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Jael
arauzja@gmail.com
407-913-3578
Orlando, FL 32829
HEDIS Nurse
9 years experience W2
0
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Average rating
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Summary

Experience
HEDIS Nurse
Medical Devices
Feb 2018 - present
Lake Mary, FL
-Abstracted Medical records using Verscend Quality Report Tool -Called physician offices to retrieve medical records -Knowledgeable of ICD 10 and CPT codes -Verified measures were compliant/non-comopliant with HEDIS requirements according to the guidelines of the NCQA
HEDIS Nursing
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Clinical Quality Specialist
Medical Devices
Sep 2017 - Feb 2018
Blue Bell, PA
* Over-read medical records
• Verify accuracy of HEDIS gaps inputted in OnBase system
• Abstracted Information from medical record to OnBase
No skills were added
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Vitals Monitoring Care Liaison
Information Technology
Feb 2017 - Feb 2018
Franklin, OH
* Monitor high volume of medical alert alarms with genuine concern to include BP, HR, Pulse ox, Weight and Asthma.
• Answer routine inquiries, and refer calls not requiring PCM contact.
• Determine response requirements and relative priorities of situations, and contact PCM in accordance with established procedures.
• Enter, update, and retrieve information from teletype networks and computerized data systems regarding such things as address, information, conditions, property description, etc.
• Contact private individuals by telephone in order to assess each patient alert by modality.
• Triage/assess data represented by alerts to determine next steps in call process
No skills were added
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LPN
Jul 2016 - Feb 2017
* Planning and managing patient care according to each patient's needs
• Supervise caregivers and the safety of resident care
• Medication Administration
• Glucose monitoring
• Insulin administration
• Audit med carts
• Check vital signs
• Answer in-coming calls
• Receive all persons entering the office and assisting them as necessary.
• Necessary copying and filing
No skills were added
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Clinical Quality Reviewer - HEDIS
Medical Devices
Feb 2016 - May 2016
Blue Bell, PA
* Reviewed abstracted charts from different vendors (Advantmed and Altegra) for HEDIS measures
• Medical Records Review-Over-read medical records for MRR and inputted in QHSR system
• Documented results in computer
HEDIS
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LPN
Aug 2015 - May 2016
Orlando, FL
* Supervise caregivers and the safety of resident care
• Medication Administration
• Glucose monitoring
• Insulin administration
• Wound care
• Check vital signs
• Use of walkie talkies
No skills were added
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CNA - Certified Nursing Assistant
Mar 2013 - Mar 2015
Gulf Breeze, FL
* Provided nursing care under direct supervision to assigned residents to achieve maximum level of independence
• Take and record vitals, including blood pressure, pulse, respiration, temperature, weight
• Measure and record intake/output
• Provided routine care
• Offered translation services to residents, families, and co-workers, as needed
• Documented patient care provision in PointClickCare System.
Nursing
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Edit Skills
Non-cloudteam Skill
Education
General Studies
Pensacola State College 2013
Certifications
IV Certification
BLS for Healthcare Providers
Licensed Practical Nurse
Skills
Nursing
2021
5
HEDIS
2021
3