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Louise
Louisemurphy1@bellsouth.net
Louisemurphy1@bellsouth.net
352-249-6256
1576 W Kenmore Dr
Citrus Springs, FL 34433
RN BSN
9 years experience W2
0
Recommendations
Average rating
29
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Summary

Experience
Utilization Review RN
Healthcare
May 2018 - May 2020
Utilization Review RN- Review perspective, concurrent and retro utilizing AI-Cortex, MCG, Inter-Qual. Daily interaction with MD's, CM, and all levels of staff in acute setting from remote position.
analytical effective communication work independently PC -Microsoft-Word, Excel, Outlook Case Management Disease Management Strong interpersonal presentation skills Medicare Assess, collect,critical thinking skills, detailed oriented, effective communication, performs medic
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RN Navigator
Healthcare
Apr 2017 - May 2018
RN navigator -monitored and review documentation in EMR for OP setting for appropriate medical necessity and billing. Monitored and assited with Nuclear Stress Testing. Communication with several offices in this group to include PA's, MD's, medical assistants, nurses and non-clinical staff.
Medicare Assess, collect,critical thinking skills, detailed oriented, effective communication, performs medic work independently PC -Microsoft-Word, Excel, Outlook effective communication Case Management analytical
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Admission Liaison/Case Manager/Utilization Review
Healthcare
Nov 2012 - Apr 2017
Ocala, FL
Reviewing medical charts via EMR for pertinent and appropriate medical necessity to meet guidelines for admission, discussed cases with Medical Director for denials, approvals, etc and appropriate documentation. Responsible for obtaining financial approval, auth's and other abilities of payment to facility. Seasoned with Medicare, Medicaid and all commercial and HMO's policies and guidelines for medical necessity requirements for admission and continued stays. Strong ability to communicate effectively telephonically, face to face and electronically.
Medicare Assess, collect,critical thinking skills, detailed oriented, effective communication, performs medic work independently PC -Microsoft-Word, Excel, Outlook effective communication Disease Management Clinical Research Case Management analytical
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Non-cloudteam Skill
Education
Bachelor's in BSN-1994
Florida International University, 1992 - 1994
Associate's in Nursing
Broward Community College, 1979 - 1981
Skills
analytical
2020
7
Assess, collect,critical thinking skills, detailed oriented, effective communication, performs medic
2020
7
Case Management
2020
7
effective communication
2020
7
Medicare
2020
7
PC -Microsoft-Word, Excel, Outlook
2020
7
work independently
2020
7
Disease Management
2020
6
Clinical Research
2017
4
Strong interpersonal presentation skills
2020
2