Lindsay McDougall
@lindsaymcdougall
Experienced registered nurse and medical reviewer.
What I'm looking for
I am a detail-oriented registered nurse with six years of experience as a medical reviewer for Medicare home health and clinical work as a charge nurse in labor and delivery. I determine medical necessity, document medical rationale for payment or denial decisions, and provide provider education when required.
Recently I completed certifications as a Payroll Specialist and in Medical Billing to expand my career options toward customer service, billing, and administrative roles. I bring strong organizational skills, experience with multiple patient systems, and a proven ability to perform under pressure.
I am self-motivated, possess excellent interpersonal and communication skills, and have prior experience in office settings and property management. I seek opportunities where I can apply clinical knowledge, billing expertise, and customer-focused service to add value to an organization.
Experience
Work history, roles, and key accomplishments
RN Medical Reviewer II
Palmetto GBA/BCBS
May 2019 - Mar 2025 (5 years 10 months)
Performed medical reviews for Medicare home health using clinical records and protocol sets, determining medical necessity and documenting rationale to justify payment or denial; provided provider education and ensured timeliness per contractor standards.
Charge Nurse, OB L&D
OH/SC
Jan 2014 - Jan 2019 (5 years)
Managed and supervised nursing staff across labor & delivery, postpartum, level 2 nursery and med-surg units; coordinated with CNMs and physicians to deliver antepartum, intrapartum and postpartum care and delegated shift tasks to nursing and ancillary staff.
Education
Degrees, certifications, and relevant coursework
Coursera / ADP (Payroll Specialist Certification)
Payroll Specialist Certification, Payroll
2025 - 2025
Completed a Payroll Specialist certification to expand career options and develop payroll processing skills.
US Career Institute
Medical Billing Certification, Medical Billing
2025 - 2025
Completed a Medical Billing certification to gain skills in billing processes and healthcare claims management.
Mercy College of Ohio
Associate of Science in Nursing, Nursing
2011 - 2013
Activities and societies: Presidents/Deans list 2010-2013
Earned an Associate of Science in Nursing, preparing for clinical nursing roles and licensure.
Availability
Location
Authorized to work in
Job categories
Interested in hiring Lindsay?
You can contact Lindsay and 90k+ other talented remote workers on Himalayas.
Message LindsayFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
