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Monifa
monifaramsayjames@gmail.com
954-940-2386
4249 NW 61st Ct
Coconut Creek, FL 33073
Appeals Clinical Nurse, RN
15 years experience
W2
0
Recommendations
Average rating
126
Profile views
Summary
Over 20 years of nursing experience in case management, utilization management, mental health, managed care, and medical-surgical fields
5 years of direct appeals experience
Experienced in CMS reviews for appeals
Worked with Jiva, Seibel, and Diamond and reviewed in Pre-service, Concurrent, and Post Service
Currently pursuing a bachelor's in Nursing at Chamberlain University
PROFESSIONAL SKILLS
Interqual Certified
Utilization management
Case management
Advanced verbal, written communication, and organization skills
Proficient in Microsoft Office
Experience
Edit Skills
Non-cloudteam Skill
Education
Bachelor's in Nursing/Registered Nurse
Chamberlain University, 2019 - 2020
Record has not been verified.
Associate's in Nursing
Jersey College of Nursing, 2016 - 2019
Record has not been verified.
Certifications
Interqual Certified
RN Florida license
Skills
Clinical Review
2020
12
Clinical reviews
2020
11
Nursing
2020
11
Prior Authorization
2020
11
Appeals
2020
3
Case Management
0
1
CDI Coding
0
1
Health Services Administration
0
1
Mental Health
0
1
Patient Safety
0
1
Registered Nurse
0
1
Surgical Nursing
0
1
Triage
0
1
Utilization Review
0
1