karen dowd

* Medisys is a specialized firm for nurses with skills in medical record review (MRR) in a variety of settings. Medisys focuses on large scale healthcare data collection, project management, and HEDIS training services in recognition of a growing need within the managed care industry to outsource MRR for HEDIS, provider credentialing, and other quality and utilization management efforts. * MRR experience * Good computer skills, especially Microsoft office and excel * Excellent communication skill * Good customer service * Good attention to detail; quality assurance

coach, teach, high school student to prepare to take the NATest

* Supervise and manage a floor of (25) residents with (5) Certified Nursing Assistants * Oversee the personal care of each resident * Responsible for administering Lipids, Medications, and MDS charting of patients * Directly oversee the care of patients with Hickman Catheters, Feeding tubes and change Ostomy and Foleys bags when required * Extensive working knowledge with Alzheimer patients. * I was a member of the In-House Safety Committee and the Beacon Committee. I acted as a liaison between each patient and their family members. * Also served as a Registered Nurse Assessment Coordinator Assistant

* Reviewed applicant’s request for coverage, including medical questionnaires * Evaluated the risk against established underwriting guidelines and claims history * Reviewed requested medical records against established underwriting guidelines * Effectively utilized rating financial tools, and referenced materials and source systems to assess medical risk * Decided whether to accept/deny applicants, dependent upon the rate level given for the required medical risk. * Participated in assigned projects and coordinated responses from all resources in support of the company’s objective * Provided accurate, cost effective underwriting and assessment of potential risk * Negotiated in support of customer needs and business objectives * Reviewed underwriting appeals and provided timely responses * Trained incoming new hires, when requested by management.

* Responsible for performing a variety of duties to provide quality-nursing care to residents and to coordinate total nursing care for our residents * Assess residents and analyze obtained information to develop appropriate interventions to prevent decline * Record signs of change and condition of patients * Administer medications and treatments to residents; place orders for medications from the pharmacy * Respond to emergencies * assess the condition of the residents * decide on the type of medical attention * call appropriate ambulance service if needed * notify family when resident is transferred or admitted to the hospital * notify the physicians when a change in a resident’s condition occurs * Supervise the Resident Care Aides and determine work procedures, prepare work schedules, expedite workflow, evaluate, counsel and discipline. * Insure that Resident Care Aides and all supervised personnel adhere to standard job requirements.

* To provide nursing services to the students and staff of Bishop McDevitt HS to complement the services provided by the Cheltenham school district * Provide service consistent with standard nursing practices and in compliance with prevailing statutes and Archdiocesan policies

Activities and Societies: Played field hockey, basketball and lacrosse