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Ben
benboliver@gmail.com
229-232-3045
Saint Augustine, FL 32084
Registered Nurse/Case Manager
25 years experience W2
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Summary

Experienced Nurse with a demonstrated history of working in the hospital and health care industry.
Skilled in Sales, Customer Relationship Management (CRM), and Team Building. Strong community and
social services professional with a Bachelor of Science in Nursing (BSN) from Valdosta State University.
I also have a Bachelor of Business Administration with a focus in Risk Management and Insurance from
University of Georgia.

The following are exemplary accomplishments:

  • GA, FL State Licensure
  • Critical Care/ICU Nurse – 6 years
  • Travel/Agency Nurse – 2.5 years
  • Dr. Joan Futch Leadership Award
  • American Heart Association-ACLS & BLS Certification
  • AACN Essentials of Critical Care Orientation
  • Dean’s List
  • Aerobics & Fitness Association of America-Personal Fitness Trainer Certification
  • HIDA’s Accreditation in Medical Sales
  • Medical College of Georgia Student Outreach
  • Sigma Alpha Chi Honor Society
  • University of Georgia Cheerleading Team-Team Captain
  • Pi Kappa Phi Fraternity-Alumni Relations Chairperson
  • Sine Nomine Chorus of Valdosta
  • Savannah & Jacksonville Symphony Chorus
  • Atlanta Committee for the Olympic Games
  • Valdosta State University-Chamber Singers
  • Insurance Society
  • Student Athletic Council
  • Georgia Recruitment Team
  • Willing to relocate: Anywhere
  • Authorized to work in the US for any employer

Experience
Case Manager
Healthcare
Sep 2017 - Apr 2018
Norcross, GA

PruittHealth (PH) was the 14th largest skilled nursing provider in the U. S. providing exceptional care across a wide spectrum of services including: skilled nursing care, assisted & independent living, home health care, end-of-life hospice care, rehabilitation, pharmacy/infusion services & more.

  • Managed eleven PH facilities with a case load of up to 100+ patients
  • Facilitated initial & retrospective reviews by extensive clinical evaluation & InterQual to establish patient appropriateness for SNF admission
  • Utilized protocols & Medicare guidelines to ensure appropriate utilization of services for specific patient populations.
  • Performs telephonic & electronic review of clinical data for medical necessity & appropriateness of care to complete & oversee insurance updates & appeals processes
  • Communicated with several agencies, insurance companies, case management companies & peer review companies to ensure payment for services provided
  • Notified the resident &/or responsible party of discontinuation of skilled services per Medicare guidelines & issued Notice of Medicare Non-Coverage (NOMNC)
Appeals Case Management Home Health Hospice Medicare Nursing Pharmacology Utilization Review
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Transition Nurse
Healthcare
Mar 2017 - Sep 2017
Norcross, GA
  • Responsible for daily rounds at referring facilities, including two 350+ bed hospitals & two LTACs
  • Established & maintained positive relationships with referral sources to promote services by providing superior customer service
  • Communicated information effectively & efficiently to physicians, supervisors, facility administrators, pharmacists & any pertinent personnel
  • Managed the referral process by responding to electronic & verbal referrals in a timely manner
  • Facilitated the gap between hospital stay & the next steps after surgery, injury or illness by identifying the appropriate payer source (commercial insurance, medicare, medicare replacement plans, medicaid & self-pay) & completing the prior authorization process, benefits verification & pre-admission requirements for each referral
  • Evaluated patient clinical information in order to obtain insurance approval as well as to match patient needs with the appropriate facility & services
  • Collaborated with patients, families, care managers, multidisciplinary providers, benefit specialists, behavioral health specialists, pharmacists, vendors, & social services to ensure seamless transfer to the facility & to enhance member satisfaction, conserve time & resources, identify barriers, improve outcomes & reduce avoidable readmissions
  • Achieved individual monthly admissions quota as well as proposed company & census objectives
  • Applied clinical & business skills to build strategies for identifying & growing new business
No skills were added
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ICU Staff Nurse
Healthcare
Aug 2015 - Mar 2017
Moultrie, GA
  • CRMC is a 99-bed acute care hospital with a 10-bed ICU.
  • Provided patient care through assessment, planning, implementation & evaluation for the following patient care populations: geriatrics, adult, & adolescents
  • Responsible for the delivery of safe, therapeutic & cost effective nursing care
  • Provided & planned comprehensive patient care by participating as a collaborative member of the healthcare team, relating effectively with other shifts for continuity of care, maintain satisfactory relations with other departments-nursing units & provide thorough education
  • Adhered to the rules & regulations of all local, state & federal agencies
  • Maintained an atmosphere that ensures the mission, vision, values, code of conduct, goals, policies & standards of all accrediting bodies are consistently supported & enforced
  • Delivered excellent communication, teamwork & customer service
  • Performed/assisted with procedures: bronchoscopy, thoracentesis, chest tube placement/management
  • Hemodynamic monitoring: arterial line, central line, swan gans catheter, cardiac output, cvp
  • Cardiac rhythm analysis & arrhythmia recognition interpretation of lab results
  • Respiratory ventilation: intubation, weaning, interpretation of arterial blood gas
  • Chest tube placement & management
  • Assisted with bronchoscopy & thoracentesis
  • LifeLink organ procurement
  • ICP monitoring, ventriculostomy & ventricular drain management
  • NIH stroke protocol & TPA administration
  • Therapeutic hypothermia
  • Code procedure protocol, rapid response team
  • IV therapy: critical drip management, administration of meds/TPN, blood products, starting IVs
  • Wound & pain management
  • Interpretation of lab results
  • Floated among all critical care areas
  • Documented care provided on paper, in Cerner, Meditech, McKesson, Soarian & on paper
Geriatric ICU Nursing Pain Management
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Agency Nurse
Healthcare
Apr 2015 - Jun 2015
West Palm Beach, FL
  • GSMC was a 333-bed acute care hospital, including an MICU & SICU.
Nursing
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Agency Nurse
Healthcare
Jan 2015 - Mar 2015
Atlanta, GA
  • AMC was a Level 1 Trauma Center, including an MSICU, VICU, & CVICU.
Nursing Trauma Center
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Agency Nurse
Healthcare
Nov 2014 - Dec 2014
Venice, FL
  • VRBH was a 312-bed regional health care system, including a CCU & CVICU.
Nursing
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Agency Nurse
Healthcare
Aug 2014 - Oct 2014
Jacksonville, FL
  • MH was a 418-bed acute care, for-profit hospital, including a CCU & CVICU.
Nursing
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Agency Nurse
Healthcare
Apr 2014 - Jul 2014
Boynton Beach, FL

BH was a 481-bed non-profit community hospital, including a CCU, MSICU & SICU.

No skills were added
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Agency Nurse
Healthcare
Feb 2014 - Apr 2014
Fort Lauderdale, FL
  • HCH was a 559-bed non-profit Catholic hospital, including an MSICU, Neuro ICU & CVICU.
Nursing ICU Neurology
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Agency Nurse
Healthcare
Feb 2014 - Apr 2014
Hialeah, FL
  • PGH was a 360-bed acute care, teaching hospital, including a CCU, ICU & SICU.
ICU Nursing
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Agency Nurse
Healthcare
Jun 2013 - Aug 2013
Columbus, GA
  • SFH was a 376-bed non-profit Catholic hospital, including an ICU & MSICU.
ICU Nursing
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Agency Nurse
Healthcare
Feb 2013 - Jun 2013
Orange City, FL
  • FHFM was a member of the Adventist Health System & a non-profit general medical & surgical hospital with approximately 175 beds, including a 21-bed MSICU.
ICU Nursing Surgical Nursing
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MSICU Staff Nurse
Healthcare
Aug 2009 - Feb 2013
Valdosta, GA
  • SGMC was a not-for-profit, 330-bed acute care hospital providing a number of services including a 20-bed MSICU.
  • Floated among all critical care areas: IMCU, CPU, CICU
  • Recognized for exemplary customer service & team spirit by receiving extra mile awards
  • Served as a preceptor to new RNs/orientees in the ICU
  • Including above responsibilities & duties
ICU Nursing
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Server
Food/Beverage
Jun 2006 - Jan 2008
Germantown, TN
  • Served tables at a locally owned, fast-paced fine-dining restaurant in Germantown, TN
  • Acted as head server, trained new employees, closed down the restaurant at the end of the shift
  • Prepared room for dining by clothing tables & setting decorations, condiments, candles, napkins, service plates & utensils
  • Provided detailed descriptions of menu items, made suggestions & properly opened/poured wine at tableside
  • Transmitted orders to bar/kitchen by recording patrons' choices & special requests
  • Maintained table setting by removing courses as completed replenishing utensils/drinks/water observing the dining process
  • Obtained revenues by upselling totaling charges issuing bill accepting payment delivering bill & payment returning change/credit card/signature slip to patrons
  • Protected establishment/patrons by adhering to sanitation, safety & alcohol beverage control policies
No skills were added
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Account Manager
Healthcare
Jun 2003 - Sep 2005
Jacksonville, FL

Integrated customized supply management solutions that enabled healthcare professionals to deliver exceptional care. These solutions optimized supply purchasing & materials management. Planned & implemented business strategies, built strong customer relationships, anticipated emerging market needs & helped my customers gain a competitive advantage. Implemented profitable sales growth, increased market share & produced greater income.

  • Developed strategies & marketing techniques to establish & maintain a new territory
  • Grew sales from $0 to approximately $825K/year
  • Worked with 3000+ manufacturers & group purchasing organizations to negotiate pricing
  • Deep focus on customer retention & satisfaction
  • Prepared bids, quotes & contracts for customers
  • Participated in office set-ups, purchasing & delivery process
  • Determined laboratory needs for physician offices & provided equipment & testing for offices
  • Promoted injectable pharmaceutical products to physicians
  • Responsible for managing time & meeting sales quotas
No skills were added
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Network Relations Coordinator
Healthcare
Jan 2002 - Jun 2003
Savannah, GA

Sought, led & managed business development & operation initiatives for Network Provider relations of over 750 physicians & office staff. Business led on multi-faceted development projects & responsible for & recruiting providers. Participated in the full spectrum of the management process, including: staff, product & service development, sales pursuit & major provider account management. Specific responsibilities included:

  • Assisted in network provider credentialing
  • Established & maintained provider directories
  • Provided educational opportunities to client companies, practitioners & office staff
  • Responsible for daily account & program maintenance
  • Scheduled & performed site visits to evaluate & suggest recommendations for updating OSHA & JCAHO regulatory compliance
No skills were added
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Server
Food/Beverage
Jan 2002 - Dec 2002
Lake Park, GA
  • Served tables at a locally owned, fast-paced restaurant
  • Same responsibilities & duties listed in Server position above
No skills were added
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Server
Food/Beverage
Jan 2001 - Dec 2001
Valdosta, GA
  • Served tables at a locally owned, fast-paced fine-dining restaurant
  • Same responsibilities & duties listed above
No skills were added
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Broker
Banking/Financial
Nov 1998 - Jun 1999
Moultrie, GA

x

No skills were added
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Account Representative
Information Technology
Mar 1998 - Nov 1998
Atlanta, GA

x

No skills were added
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Group Underwriter
Insurance
Feb 1997 - Mar 1998
Atlanta, GA

x

No skills were added
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Account Representative
Insurance
Sep 1996 - Feb 1997
Atlanta, GA

x

No skills were added
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Edit Skills
Non-cloudteam Skill
Education
Bachelor's in Nursing
Valdosta State University, 2008 - 2009
Bachelor's in Risk Management/Insurance
University of Georgia, 1992 - 1996
Certifications
Registered Nurse (RN)
Advanced Cardiovascular Life Support (ACLS)
BLS for Healthcare Providers
Skills
Nursing
2018
6
ICU
2017
5
Project Management
2021
1
Registered Nurse
2021
1
Geriatric
2017
1
Pain Management
2017
1
Appeals
2018
1
BLS
0
1
Case Management
2018
1
Home Health
2018
1
Hospice
2018
1
Medicare
2018
1
Neurology
2014
1
Pharmacology
2018
1
Surgical Nursing
2013
1
Trauma Center
2015
1
Utilization Review
2018
1