Lisa G. Harker
Forest Hill
Summary
Compassionate Registered Nurse recognized for productive and efficient task completion. Skilled in patient assessment, emergency care, and pain management. Possess strong communication skills, adaptability to high-stress environments, and ability to work effectively in team settings. Excel in providing exceptional patient care through empathy, patience, and active listening.
Overview
24
24
years of professional experience
1
1
Certification
Work History
HCS-O & HCS-D certified clinical chart reviewer
Home Care Answers
07.2022 - Current
- Review OASIS assessments and document recommended changes in the Home Care Answer OASIS database tool & Kinnser software
- Perform ICD-10 coding and sequencing from documentation in the patient chart
- Enter results from review in appropriate fields of the database
- Provide explanation for change and reimbursement impact recommended
HCS-O & HCS-D certified clinical chart reviewer
McBee Associates
08.2021 - 06.2022
- Review OASIS assessments and document recommended changes in the McBee Associates OASIS database tool
- Perform ICD-10 coding and sequencing from documentation in the patient chart
- Enter results from review in appropriate fields of the database
- Provide explanation for change and reimbursement impact recommended
Remote Pre-Claim Review
Selman Holman
11.2019 - 05.2021
- Remotely working from my home office using Homecare Homebase to find documents needed for our client Kindred to be paid by Medicare
- My job included reviewing Oasis notes, medical records from hospitalization, rehabilitation center notes or office visits notes and placing the information needed in an organized booklet and upload to HCHB
- This allowed our client to get reimbursed for their services
Home Health-Case Manager RN
Amedisys Homecare
04.2017 - 05.2019
- Collaborate with physicians, patients and their families, nurses, therapists, social workers and other members of the patient care team to develop a patient specific care and treatment plan
- Cooperatively utilize varied solutions to educate and promote the health and independence of the patient
- Assess, monitor, document and report progress of patient's health and condition using required documents, reports and established timelines
- Provide supervision and evaluation of aides and licensed practical nurses/licensed vocational nurses
Utilization Review Nurse
Evergreen Health Insurance
10.2014 - 03.2017
- Reviewed, collected and documented medical information and rationale in system to determine the medical necessity of services requested
- Determine whether treatments are consistent with member’s diagnosis and appropriate level of care
- Initiate and continue direct communication with health care providers involved with the care of the member to obtain complete and accurate information
- Responsible for determining medical necessity and length of stay based on the consistent application of MCG Criteria and Clinical Coverage Guidelines and communicates with Medical Directors for those reviews that fall outside of approvals
- Identify members at high risk for complicated medical treatment plans, and/or repeat admissions potential and refers them to the appropriate case and disease management teams
Registered Nurse
Upper Chesapeake Medical Center
01.2001 - 01.2015
- Providing healthcare needs to the acutely and chronic debilitated patient with illnesses such as CHF, Diabetes, Cancer, CAD, CVA
- Postoperative care to patients requiring inpatient and ambulatory surgical procedures
- Working in the community giving education and providing screening for the uninsured
PACU-Registered Nurse - PRN
Chesapeake Urology
01.2012 - 01.2014
- Provided quality care to post-surgical adult patients, which involved all urological ambulatory cases
- Assisted physician during local procedures with some examples being vasectomies, cystoscopies and prostate biopsy
Registered Nurse-PACU
Surg-Center of Belair
01.2008 - 01.2012
- Working as the preoperative and postoperative nurse in their ambulatory surgical center
- Pediatric and adult population requiring Orthopedics, ENT and Neurological surgical procedures
- Developed the post anesthesia department when newly opened to include document development, proper supplies and equipment needed and organizing the unit in a functional and safe unit
Education
RN-BSN -
Notre Dame of Maryland University
Baltimore, MD08.2015
RN-ADN -
Harford Community College
BelAir, MD12.1998
Skills
- Patient Care
- Clinical Care
- Leadership
- Phlebotomy
- IV skills
- Clinical Documentation and Review
- MCG/Milliman
- Multiple EMR knowledge
- OASIS assessment
- Clinical documentation
- ICD-10 coding
- Quality assurance
- Collaboration skills
- Communication skills
- Critical thinking
- Problem solving
- Attention to detail
- Time management
- Decision-making
- Time management abilities
- Self motivation
- Multitasking capacity
- Abstracting Medical Information
- Medical histories and vital statistics
- Verbal and written communication
Credentials
- BSN
- RN
- HCS-O
- HCO-D
Previous Experience
Previous nursing experience consists of working as an LPN from 1995-1998.
Certification
- HCS-O
- HCS-D
Timeline
HCS-O & HCS-D certified clinical chart reviewer
Home Care Answers
07.2022 - Current
HCS-O & HCS-D certified clinical chart reviewer
McBee Associates
08.2021 - 06.2022
Remote Pre-Claim Review
Selman Holman
11.2019 - 05.2021
Home Health-Case Manager RN
Amedisys Homecare
04.2017 - 05.2019
Utilization Review Nurse
Evergreen Health Insurance
10.2014 - 03.2017
PACU-Registered Nurse - PRN
Chesapeake Urology
01.2012 - 01.2014
Registered Nurse-PACU
Surg-Center of Belair
01.2008 - 01.2012
Registered Nurse
Upper Chesapeake Medical Center
01.2001 - 01.2015
RN-BSN -
Notre Dame of Maryland University
RN-ADN -
Harford Community College
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