Angela Bowen RN

Experience

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  Mercy Saint Charles Hospital

  Jul 1992 - Sept 1996

  Registered Nurse

  Started as Nurse Intern on Vascular-Thoracic unit then transitioned to Staff Nurse. Daily assessments of patients, medication administration, procure doctors orders according to policy, implement doctors orders, treatment as ordered.

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  Chart Review of Toledo

  Jul 1996 - May 2002

  President/Medical Auditor

  Reviewed medical bills/coding against medical charts to insure proper charges of services. Reviewed plan documents against medical bills for accuracy. Reviewed charts for proper coding. Marketed medical auditing services to companies that are self-insured for health care. Monthy follow up to customers to ensure customer satisfaction and to address any concerns.

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  Heartland Home Health Inc.

  Sept 2003 - Oct 2005

  Hospice Case Manager RN

  Daily care and coordination of care of 10-15 end of life patients. Inform Doctors of change in condition. Attend death calls. Pain and symptom management.

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  Private Duty Home Care

  Nov 2005 - Sept 2010

  Registered Nurse/Case Manager

  Care of patients with medical as well as emotional issues. Medication administration. Update doctor and other care provides of any change in the patient condition. Wound care treatments. Daily ADL's. G-tube management.

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  Little Miss Cupcakes

  Nov 2009 - Feb 2013

  Business Owner

  Duties: Daily baking of pastries, and cakes. Manage staff. Market bakery.

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  Senior Independence Hospice

  Aug 2010 - Feb 2011

  RN Case Manager

  Duties: Coordinate admission of end of life patients to ensure coordination of care. On call as needed. Pain and symptom management. Visit patients in the home to provide care. Knowledge of OASIS and Medicare/Medicaid guidelines. ICD-9 coding of patients charts upon admission. QA duties.

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  SouthernCare, Inc.

  Jan 2012 - Sept 2012

  Admissions Coordinator/Case Manager

  Admission of patients into Hospice. Coordinate care with ancillary staff. Pain and symptom management.

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  Professional Case Management

  Apr 2013 - Feb 2014

  Registered Nurse/ Case Manager

  Duties: Case Management and home health visits to Department of Labor patients who have life limiting chronic diseases from exposure to work pathogens. Authorize, direct and monitor care according to clinical information given by providers for medical necessity and appropriateness of care. Ensure compliance with all performance measures in regards to appeals, denials, higher level of care admission certification and concurrent review timeliness. Audit charting/QA to ensure compliance with the DOL guidelines. ICD-9 coding of charts. Perform wound care, medication set ups, and assessments as ordered. Show less

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  UnitedHealth Group/Optum

  May 2014 - Nov 2016

  RN Case Manager

  Work in collaboration with NP to ensure nursing home residents are treated in place. Abstraction and monitoring of HEDIS measures. ICD-10 coding of charts. Monitor utilization of members.

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  Bayfront Health Port Charlotte

  Jun 2016 - Apr 2019

  ED Case Manager

  Daily Inpatient/Observation reviews using Interqual and Milliman criteria. Use of Midas on a daily basis. Discharge planning as needed. Preceptor to new case managers.

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  Robert Half

  Apr 2019 - Sept 2020

  Appeals

  Appeals and grievances for major insurance company out of NYC. Position was remote and contract.

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  Self Employed

  Oct 2020 - now

  Private Duty Nurse

  Daily assessment and medication management for a geriatric patient to ensure appropriate care. Assist in appeal of denied claims for medical treatment.