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Sherri Turner

Registered Nurse
Louisville, Kentucky
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sherri.turner.rn@outlook.com
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502-777-2093
Diversely experienced Registered Nurse with a natural skill and love for detail-oriented tasks that involve research and management of documentation and medical care. Comprehensive background in the areas of Medical Review, Telephonic Case Management, Care Management in home and clinical settings, Direct Patient Care, and the MDS Assessment and Care Planning Process.
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Work Experience

TotalMed

Temporary, Remote RN Care Manager
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Jul 2019 - Current

Temporary position focused on a remediation project for Medicare SNP Program.Temporary position focused on a remediation project for Medicare SNP Program.

Anthem

Remote RN Case Manager
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Jun 2016 - Jul 2019

Call center: Provide collaborative, telephonic case management for program members in accordance with NCQA.Call center: Provide collaborative, telephonic case management for program members in accordance with NCQA.

Altegra Health

Temporary, Remote RN HEDIS Abstracter
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Feb 2016 - May 2016

Temporary position in which critical data is abstracted from the electronic medical record for the purpose of measuring the performance on important dimensions of care and service as managed by NCQA.Temporary position in which critical data is abstracted from the electronic medical record for the purpose of measuring the performance on important dimensions of care and service as managed by NCQA.

Anthem - AdminaStar Federal

Medical Review Nurse for Medicare Part B
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Oct 2005 - Feb 2006

Conduct review of claims to determine medical necessity of services rendered according to Medicare Part B protocols. Provide education to Providers on billing and coding issues identified through data analysis and/or claim review.Conduct review of claims to determine medical necessity of services rendered according to Medicare Part B protocols. Provide education to Providers on billing and coding issues identified through data analysis and/or claim review.

Baptist Hospital East

Neurological / Medical-Surgical Acute Care Staff RN
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Mar 2003 - Jun 2005

Provide direct care within medical/surgical and neurological patient care settings. Telemetry, infusion therapy, patient assessment, skilled nursing interventions, and patient/family counseling and education. Provide direct care within medical/surgical and neurological patient care settings. Telemetry, infusion therapy, patient assessment, skilled nursing interventions, and patient/family counseling and education.

Norton Suburban Hospital

Medical-Surgical Acute Care Staff RN
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Oct 2001 - Oct 2002

Provide direct care within medical/surgical patient care settings. Patient assessment, skilled nursing interventions, infusion therapy, and patient/family counseling and education. Provide direct care within medical/surgical patient care settings. Patient assessment, skilled nursing interventions, infusion therapy, and patient/family counseling and education.

SpectraCare

Infusion Home Health RN
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Feb 2001 - Oct 2001

Provide direct patient care within a home care setting. Case management, patient assessment, skilled nursing interventions, patient/family education and counseling, infusion therapy, and insertion of midline catheters for long-term infusion therapy needs, OASIS documentation.Provide direct patient care within a home care setting. Case management, patient assessment, skilled nursing interventions, patient/family education and counseling, infusion therapy, and insertion of midline catheters for long-term infusion therapy needs, OASIS documentation.

Caretenders

Admission and Home Health RN
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Apr 2000 - Dec 2000

Provide direct patient care within a home care setting. Case management, patient assessment, skilled nursing interventions, patient/family education and counseling, infusion therapy, OASIS documentation.Provide direct patient care within a home care setting. Case management, patient assessment, skilled nursing interventions, patient/family education and counseling, infusion therapy, OASIS documentation.

The Forum at Brookside

Long-Term Care Night Shift Charge Nurse and Staff RN
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Sep 1999 - Apr 2000

Night shift charge nurse providing direct patient care in skilled nursing, long term care facility,Night shift charge nurse providing direct patient care in skilled nursing, long term care facility,

Hurstbourne Care Center

Long-Term Care / Sub-Acute Care MDS Coordinator and Staff RN
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Jan 1996 - Jun 1999

MDS Coordinator - Conduct and coordinate MDS assessments with adherence to Medicaid and Medicare reimbursement protocols. Provide direct patient care in areas of sub-acute and long-term care nursing that include patients receiving PT/OT/SLP, and the unique care of patients with dementia/Alzheimer’s disease. MDS Coordinator - Conduct and coordinate MDS assessments with adherence to Medicaid and Medicare reimbursement protocols. Provide direct patient care in areas of sub-acute and long-term care nursing that include patients receiving PT/OT/SLP, and the unique care of patients with dementia/Alzheimer’s disease.

Taylorsville Health Care Center

Long-Term Care Staff RN and MDS Coordinator
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Jan 1995 - Jan 1996

MDS Coordinator - Conduct and coordinate MDS assessments with adherence to Medicaid and Medicare reimbursement protocols. Provide direct patient care in skilled nursing, long-term care facility.MDS Coordinator - Conduct and coordinate MDS assessments with adherence to Medicaid and Medicare reimbursement protocols. Provide direct patient care in skilled nursing, long-term care facility.

Education

University of Louisville

Baccalaureate Degree / Registered Nurse Nursing
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Aug 1988 - Aug 1994

Skills

  • Case Management
  • Medical Review
  • Acute Care Nursing
  • Home Health Nursing
  • Long-Term Care Nursing
  • Telephonic Nursing
  • Electronic Medical Record
  • Microsoft Office
  • Use of Multiple Programs and Dual Monitors