Beth Mcgovern Email & Phone Number

Remote

• Performs clinical reviews to ensure injured workers receive high quality, cost-effective rehabilitative care• Review demographics, patient evaluation findings, clinical assessment, daily treatment notes, re-evaluation recommendations, and discharge summaries which enable a MedRisk record to be created. This record is used as a tool for ongoing analysis of the appropriateness of treatment.

Telecommute

Perform medical record reviews, clinical information extraction, develop appeal letter clinical summaries while ensuring quality and efficiency in a fast paced department while functioning independently.

Newtown Square, Pa

Performed daily clinical hospital admission Medicare reviews within the First Level Review dept using InterQual criteria to determine medical appropriateness of inpt and outpt services for a variety of hospital clients across the country. Proficient in Midas, Epic, Cerner, and Powerchart hospital medical record systems.

Performed Medicare admission reviews on daily basis to determine medical appropriateness of inpt or outpt services. Utilized InterQual criteria. Worked closely with dept Physician Advisor by referring Medicare review issues.

Functioned in a leadership role as charge RN including scheduling staffing and performance improvement activities. Provided comprehensive care to transplant, general surgery, vascular, and trauma patients on continuous ECG monitoring and post op organ transplant and surgical patients with multisystem problems.

Msn, Clinical Case Management

Bsn, Nursing

Activities and Societies: Sigma Theta Tau Nursing Honor Society, Pi Beta Phi Sorority