Michell Oliver

Registered Nurse

Advantmed

Dec 2023 - Jan 2024 (2 months)

• Reviews medical records and documents to abstract clinical data for HEDIS reporting. Integrates collected electronic and hard copy data into reports. • Documents findings in applicable HEDIS databases and on prescribed cloud platforms. • Meets daily abstraction goals and maintains 100% abstraction accuracy. Performs electronic audits for compliance with HEDIS measures. • Prepares and presents HEDIS compliance reports to health facility managers. Trains and advises healthcare professionals and administrative staff on HEDIS compliance. • Maintains HIPAA standards and immediately reports any critical findings to designated authorities. Keeps abreast of HEDIS measures

Registered Nurse

Aetna, a CVS Health Company

Apr 2012 - Dec 2012 (9 months)

• Closely monitored utilization of healthcare resources to ensure cost-effective delivery of services while maintaining quality standards • Leveraged knowledge of insurance coverage policies to assist patients in navigating the complexities of their healthcare benefits • Earned recognition for consistently meeting or exceeding performance metrics related to patient outcomes, satisfaction levels, and cost containment measures

Registered Nurse (RN) ED Diversion Case Manager

Centene Corporation

Mar 2010 - May 2011 (1 year 3 months)

• Covered families and children Medicaid managed care and utilization review coordinating healthcare services using utilization management strategies to optimize efficiency and control cost by re-educating members on appropriate use of emergency department verses urgent care to facilitate appropriate levels of care • Conducted thorough assessments of patients' health status, identified potential barriers to care, and implemented appropriate interventions • Achieved a 90% reduction of emergency department use by implementing proactive post-discharge follow-up protocols • Provided comprehensive case management services to a caseload of 80 patients, ensuring continuity of care and optimal patient outcomes • Coordinated referrals to specialists

H

Home Health Nurse

Heartland Home Care & Hospice

May 2009 - Mar 2010 (11 months)

• Supervised the activities of 10-15 LPN/LVNs, home health aides, and paraprofessionals to optimize team efficiency in providing around-the-clock medical care and assistance • Conducted initial assessments and ongoing evaluations of patients' medical conditions, developing individualized care plans in collaboration with interdisciplinary team members • Provided skilled nursing interventions including wound care, IV therapy, catheter management, and pain management • Collaborated with insurance companies to obtain pre-authorization for necessary medical procedures or treatments • Instructed family members on how to provide care for their loved ones after hospital discharge or during recovery periods • Leveraged advanced knowledge of chronic

Registered Nurse

Cleveland Clinic

May 2008 - May 2009 (1 year 1 month)

• Provided direct patient care to neurological patients, including assessment, diagnosis, and treatment of neurological conditions • Administered medications and treatments as prescribed by physicians, ensuring accurate dosage and monitoring for any adverse reactions • Monitored vital signs and neurological status of patients, promptly reporting any changes or abnormalities to the healthcare team • Implemented evidence-based nursing interventions to promote optimal outcomes for neurology patients • Maintained accurate documentation of patient assessments, interventions, medications administered, and response to treatment in electronic medical records (EMR) • Implemented fall prevention strategies tailored specifically for neurology patients

Recruiter

US ARMY

May 2001 - Nov 2004 (3 years 7 months)

• Serves as the Army's ambassador within the community; recruits, determines applicant enlistment eligibility, counsels applicants on enlistment programs and options • prepares enlistment applications, and processes qualified applicants to enlist in the Army; accounts for and prepares Future Soldiers for initial entry training • Implements and conducts Army awareness programs throughout an area covering 73 square miles with a population of 300,000 • Maintains a network of influencers to include parents, educators, and community officials in 2 high schools and 2 colleges • Responsible for $50,000 worth of Government equipment • Conducted phone and in-person interviews to assess candidate qualifications, skills, and cultural fit • Developed i

Licensed Practical Nurse

US ARMY

Jul 1985 - Nov 2004 (19 years 5 months)

• 20 years of providing patient care throughout the military health system. NCO Practical Nurse in a 23 bed Combined Intensive Care Unit (CICU) in the first level I Trauma Center in US and overseas; cares for wounded warriors and their families • plans, organizes and evaluates nursing care activities, and delegates responsibilities to subordinates. Evaluates and provides on-the-job training and counselling of subordinates • Provides direct patient care; assists in supervision, training, and evaluation of 37 military and 27 civilian personnel • Maintains receipt of hospital equipment more than $3.1 million; aids in management of consumable budget in excess of $1,000,000; orders supplies and equipment; collects administrative data and prepare

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