Nicole Glidden, Bsn, Rn, Cen, Crc Email & Phone Number

Independently reviews cases, ensuring accurate ICD-10-CM risk-adjusted coding and clinical documentation.Responsible for performing second reviews of QI work as assigned.Stays abreast of current changes to the Risk Adjustment field.Continues education to maintain high level of proficiency in Risk Adjustment field.Maintains RN and CRC certifications.Performs research as needed to determine whether codes are appropriate.Maintains individual 95% IRR score.Maintains required productivity.Executes other responsibilities per business needs.

Collect, review and analyze patient data to improve care coordination, quality metrics, and medical cost savings.Critical thinking, strong attention to detail, expertise in navigating various electronic medical record (EMR) systems, and building strong work relationships with providers and office staff.Create detailed and comprehensive patient medical records. Research and gather information from multiple sources and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from various sources.Diagnosis, Billing, and Quality Measures CodingUnderstanding of health insurance benefit structure; especially Medicare and MedicaidRisk AdjustmentCapturing more accurate and complete Diagnosis codesICD9 and ICD10 codingHelp providers that choose Vatica maintain a high standard of risk adjustment and quality of care by driving accurate coding assistance, clinical documentation, and clinical review of patient data.

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care. Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services. Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team. Maintain accurate and timely documentation to meet best practice and regulatory guidelines

Remote

Providing triage services to all patient populations including geriatric, pediatric and maternity. Answering patient calls throughout shift to identify, assess, and triage various medical concerns including 911, critical symptoms, disease process/ medication education, psychiatric concerns, and all other aspects of patient care. Working autonomously as a remote employee while meeting all quality metrics.

PRN position providing care when needed throughout the hospital system utilizing relevant experience which includes emergency care, critical care, cardiac catheterization, interventional radiology, and triage nursing.

Brick, New Jersey, United States

Providing appropriate level of care to patients with high acuity levels throughout procedural departments including cardiac catheterization lab and interventional radiology. Assisting and scrubbing for procedures including vascular device insertions, diagnostic catheterization, embolization, angioplasty, stent placement, pacemaker insertion, image guided biopsies, drain placement, para/thoracentesis. Deep knowledge of moderate sedation, medication and IV solution administration. Patient monitoring, recovery, and education.

Provided nursing care within Level 2 Trauma Center.Collaborated with various ER professionals to ensure effective patient care.Applied expertise in prompt patient condition assessment on patient arrival at the ER during initial phases of acute illness or trauma.Monitored ER patients, including alerting physicians or charge nurses to changes in patient status, communicating with patients and their family members in a variety of traumatic situations. Performed medical procedures, such as EKG, venipuncture, cardiac monitoring, taking vital signs,urinalysis, UCG testing, or administering medications.Floated to various inpatient departments including surgical prep and PACU.

Wall, Nj

Implemented home health care procedures in accordance with employer guidelines. Worked various shifts to ensure that each patient received proper care. Coordinated efforts with LPNs, HHAs, PT, OT, Wound Nurse and Speech. Discussing patient condition and care plans with physician and mid level providers. OASIS Documentation following all Medicare guidelines. On Call and Triage nursing for patients after business hours and on weekends.

Red Bank, New Jersey, United States

Bachelor'S Of Nursing, Registered Nursing/Registered Nurse

Activities and Societies: Graduated February 2020

Associate'S Degree, Registered Nursing/Registered Nurse