Beth Soule

Utilization Review Nurse @Duke Raleigh Hospital

Raleigh, NC, US
MOBILE NUMBERS
+91 *********19

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WORK HISTORY

Jan 2016 — Present

Utilization Review Nurse @Duke Raleigh Hospital

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Raleigh-Durham, NC, US

Maintained effective communication with health care team members related to discharge planning, utilization management and documentation improvement initiatives.• Documented findings/actions taken according to departmental guidelines; prepared reports and maintained records as required. • Acted as an educational resource and provided consultation to hospital medical personnel regarding applicable federal, state and local regulations.• Provided concurrent review and follow up with appropriate personnel regarding approvals and denials. Collected denial data for trending.• Worked with appropriate staff to develop processes to prevent denials and improve reimbursement. • Provided feedback to improve negotiations with payers. • Developed and maintained positive relationships with customers internal and external to Duke University Health System.

EDUCATION

1997 — 2000

Duke University School of Nursing

Post Master's Certifcate, Acute Care Nurse Practitioner

1984 — 1987

East Carolina University

Bachelor of Science in Nursing (BSN), Registered Nursing/Registered Nurse

1997 — 2000

Duke University School of Nursing

Masters of Science in Nursing (MSN), Adult Nurse Practitioner

ABOUT BETH SOULE

Utilization Review Nurse at Duke Raleigh Hospital

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Beth Soule — Utilization Review Nurse at Duke Raleigh Hospital in Raleigh, NC, US | Unifers