Call Center Nurse Resume
Welcome to Call Center Nurse Resume Sample. Customize the Objective Statement and Nursing Duties as per your Goals, Experience and needs of the Call Center Nurse Job you are applying to.
1155 Bruce Street
Maryland Heights, MO 63043
(123)-804-4957
q.townsend@emailaddress.com
Job Objective: A Call Center Nurse job that allows for the growth of the position within the hospital to develop it as well.
Work Experience:
Call Center Nurse, August 2005 - Present
PeaceHealth, Maryland Heights, MO
Provided telephonic advice to members.
Ensured adherence to all company policies concerning the preauthorization process.
Educated members and providers on the authorization process.
Communicated to assigned supervisor all cases needing a higher level of intervention.
Documented all pre-certifications and authorization requests.
Supervised non-clinical team members.
Participated in Quality Improvement processes.
Call Center Nurse, May 2000 – July 2005
Los Alamos Medical Center, Maryland Heights, MO
Documented all calls to meet requirements of management and regulatory compliance.
Coordinated interdepartmental communication for integration purposes.
Assisted members in problem resolution.
Conducted initial assessments within designated timeframes on patients identified as having complex case management needs.
Prioritized care needs, set goals and developed initial plan of care.
Ensured compliance to local, state, and federal laws and regulations.
Participated in Ethics and Integrity education programs.
Summary of Qualifications:
Outstanding experience in direct patient care within ambulatory setting
Deep Knowledgeable in Medicare, JCAHO, and Dept. of Health regulations pertaining to ambulatory care
Wide knowledge of the different disciplines and disease states
Ability to provide services in an environment that involves multiple health care systems
Ability to interact with all relevant components of the health care system
Ability to provide services that deal with the individual's broad spectrum of needs
Excellent verbal and written communications skills
Strong decision making and telephone skills
Education:
Bachelor of Science in Nursing, Midwestern State University, Wichita Falls, TX