Vanessa Black

Reviewed and performed medical data collection and medical record abstraction, entering findings into the Quality Reporter abstraction tool. Communicated with providers to obtain medical records for review and maintained accuracy throughout the assignment.

Managed telephone communication with urology patients, monitoring and responding to triage calls in the call center. Evaluated patient healthcare needs based on phone assessments, scheduled appropriate care, refilled medications, and submitted prior authorizations.

Conducted nurse assessments and care management for high-risk individuals with Intellectual Disabilities according to Georgia State guidelines. Coordinated with providers to complete Risk Mitigation Protocols and established Healthcare Plans for caregivers.

Performed urodynamics testing on urology patients, managing the entire scope of patient care from clinic nursing duties to data compilation. Handled scheduling, patient preparation and education, equipment operation, and follow-up coordination.

Conducted Medicare Advantage Inpatient Utilization Review for prospective and concurrent referrals. Managed payment and approval processes for Post-Acute care.

Retrieved, reviewed, and abstracted medical record data for STARS and HEDIS measures both on-site and via Electronic Medical Records. Entered data into abstraction programs and utilized Microsoft Office, Windows, and Excel.

Reviewed and performed medical data collection and medical record abstraction, entering findings into the Quality Reporter abstraction tool. Identified chase opportunities for additional information and communicated with providers and team members.

Reviewed and assessed patient referrals for appropriateness of inpatient or subacute rehabilitation. Submitted referrals for financial and medical approval, and provided bedside rehabilitation nursing care.

Performed urodynamics testing on urology patients, managing the entire scope of patient care from clinic nursing duties to data compilation. Handled scheduling, patient preparation and education, equipment operation, and follow-up coordination.

Established the Siskin Hospital Urodynamics Department, the first outpatient department for male and female patients in the Chattanooga area. Performed urodynamics studies, compiled results for urologists, and managed clinic operations.

Staffed as an Occupational/Industrial Health Nurse at Roper Corporation and the Occupational Health Clinic at Parkridge. Taught First Aid/CPR, conducted drug screening, and provided First Aid nursing.

Conducted on-site and off-site medical review of Medicare claims for SNF facilities with suspected fraud and abuse. Ensured compliance with Medicare regulations and identified discrepancies.

Provided hands-on rehabilitation nursing care on spinal cord and ortho floors, including bedside nursing and patient education. Collaborated with therapy and physicians on patient care and progress, and managed discharge planning.

Provided acute care bedside nursing on Medical and GI floors. Managed patient care, administered medications, and monitored patient conditions.

Graduated with an Associate of Applied Science in Nursing. This program provided foundational knowledge and practical skills essential for a career in nursing.