Provide appeal options to physicians facilities insurance payers and providers

Provide appeal options to physicians facilities

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Provide appeal options to physicians, facilities, insurance payers and providersPresent case studies to managers and physician advisors to increase clinical awareness and improvementAssist quality management and clinical documentation improvement with core measuresUse Medicare and Medicaid guidelines for referrals and appealsManage patients continuum of care by identifying resource deficits and barriersJULY 2008-FEBRUARY 2011REGISTERED STAFF NURSE, DCH MEDICAL SYSTEM42-Bed Neurology/Medical/Surgical Unit4-Bed Acute Stroke Unit (ICU setting)Cared for hemorrhagic and ischemic stroke patientsPerformed neurologic assessments on all neurological diagnoses (epilepsy,CVA, TIA, headache, altered mental status, lethargy, etc.)Frequent blood product administrationIdentified and interpreted cardiac rhythm stripsEDUCATIONMASTER OF SCIENCE IN NURSING EXPECTED 2021WALDEN UNIVERSITY, MINNEAPOLIS, MINNESOTABACHELOR OF SCIENCE IN NURSING JULY 2008UNIVERSITYOFALABAMA, TUSCALOOSA, ALABAMALICENSES AND CERTIFICATIONSBLS CertifiedLicensed Registered Nurse, Alabama Board of NursingSKILLSEffective CommunicatorFast LearnerSharp Critical Thinking SkillsTechnology SavvyExperience with Multiple EHR Systems Microsoft Office Proficient
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Step 2: Professional Development GoalsUse the space below to write a statement identifying your professional development goals.To obtain a Master in Science from Walden University as an Adult-Gerontology Primary Care Nurse Practitioner, to provide the elderly, underserved areas, and low-income populations with access to care, medical management, and favorable patient outcomes. There is a shortage ofphysicians and a need for nurse practitioners to feel those gaps in care and barriers to receiving healthcare. One of the primary goals is to manage chronic conditions medically and complex disease processes with minimal oversight to prevent adverse effects, hospitalizations, and emergency room utilization. This demographic or patient population carry a stigma of healthcareprofessionals not wanting to provide them with the care they need. Once becoming an Adult-Gerontology Primary Care Nurse Practitioner, it is imperative to advocate for individuals who donot have the finances, resources, or voices to make their needs known.Step 3: Alignment with Social ChangeUse the space below to write a statement proposing how you might align one or more of your professional development goals with the University’s emphasis on social change.Walden University is providing students with the opportunity to transform themselves as scholar-practitioners. Walden is laying the foundation so that students can apply what they have learned to effect positive social change by addressing challenges where they live, in their professions, and in the world around them ( Walden, n.d.). With a solid foundation, building the framework will present fewer challenges as an AGPC-NP to provide patients with favorable outcomes and bridge the gap in access to care barriers.
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ReferencesSocial change. (n.d.). Retrieved from
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