Mary Ryan

Mary Ryan Email and Phone Number

Quality Assurance RN @ IncrediCare
4893 Prince William Parkway Suite 202, Woodbridge,Virginia 22192,United States
Mary Ryan's Location
Herndon, Virginia, United States, United States
Mary Ryan's Contact Details

Mary Ryan work email

Mary Ryan personal email

n/a

Mary Ryan phone numbers

About Mary Ryan

Registered Nurse with over 25 years of experience which includes patient care, utilization management, and quality assurance.Presently working towards BSN.

Mary Ryan's Current Company Details
IncrediCare

Incredicare

View
Quality Assurance RN
4893 Prince William Parkway Suite 202, Woodbridge,Virginia 22192,United States
Website:
incredicare.com
Employees:
23
Mary Ryan Work Experience Details
  • Incredicare
    Quality Assurance Nurse
    Incredicare Sep 2016 - Present
    Fairfax,Virginia
    Quality Assurance Nurse* Audit for compliance with State and Federal regulations* Develop training programs* Perform initial and quarterly client assessments
  • Inovalon
    Site Review Nurse
    Inovalon Jul 2015 - Aug 2016
    Northern Virginia
    Site Review Consultant (Medicare Contract; HEDIS)• Telework and on-site chart review and abstraction • Maintained highest level of professionalism in communications and interactions with clients• Performed Medicare Risk Adjustments and HEDIS Chart Abstractions• Utilized ICD 9 and ICD 10 in performance of abstractions/reviews
  • Qualis Health
    Clinical Review Nurse
    Qualis Health Apr 2014 - May 2016
    Washington, Dc
    Utilization Review Nurse (Medicaid Contract)• Telework• Highly proficient and accurate in documenting clinical reviews for medical necessity • Consulted with physicians and other healthcare workers on a daily basis• Monitored for appropriateness of care resources, allocation, and demonstration of medical necessity using InterQual and Medicaid specific criteria• Perform audits to help prevent fraud• Successfully trained new reviewers and acted as a resource person for other employees
  • Comprehensive Health Services, Inc. - Chsi
    Medical Review Nurse
    Comprehensive Health Services, Inc. - Chsi Apr 2013 - Apr 2014
    Reston, Va
    Medical Review Nurse (Veterans’ Affairs Contract)• Chart review and quality checks; Condensed longer charts into smaller ones containing pertinent information • Ensured contractual compliance • Consulted with Physicians and other healthcare providers
  • Active Health Management
    Utilization Review Specialist
    Active Health Management May 2009 - May 2011
    Chantilly, Va
    Utilization Review Nurse (A State Employees’ Health Insurance Contract)• Highly proficient and accurate in documenting clinical reviews for medical necessity • Monitored for appropriateness of care and resources • Coordinated with medical offices, hospitals, durable medical equipment companies, and other departments to streamline patient care• Consulted with physicians and referred cases for review• Successfully trained new medical reviewers and acted as a resource person for other employees• QA in monitoring of own work for URAC compliance

Mary Ryan Skills

Clinical Research Utilization Review Direct Patient Care Healthcare Medical Review Healthcare Management Medicaid Nursing Registered Nurses Quality Assurance

Mary Ryan Education Details

Frequently Asked Questions about Mary Ryan

What company does Mary Ryan work for?

Mary Ryan works for Incredicare

What is Mary Ryan's role at the current company?

Mary Ryan's current role is Quality Assurance RN.

What is Mary Ryan's email address?

Mary Ryan's email address is ma****@****lth.org

What is Mary Ryan's direct phone number?

Mary Ryan's direct phone number is +120636*****

What schools did Mary Ryan attend?

Mary Ryan attended Liberty University, Passaic County Community College.

What are some of Mary Ryan's interests?

Mary Ryan has interest in Crocheting, Børn.

What skills is Mary Ryan known for?

Mary Ryan has skills like Clinical Research, Utilization Review, Direct Patient Care, Healthcare, Medical Review, Healthcare Management, Medicaid, Nursing, Registered Nurses, Quality Assurance.

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