Eileen Harding Email and Phone Number
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Highly experienced healthcare professional with experience in cardiac and rehabilitation nursing including case management, medical/professional services coding, and insurance utilization review. Combines a fastidious attention to detail with exceptional problem solving skills and highly valued organizational memory. Consistently responsive to the needs of the enterprise. Able to produce concise, detailed project work that meets the turnaround needs of her clients. Strong independent knowledge worker with expertise in medical policy content development and coding resulting in cost savings.Specialties: In-depth knowledge of CPT, HCPCS Level II codes & ICD-9 CM diagnoses codes and health care delivery systems, proprietary claims processing systems, CMS guidelines and National Coverage Determinations, & federal and state mandates.Skilled in Microsoft Software: Excel, Word and WindowsExperienced in working in a matrixed organizationAble to communicate & influence others to reach consensus on difficult policy issuesExcellent writing, communication, problem solving & organizational skills
Senior Whole Health
View- Website:
- seniorwholehealth.com
- Employees:
- 318
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Care Transition Care ManagerSenior Whole Health May 2017 - Present
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Rn Care ManagerSenior Whole Health Apr 2011 - PresentDeveloped, implemented and monitored individual care plans for 110 complex community members in New Bedford geographic area in collaboration with member’s primary care physician.Performed case management activities including care coordination to improve the health status, functioning and quality of life for members in their preferred place of residence.
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Project Manager, Clinical Team, Medical Policy AdministrationBlue Cross Blue Shield Of Massachusetts Oct 2000 - Sep 2010Managed projects related to coding integrity and policy implementation Developed cost containment edits to ensure claims processing in accordance with current medical policies Saved $750,000 in 2007 with enforcement of covered and non-covered indications for medical procedures utilizing procedure-to-diagnosis editingManaged the exchange and communication of information between Medical Policy Administration and internal and external areas necessary for medical policy implementation Ensured medical policy compliance with all state and federal mandates regarding health care coverage, including Medicare HMO Blue and Medicare PPO Blue alignment with CMS coverage directives Managed the corporate implementation of all new CPT codes released biannually and HCPCS Level II codes released on a quarterly basis as a Project Leader -
Nurse Reviewer In Program Review UnitDivision Of Medical Assistance, Mass Health Sep 1999 - Oct 2000Performed medical necessity reviews of inpatient and outpatient services in compliance with state and federal regulations.Assessed quality of health care services as well as the cost effectiveness of services rendered to Mass Health members
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Staff Nurse/St. Elizabeth'S Home Care Program Project Coordinator/Cardiac Surgery Program ManagerVisiting Nurse Associates, Inc. Dedham, Ma Sep 1995 - Aug 1999Managed caseload of 15 to 25 clients in Newton and Brookline areasOrientation of RNs, Physical Therapists, Occupational and Speech Therapists, and Home Health Aides (employed by Dedham VNA) to policies and procedures of St. Elizabeth’s Home Care ProgramManaged and cared for patients that were post cardiac transplant, post coronary artery bypass grafting and post aortic/or mitral valve replacementsPerformed testing including EKGs, pulse oximetry, blood draws, intravenous Lasix administrationCardiac teaching related to activity restrictions, dietary management, medications, and wound care utilizing specified CARE maps
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Rehabilitation Nurse Case ManagerWellmark Healthcare Services, Inc. Wellesley, Ma -Relocated To Westwood, Ma Jun 1991 - Dec 1994Coordinated in-home acute care rehabilitation services with communication to insurance case managers, rehabilitation team members and physiciansManaged caseload of 12 to 15 clients with rehab needs, including patients with cerebral vascular accidents, spinal cord injuries, and neurological injuries sustained in motor vehicle accidents
Eileen Harding Skills
Eileen Harding Education Details
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Framingham Union Hospital School Of NursingNursing
Frequently Asked Questions about Eileen Harding
What company does Eileen Harding work for?
Eileen Harding works for Senior Whole Health
What is Eileen Harding's role at the current company?
Eileen Harding's current role is Care Transition Care Manager at Senior Whole Health.
What is Eileen Harding's email address?
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What is Eileen Harding's direct phone number?
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What schools did Eileen Harding attend?
Eileen Harding attended Framingham Union Hospital School Of Nursing.
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Eileen Harding has interest in Exercise, Home Improvement, Reading, Gourmet Cooking, Sports, Fishing, Home Decoration, Cooking, Electronics, Outdoors.
What skills is Eileen Harding known for?
Eileen Harding has skills like Healthcare, Medicare, Nursing, Managed Care, Healthcare Management, Case Managment, Medicaid, Inpatient, Healthcare Industry, Home Care, Disease Management, Utilization Management.
Who are Eileen Harding's colleagues?
Eileen Harding's colleagues are Lisa Abreau, Lydie Duchemin, Yin Powers, Michelle Teachout, Lorna Augustin, Min Kong, Terry Shlimbaum.
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Eileen Harding
St George, Ut -
1aol.com1 +156181XXXXX
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Eileen Harding
United States
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