Beth Soule
Utilization Review Nurse @Duke Raleigh Hospital
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WORK HISTORY
Utilization Review Nurse @Duke Raleigh Hospital
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
Duke University School of Nursing
Post Master's Certifcate, Acute Care Nurse Practitioner
East Carolina University
Bachelor of Science in Nursing (BSN), Registered Nursing/Registered Nurse
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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