Betty Jo White, RN, BSN, MSN, CPC-P
2300 Clarence Coker Highway â€¢Turbeville, SC 29162
â€¢ (843-659-8282) â€¢firstname.lastname@example.org
Profile Masterâ€™s prepared Registered Nurse with 28 years of clinical and management experience with an extensive background in healthcare administration and healthcare information management. Experienced multi-tasker with a proven result oriented record, known for complete dependability, high-energy and impeccable professional ethics. Subject matter expert in medical coding, to include ICD-9, CPT, and HCPCS correct coding methodologies for all payer types, medical terminology, anatomy and physiology, pharmacology, and human diseases. Expertise includes health information principles, health care information systems, health care data, records and management, health policy, data abstraction and health care ethics and law.
Solid foundation in online (Campus Common, Blackboard, WebCT) and traditional learning methods, curriculum development, teaching strategies, learner assessment and evaluation skills, student-focused learning and lesson planning. Exceptional computer skills, verbal and written communication skills.
Education South University-Savannah, GA
Master of Science in Nursing, 2010
â€¢ Nurse Educator Track
Medical University of South Carolina-Charleston, SC
Bachelor of Science in Nursing, 2007
University of South Carolina, Columbia, SC
Associate Degree in Technical Nursing
Licensure and Certifications Licensed by the South Carolina State Board of Nursing (Multi-state), Member of the South Carolina Nurses Association
Certified Professional Coder-Payer, Member of the American Academy of Certified Coders
Professional Experience Blue Cross Blue Shield of South Carolina-Florence, SC
Manager, Medical Review -1998-Present
o Coordinates day-to-day operations, including daily oversight of within the team including operational issues, timely and accurate pre-and post-payment medical review of claims, correspondence, appeals, program integrity and assigned demonstration projects as appropriate for TRICARE and Medicare. Works in cooperation with the Prime Contractor, TRICARE Management Activity, Defense Criminal Investigative Services and Health Affairs. Provides clinical expertise and support to operations, Quality management and internal and external auditors.
o Leads a multi-functional team of professional nurses (up to 42 direct reports), along with paraprofessional claims, program integrity and appeals support staff.
Total Care, Inc.-Charlotte, NC
Field Manager, 1992-1994, 1997-1998
o Day-to-day oversight of home health care professional nurses and home care paraprofessionals Responsibilities included, hiring, training, and scheduling visits to patients' homes, ensuring that productivity and quality standards were met on a daily basis; conducted routine patient visits.
o Managed services, billing and care for patients, following federally regulated guidelines for Medicare reimbursement.
Willowglen Academy-Greeleyville, SC
Nurse Supervisor, 1995-1997
o Responsibilities included supervision of nursing and counseling staff in the Child-Adolescent Psychiatric Group Home setting, including hiring, training, direct patient care, and scheduling of staff.
o Managed services to ensure correctly maintained records, following federally regulated guidelines for Medicaid reimbursement.
Tri-County Home Health, Inc.-Columbia, SC
Home Health Patient Care Coordinator 1994-1995
o Provided coordination of care for home health services following federally regulated guidelines for Medicare, Medicaid and Private Payers. Responsibilities included acting as a liaison between primary care providers and the home care staff of nurses, and home care paraprofessionals to ensure patient care needs were met. Provided educational seminars to the public and healthcare professionals in relation to home care.
Georgetown Memorial Hospital
Staff Nurse/Charge Nurse/Nurse Manager 1991-1994
o Responsibilities included provision of professional nursing. Ensured the patientâ€™s protection through the promotion of health, prevention of illness and injury, alleviation of suffering. Served as an advocate in the care of individuals.
o Served in administrative capacities as a charge nurse and nurse manager in the pediatric and geriatric acute care setting. Responsibilities included supervision of nursing and allied health care paraprofessionals, including hiring, training, direct patient care, and scheduling of staff.
References and Official Transcripts
Available upon request