Absolute Total Care
Industry: Company
DescriptionFounded: 2006 Parent organization: Centene Corporation Subsidiaries: Carolina Crescent Health Plan, Inc., Physician's Choice, LLC
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Absolute Total Care Employees
First Choice VIP Care PLUS or AmeriHealth Caritas March 2015 - Present
National Leaders in Clinical Operations, Home Health & Managed Care Services January 2014 - Present
Integrist Medical-Legal Consulting 2001 - Present
Blue Cross of Northeastern Pennsylvania November 2011 - March 2015
Absolute Total Care March 2010 - October 2011
McKesson Corporation May 2008 - March 2010
Integrist Healthcare Consulting, LLC January 2001 - February 2005
Highmark Blue Cross July 1995 - June 2000
HIghmark Blue Cross Blue Shield 1995 - 2000
VA Hospital 1983 - 1989
Skills
Managed Care, Medicare, Healthcare, Medicaid, Utilization Management, Disease Management, Healthcare Management, HIPAA, Quality Improvement, Nursing, Healthcare Information..., Leadership, Case Managment, Utilization Review, Case Management, Hospitals, Physicians, Healthcare Consulting, Clinical Research, Team Building, Management, Insurance, Training, Long-term Care, Patient Advocacy, Health Insurance, Clinical Operations, Medicine, Home Care, Medical Records, NCQA, Workers Compensation, Credentialing, HEDIS, JCAHO, Policy, Clinical Services, Legal Nurse Consulting, Medicaid Managed Care, Performance Improvement, Medical Management, Quality and Compliance, Home Health Agencies, Care Management..., Elder Care, Staff Development
Education
Penn State University 1971 — 1975
BSN, Nursing, Degree
Altoona Area HIgh School 1968 — 1971
Diploma, Academic, 12
Consumers' Choice Health Plan November 2014 - Present
Aetna January 2014 - November 2014
Coventry Health Care 2012 - December 2013
Absolute Total Care 2007 - 2012
Palmetto GBA 2004 - 2007
Palmetto GBA 1997 - 2004
Skills
Provider Relations, Managed Care, Healthcare, Network Development, Medicaid, Healthcare Management, Customer Service, Medicare, Hospitals, Public Speaking, HMO, PPO, Medicaid Managed Care, Contract Negotiation, Software Documentation, Insurance, HIPAA, Health Insurance, Claim, Training, Claims Resolution, Provider Network..., Provider Education, Healthcare Industry
Education
Webster University 1998 — 2000
Master of Business Administration (MBA)
University of South Carolina-Columbia 1988 — 1993
Bachelor of Arts (BA)
Absolute Total Care 2015 - Present
inVentiv Medical Management 2013 - 2014
Care Support of America 2011 - 2012
Alere, Inc. 2005 - 2011
Skills
Disease Management, Utilization Management, Patient Advocacy, Healthcare Management, Acute Care, Medical/Surgical, Utilization Review, Nursing Education, BLS, Palliative Care, Certified Case Manager, Medical Case Management, Registered Nurses, Medication..., Inpatient, Healthcare, Managed Care, Patient Education, Medical-Surgical, Case Management, Nursing
Education
American Sentinel University 2013 — 2014
BSN-Bachelor of Science in Nursing, Registered Nurse
Riverside School of Professional Nursing 1992 — 1994
Registered Nurse, Registered Nursing
Agassiz School of Practical Nursing
Licensed Practical Nurse, Practical Nursing, Vocational Nursing
Absolute Total Care May 2013 - Present
Crystal Lawson Imagery February 2012 - Present
Absolute Total Care April 2012 - May 2013
Virtual Business Office July 2005 - April 2012
Skills
Insurance, Customer Service, Microsoft Excel, Microsoft Office, Health Insurance, Outlook, Microsoft Word, PowerPoint, Claim, Contract Management, Process Improvement, Access, Project Management, Medicare
Education
Midlands Technical College
Absolute Total Care March 2015 - Present
ADP November 2014 - January 2015
BlueCross BlueShield of South Carolina April 2014 - November 2014
BlueCross BlueShield of SC April 2010 - April 2014
BlueCross BlueShield of SC May 2008 - March 2010
Department of Internal Revenue May 2007 - May 2008
Skills
System Testing, Analysis, Troubleshooting, Business Analysis, Data Entry, SQL, Microsoft Excel, Access, Employee Benefits, Customer Service, Outlook, Databases, Accounting, PeopleSoft, Microsoft Office, Management, Microsoft Word, Training, System Administration, HIPAA, Team Leadership, Process Improvement, Teamwork, Insurance, Lotus Notes, Time Management, Leadership, Health Insurance, Claim, PowerPoint, Spreadsheets, Office Administration, Accounts Receivable, Accounts Payable, Microsoft Office 2007, Call Centers, Data Warehousing, Cost Accounting, Account Reconciliation, Typing, Refunds, Disbursement, Human Resources, Team Building, Payroll, Benefits Administration, Research, Software Documentation, Visio, Employee Relations
Education
Strayer University 2010 — 2012
Bachelor's degree, Information Technology
Midlands Technical College 2008 — 2010
Associate of Arts and Sciences (A.A.S.), Accounting
Irmo High School 2002 — 2006
Diploma
University of South Carolina-Columbia
Master Health Information Technology, Healthcare Information Technology
BrightStar of Lexington/West Columbia June 2011 - Present
Centene Corporation September 2007 - November 2010
Absolute Total Care, Inc, Centene Corporation September 2007 - November 2010
Absolute Total Care September 2007 - November 2010
Carolina Care Plan July 2002 - May 2007
Skills
Home Care, Seniors, Medicare, Finance, Healthcare, Managed Care, Health Insurance, Strategic Planning, Customer Service, Medicaid, Team Building, Healthcare Management, Process Improvement, Employee Benefits, Management, Team Leadership, Insurance, HIPAA, Budgets, Microsoft Excel, Healthcare Information..., Leadership
Education
University of South Carolina-Columbia 1990 — 1991
Accounting
Georgia State University 1982 — 1986
BS, Chemistry
Palmetto Health February 2015 - Present
Palmetto Health July 2014 - January 2015
UCI Medical Affiliates May 2014 - June 2014
BlueCross BlueShield of South Carolina January 2014 - March 2014
Palmetto GBA November 2013 - January 2014
BlueCross BlueShield of South Carolina July 2013 - November 2013
Recruiting Solutions June 2013 - July 2013
Pride Staff April 2013 - May 2013
Absolute Total Care January 2011 - March 2013
BNI Enterprises January 2010 - January 2010
Skills
Healthcare, Marketing Communications, Video Editing, Photoshop, Photo Editing, Writing Skills, Telephone Skills, Microsoft Office, CCMS, Public Speaking, TruCare, Teamwork, Logical Thinker, Critical Thinking, Customer Service, Community Outreach, Hospitals, Editing, Medicaid, Healthcare Management, Image Editing, Utilization Management, Managed Care, Microsoft Excel, Access, Graphic Design, Creative Writing, Quality Assurance, HMO, Marketing, Claims Resolution, Medical Billing, Medicare, Data Entry, Health Policy, Provider Relations, Medicaid Managed Care, Network Development, PPO, NCQA, HIPAA, Health Insurance, Employee Benefits, Disease Management, CPT, HEDIS, Quality Improvement, MMIS, DEERS, Healthcare Information...
Education
Capella University 2012 — 2014
M.B.A, Health Care Management
Columbia College 1991 — 1995
B.A, English Communications/General Theatre
Take Care Health Systems April 2014 - Present
Absolute Total Care June 2013 - April 2014
Absolute Total Care August 2012 - June 2013
Palmetto GBA September 2011 - July 2012
US Air Force February 1993 - August 2011
Skills
PowerPoint, Public Speaking, Teaching, Cpr Certified, Microsoft Excel, Program Development, Coaching, Data Entry, Hospitals, Training, Leadership, Staff Development, Policy, Wellness, Public Health, Research, Outlook, Microsoft Word, Microsoft Office, Leadership Development, Team Building, Data Analysis, Access, Nursing, Prevention, Health Promotion, Employee Training, EMR, CPR Certified
Education
Walden University 2008 — 2013
PhD, Public Health
California College For Health Sciences 2004 — 2008
Masters, Wellness Promotion, Community Health
University of Nevada-Las Vegas 1989 — 1993
Bachelors, Nursing
WellCare Health Plans May 2013 - Present
Absolute Total Care November 2012 - May 2013
Absolute Total Care March 2011 - November 2012
Centene Corporation-Absolute Total Care January 2010 - March 2011
Centene Corporation - Peach State Health Plan December 2005 - February 2010
Peach State Health Plan December 2005 - January 2009
Matria Healthcare September 2003 - December 2005
HealthFlash, Inc. August 2002 - August 2003
One Health Plan October 1996 - August 2002
BCBS GA May 1995 - October 1996
Skills
Medicaid, Healthcare, HEDIS, Quality Improvement, NCQA, Credentialing, PPO, Medicare, HMO, Medicaid Managed Care, Health Policy, Accreditation, Clinical Research, HIPAA, Disease Management, Healthcare Management, Case Managment, Utilization Review, Hospitals, Performance Improvement, Utilization Management, Managed Care, Healthcare Industry, Quality Management, Healthcare Information..., Healthcare Consulting, Provider Relations, Medicine, Revenue Cycle, Physician Relations, Health Insurance, Pharmacy Benefit..., Physicians
Education
Saint Joseph's College 2007 — 2009
MBA, Quality / Leadership
St. Joseph's College (ME)
BS in Health Care Administration
Centene Corporation - Green Belt Training
Six Sigma
Centene Corporation - Yellow Belt Training
Six Sigma
Absolute Total Care June 2015 - Present
Aerotek March 2015 - June 2015
Palmetto Primary Care Physicians June 2012 - January 2015
Ralph H. Johnson VA Medical Center May 2011 - May 2012
Palmetto Primary Care Physicians June 2008 - May 2011
Trident Medical Center January 2003 - June 2008
US Army October 1998 - August 2002
Skills
Nursing, Healthcare, Critical Care, Hospitals, ACLS, BLS, Customer Service, Critical Thinking, Microsoft Office, Supervisory Skills, Clinical Research, Wound Care, Medicine, Healthcare Management, Patient Safety, Nursing Care, Phlebotomy, EKG, Emergency Room, Registered Nurses, Medication..., Medical/Surgical, IV
Education
University of South Carolina-Columbia 2014 — 2017
Doctor of Nursing Practice, Nursing Science
Charleston Southern University 2009 — 2012
Bachelor of Science (B.S.), Nursing Science
Trident Technical College 2006 — 2007
Associate of Arts (A.A.), Psychology
Trident Technical College 2002 — 2006
Associate of Science (A.S.), Biology, General, Cum Laude
Fort Dorchester High School 1994 — 1998
High School Diploma
Absolute Total Care September 2010 - Present
Absolute Total Care September 2011 - March 2014
Skills
Healthcare, Clinical Research, Customer Service, HIPAA, Health Insurance, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Leadership, Managed Care, Management, Medicare, Microsoft Excel, Microsoft Office, Public Speaking, Strategic Planning, Team Building, Training
Education
University of South Carolina-Columbia 1998 — 2002
Bachelor of Arts (BA), English
SlenderSuzie™ January 2013 - Present
Beachbody July 2015 - Present
TruVision Health July 2014 - July 2015
Plexus Worldwide, Inc. May 2013 - July 2014
Pink Zebra Home February 2012 - December 2013
Genesis Rehabilitation Services November 2010 - June 2012
Palmetto Health January 2010 - November 2010
Absolute Total Care January 2009 - January 2010
Carolina Crescent Health Plan April 2008 - September 2008
Community Care Behavioral Health May 2006 - March 2008
Skills
Team Building, Customer Service, Leadership, Team Leadership, Social Media Marketing, Direct Sales, Network Marketing..., Weight Loss Coaching, Blogging, Motivational Speaking, Leadership Development, Strategic Planning, Entrepreneurship, Training, Public Speaking, Management, Social Networking
Education
Southern New Hampshire University 2015 — 2019
Bachelor of Science (B.S.), Social Media Marketing
North Pocono 1987 — 1991
High School Diploma
Absolute Total Care September 2009 - Present
Lexington Medical Center June 1999 - January 2008
Skills
Interviews, Employee Relations, Administrative..., Data Entry, Payroll, ADP Payroll, Employee Benefits, Administration, Benefits Administration, HRIS, Hiring, Employee Training, Onboarding, Team Building, Healthcare, FMLA, Customer Service, Office Equipment, Facilities Management
Education
Strayer University (VA) 2013 — 2014
Business Management
University of Phoenix 2013 — 2013
Business Administration and Management, General
WellCare September 2013 - Present
Absolute Total Care June 2009 - September 2013
Qualis Health Plan December 2008 - June 2009
Carolina Crescent Health Plan July 2007 - December 2008
Carolina Care Plan 2007 - 2008
POMCO June 1993 - February 2006
Skills
Medical Coding, Health Policy, Employee Benefits, Quality Assurance, Healthcare Consulting, Software Documentation, Network Development, Medical Terminology, Access, Data Analysis, Informatics, Analysis, Leadership, Physicians, Pharmacy, Call Centers, Provider Relations, Provider Network..., Quality Improvement, NCQA, Medicaid Managed Care, Process Improvement
Education
University of Phoenix 2014 — 2016
MHA, Informatics
Saint Joseph's College 1988 — 1995
BSPA, Health Care Administration
Onondaga Community College 1984 — 1985
AS, Nursing
BlueCross BlueShield of South Carolina June 2012 - August 2014
Computer Sciences Corporation May 2010 - March 2012
Absolute Total Care April 2007 - May 2010
Skills
Business Analysis, Excel, Data Analysis, Databases, Data Entry, Access, User Acceptance Testing, Business Intelligence, Business Objects, Sourcing, Microsoft Office, PowerPoint, Outlook, Lotus Notes, Reporting & Analysis, Database Design, SQL, Java, Six Sigma, ISO, HIPAA, Medicaid, Medical Billing, Medical Terminology, Health Insurance, Word, Visio, Visual Basic, MS Project, Office Management, Accounts Receivable, Adobe Acrobat, Process Improvement, Staff Scheduling, Delegation, Trends, Membership Management, Contract Management, Healthcare, Medicare, Program Management, Managed Care, Project Management, SharePoint, Healthcare Information..., Business Process..., Requirements Gathering, Spreadsheets, Analysis, Microsoft Excel
Education
Dutch Fork High School
Midlands Technical College
No Degree, Associate Degree in Science
GFMCO, LLC dba Goldens' Foundry & Machine Company May 2012 - 2014
Absolute Total Care November 2008 - April 2010
The City of Auburn August 2006 - September 2008
Skills
Event Planning, Microsoft Office, Microsoft Word, Research, PowerPoint, Cpr Certified, Microsoft Excel, Public Speaking, Fundraising, Grant Writing, Event Management, Editing, Social Media, Public Relations, First Aid, Press Releases, Teaching, Calendaring, Travel Arrangements, Project Planning
Education
The Art Institute of Pittsburgh 2009 — 2011
None
Auburn University 1999 — 2005
None
WellPoint January 2014 - Present
Centene Corporation 2008 - Present
Centene Corporation March 2013 - January 2014
Absolute Total Care June 2009 - March 2013
Carolina Care Plan 2001 - 2007
Education
University of South Carolina-Columbia 1993 — 1997
BA, Interdisciplinary Studies
Absolute Total Care April 2011 - Present
Select Health of South Carolina March 2009 - March 2011
South Carolina Department of Health & Human Services July 1986 - November 2008
Skills
Access, Software Documentation, HIPAA, Healthcare Information...
Education
University of South Carolina-Columbia
Certificate, Data Processing
Absolute Total Care January 2015 - Present
Absolute Total Care April 2014 - Present
Alere, Inc., Women's and Children's Health August 2012 - January 2015
Roper St. Francis Healthcare May 2008 - April 2014
Skills
ACLS, BLS, Nursing, Inpatient, NRP, RNC-OB, Patient Advocacy, Patient Education, Medication..., IV, Nursing Care, Direct Patient Care, Acute Care
Education
Trident Technical College 2005 — 2008
ADN, Nursing
Temple University
Bachelor's degree, Therapeutic Recreation/Recreational Therapy
Absolute Total Care May 2014 - Present
Arise Virtual Solutions Inc. January 2012 - April 2014
Total Health Care November 2004 - July 2011
Skills
Administrative..., Microsoft Excel, PowerPoint, Policy, Microsoft Word, Conflict Resolution, Customer Service, Microsoft Office, Process Improvement
Education
Ashford University
Wayne State University
Absolute Total Care February 2015 - Present
The Facial Surgery Center June 2013 - October 2014
Sterling Travel September 2011 - April 2013
Edelman Leather 2007 - 2011
Pottery Barn 1998 - 2007
Skills
Office Support, Supervision, Customer Service, Order Processing, Research, Receptions, Client Relations Skills, Customer Support, Accounts Payable, Flexibility, High Reliability, Management, Process Scheduler, Sales, Microsoft Word, Microsoft Office, Microsoft Excel
Education
Goodwin College
Medical Office Management/Administration
Brookfield High School
General
Virtual Business Office February 2015 - June 2015
VBO Associates December 2013 - February 2015
Absolute Total Care November 2012 - September 2013
South Carolina Hospital Association October 2000 - January 2009
Skills
Data Entry, Accounts Receivable, Invoicing, Accounts Payable, Customer Service, Microsoft Office, Outlook, PowerPoint, Microsoft Excel, Microsoft Word, Account Reconciliation, System Administration, Healthcare, Medical Billing, Teamwork, Newsletters, Healthcare Information..., Hospitals, Public Speaking, Nonprofits, Medical Records, HIPAA
Education
Midlands Technical College 2010 — 2012
Medical Record Coder Certificate
Absolute Total Care March 2009 - Present
Education
Medical University of South Carolina 1975 — 1979
BSN, Nursing
Molina Healthcare August 2015 - Present
Absolute Total Care June 2014 - Present
WellCare October 2013 - June 2014
inVentiv Medical Management February 2013 - September 2013
Alere, Inc. January 1999 - February 2013
Gentiva Hospice 2010 - 2011
Carolina Home Healthcare 1995 - 1999
Palmetto Health Richland 1990 - 1995
Skills
Wellness, Healthcare, Home Care, Patient Advocacy, Pain Management, Disease Management, Utilization Management, Direct Patient Care, Patient Education, Symptom Management, Palliative Care, Hospice, Acute Care, Oncology, Wound Care, Case Managment, Nursing Education, BLS, Registered Nurses, Medical/Surgical, End of Life, Medication..., Utilization Review, IV, Telemetry, Nursing Management, Case Management, Nursing Care, Inpatient, ICU, Emergency Nursing, Triage, Nursing Process
Education
Lander University
Bachelor of Science (BS)
University of Phoenix
Master of Science (MS)
Absolute Total Care December 2014 - Present
PH+T, LLC July 2010 - 2014
Synovus 1996 - 2013
L. G. Goldstein & Associates, Inc. 1992 - 1996
Corporate Concepts 1990 - 1992
Casual Corner 1985 - 1990
Skills
Executive Support, Human Resources, Sales Management, Office Management, Employee Training, Hiring Personnel, Interviews, Employee Benefits, Outstanding..., Research, Loans, Customer Service, Loan Servicing, General Ledger, Construction Loans, Loan Modifications, Sales, Process Management, Office Administration, Reports, Internal Audit, Project Coordination, Life Insurance, Health Insurance, Disability Insurance, Microsoft Word, Microsoft Excel, Apparel, Jewelry, Credit, Software Documentation, Commercial Banking, Banking, Administrative..., Financial Analysis, Administrative..., Management, Microsoft Office
Education
SUNY at Oneonta, Oneonta, NY
Liberal Arts3.0
University of Delaware
Bachelor of Art, Art; Art Education, 3.0 while working full time