concurrent chart review and query outcomes to hospital departments and committees at designated intervals
10
Experience For Clinical Documentation Specialist, Rn-him Resume
- Performs monthly closed chart reviews and serves on the Chart Documentation Committee
- 9911 IH 10 West
- Performs the role of the scrub nurse as needed
- Ensures knowledge and visual program management for program that is updated routinely and utilized for performance improvement related to focused clinical outcomes like sepsis..
- Assists departmental staff with issues related to coding, medical records/documentation, pre-certifications, reimbursement and claim denials/appeals
List of Typical Skills For a RN Specialist Resume
1
Skills For Clinical Documentation Specialist RN Resume
- Zero (0) to two (2) years’ experience
- Clinical experience as RN, preferably acute care, required
- RN acute care experience required
- Training in the Fundamentals of Infection Control
- Working knowledge of quality assurance, utilization review or risk management
- Frequently (34-66%) - Sitting, Walking, Standing, Kneeling, Twisting, Bending, Squatting, Climbing, Lifting up to 50lbs, Carrying up to 50 lbs, Driving
2
Skills For RN Admissions Specialist Hospice Resume
- Occasionally (up to 33%) Carrying 50+ lbs, Lifting up to 50 lbs, Pushing up to 300 lbs,
- Presents material in a clear manner when educating staff during orientation, or in committees
- Proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
- Working in an acute inpatient hospital setting as a Clinical Documentation Specialist
- Communications clearly, verbally, and in writing, to a variety of internal and external groups or individuals
- Leads infection prevention teams using LEAN and PDSA methods
- Understands divisional goals of assigned condition and market segment(s) including clinical and service availability
- Maintains outstanding level of service at all points of customer and provider contact
- Highly organized with a track record of delivering a high level of client (Both Member and Provider) service in a timely manner
3
Skills For Rn-denial Specialist Clinical Resume
- Registered Nurse with State Licensure to practice nursing
- Considerable knowledge of nursing
- Considerable knowledge of Infection Prevention nursing
- Certification in Ambulatory Care Nursing, Staff Development, Administration, or related field
- Graduate from a Nursing program, BSN, or graduate
- Graduate from a Nursing program, BSN
4
Skills For Esrd Renal Care RN Specialist Resume
- Concurrently review inpatient medical records for accuracy and completeness of documentation on admission and throughout hospitalization
- Ensure the accuracy and completeness of clinical information within the chart by analyzing for potential gaps in physician documentation through clarifications to improve documentation on principal diagnosis, co-morbidities, present on admission and quality core measures
- Facilitate improvement in clinical documentation through education and extensive interaction with physicians, nursing staff and all other members of the health care team
- Collaboration with coding staff in assuring complete and compliant documentation in all inpatient charts at time of discharge
- Systematic development and implementation of educational opportunities for physicians, nursing staff and all other members of the health care team
- Participates in the interdisciplinary process to ensure that selected clinical quality indicators are met
- Demonstrates solid skill in reviewing lab data, isolation needs, and tagging and flagging charts for infection prevention, assessing unit compliance with infection prevention (cleaning, isolation, hand washing, etc.)
- Participates in survey readiness and surveys as needed
- Receives referral and leverages clinical and condition pathway knowledge for outreach stratification
5
Skills For Advanced Rn Practitioner Specialist Resume
- Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive clinical results and promotes high-quality effective outcomes
- Managed care experience; e.g. case management, utilization management
- Identifies relevant BCBSMN and community resources and facilitates program and network referrals
- RN with MN license, with no restrictions
- PHN certification or ability to obtain PHN certification within 3 months
- Receives referrals and leverages clinical and condition pathway knowledge for outreach stratification
- Collaborates with project team members to assist in development of new and innovative care models
- Provides consultation as a subject matter expert as needed to internal and external stakeholders
6
Skills For RN Regional Clinical Specialist Resume
- Serves as a Liaison between BCBSMN and the ACO Care Coordination team, Providers, and other ACO specialty clinicians. Works collaboratively to review and understand treatment plans, including alignment with benefits and medical reimbursement policies to facilitate optimal treatment plans, care coordination, and transition of care between settings
- NCQA or other regulatory familiarity
- Basic statistics and computer knowledge
- Unrestricted, current RN License
- CCDS, CDIP or CCS certification
- Clinical specialty or management certification
- CCDS, CCS, or Clinical Documentation Improvement Professional (CDIP) credentials
- Current Driver’s license and access to daily use of an insured, reliable vehicle or an alternate ability to travel to sites as required
- Active state Registered Nurse license
7
Skills For Sepsis Specialist RN Resume
- Current license as a RN, LPN, or EMT
- Under the direction of the Medical Director and regional/ divisional program lead, has the responsibility to
- Certification in Infection Control and Prevention required within two (2) years of eligibility
- Identify and research problems required
- Analyze and interpret data and problem solve required
- The Clinical Documentation Specialist RN is responsible for performing concurrent review of the clinical documentation in the written and electronic medical records in order to ensure compliant, appropriate and accurate reimbursement based on severity of patient illness, risk of mortality and level of services provided to patients
- Analyzes documentation of the clinical status of patients, current treatment plan, and past medical history; identifies potential gaps in provider documentation
- Collaborates with physicians, case management, nursing, other patient care givers and coding staff to ensure medical record accurately reflects the clinical condition of patient
8
Skills For Rn-practice Specialist Resume
- Collaborates with coding staff to ensure documentation of diagnoses and pre-existing co-morbidities are a complete and accurately reflect the care received, as well as patient's clinical status, acuity, severity of illness, and risk of mortality
- Serves as a resource to providers to help link coding guidelines and medical terminology, to improve accuracy of the patient's severity of illness, risk of mortality, final code assignment and case mix index
- Providing on-site support and clinical education enhancement on ICD-10 to the coding team
- Reviews clinical findings and coding clinics with coding staff to assign a working DRG
- Negotiates service pricing with insurance Case Managers and other payers within established financial and credit parameters
- Ensures maximum third party reimbursement through direct oversight of insurance verification and authorization processes
- Assists the Executive Director/Administrator in the preparation of an annual budget for the intake department and monitors allocation of resources according to budgetary limitations
- Recruits, selects, orients, and directly manages members of the referral/intake team
- Builds and monitors community and customer perceptions of the agency as a high quality provider of services
9
Skills For Clinical Integration Specialist RN Resume
- Maintains comprehensive working knowledge of the agency’s contractual relationships and ensures that patients are admitted according to contract provisions
- Orients all new staff on medical necessity documentation
- Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge. Assist in training department staff new to CDI
- Performs the role of the RN Specialist
- Improves the overall quality and completeness of clinical documentation by using clinical documentation guidelines as needed for secondary review for identifying data trends and educates providers one-on-one and in group sessions on documentation gaps and findings associated with secondary review of low SOI/ROM mortality cases
10
Skills For Clinical Documentation Specialist, Rn-him Resume
- Utilize CDI team metrics of provider quality and quantity of responses to queries, identifying repeating clinical themes. Create targeted evidenced based education material such as for those providers who receive the greatest volume of queries, with the goal to transition their reactionary charting to proactive documentation
- Working with regional CDI management and Provider Specialist to establish meetings with providers and specialty groups to discuss metrics associated with their current documentation risks/habits and opportunities
- Assist in developing ICD-10 compliant queries for the CDI program and actively contribute suggested edits to keep the ICD-10 query resource library up to date
- Assists in the referral and investigation of quality and risk management issues. Demonstrates understanding of patient rights/confidentiality and legal and ethical issues pertaining to them
- Identifies learning needs of multidisciplinary staff regarding clinical documentation for the health care team and participate in development and implementation of in-services and resources materials to offer education
- Conducts follow-up reviews of clinical documentation to ensure points of clarification with the local providers have been recorded in the patient’s chart
List of Typical Responsibilities For a RN Specialist Resume
1
Responsibilities For Clinical Documentation Specialist RN Resume
- Develops, implements and facilitates quality evaluation and improvement initiatives
- Registered Nurse with “multi-state privilege" granted to them by virtue of their holding a license in one of the states participating with Virginia in the Nurse Licensure Compact
- CPI Certification (or obtained within 60 days if hire)
- Clinical specialty certification
- Formulate physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians regarding documentation and to resolve physician queries prior to discharge
- Selects appropriate benchmarks and thresholds, compares rates and analyzes trends. Makes recommendations for improvement based on data analysis, review of current literature, comparison of observed practices to professional standards, and results of multidisciplinary conferences. Evaluates actions, gives feedback, and reports outcomes to appropriate customers
- Applies for continuing education credits for training programs, ensuring that all requirements of the granting organization are met and documented. Prepares and submits, or assists with preparation and submission, of application for renewal of certification every three years by the American Nurses Credentialing Center and Georgia Nurses Association as a continuing education provider
- Utilizing a collaborative approach with physicians, nursing staff, ancillary departments, and coding staff, ensures that clinical documentation is compliant, complete and accurate. The Clinical Documentation Specialist RN provides ongoing education and support to all members of the healthcare team in regard to clinical documentation in the medical record
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