Experience

Community First Health Plans

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Quality Assurance Nurse Case Manager, Team Lead Resolution Unit

  • Aug 2009 - Present

  Case Management, claims, appeals, pharmacy authorizations, Utilization Management, complaints, certified in case management Case Management, claims, appeals, pharmacy authorizations, Utilization Management, complaints, certified in case management



Mount Sacred Heart School

• San Antonio, Tx

• Registered Nurse (School)

  • Jul 2008 - Jun 2009

  I was a school nurse in a Catholic School responsible for all of the medical records, hearing screenings, vision exams and scoliosis screenings for the children in the school. Adminstered daily medication, performed chart audits, trained staff on Epi-Pen use. I was a school nurse in a Catholic School responsible for all of the medical records, hearing screenings, vision exams and scoliosis screenings for the children in the school. Adminstered daily medication, performed chart audits, trained staff on Epi-Pen use.



Coler Elementary School

• San Antonio, Texas

• Special Education Assistant

  • Aug 2005 - Jun 2008

  I was one on one with a special edcucation child for three years (assiting with personal needs and education needs) while assisting the first and second grade teacher with classroom duties. I was one on one with a special edcucation child for three years (assiting with personal needs and education needs) while assisting the first and second grade teacher with classroom duties.



Colker Elementary School

• San Antonio, Texas

• School secretary assistant

  • Dec 2004 - May 2005

  School secretary assistant. Ran the front desk at the elementary school, performed duties for principal and assistant principal, and perfomed other duties as assigned. School secretary assistant. Ran the front desk at the elementary school, performed duties for principal and assistant principal, and perfomed other duties as assigned.



West Jefferson Hospital

• New Orleans, La.

• Quality Assurance Nurse

  • Aug 1998 - Jul 1999

  Quality Assurance Nurse at West Jefferson Hospital in New Orleans, La. Responsible for checking on all the Medicare admissions to make sure that they met the admission critieria, determined their needs and passed the case onto the case manager to follow. Quality Assurance Nurse at West Jefferson Hospital in New Orleans, La. Responsible for checking on all the Medicare admissions to make sure that they met the admission critieria, determined their needs and passed the case onto the case manager to follow.