Wendy J. Thompson
Chattanooga
Summary
Dynamic healthcare professional, both clinically and administratively, with extensive experience adepting in UM case management, EPIC EHR and Care Advance. Proven ability to resolve complex inquiries and enhance patient care through effective communication and problem-solving skills. Committed to achieving departmental goals while maintaining high standards of service delivery. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
32
32
years of professional experience
Work History
BCP UM/ DSNP-CA
Blue Cross Blue Shield of Tennessee
01.2023 - Current
- Provider calls and faxes and other digital format for UM and/or CM and direct calls/faxes/other digital requests to the appropriate area.
- Identify and refer cases appropriately to the Case Management and/or Transition of Care department.
- Receiving, investigating and resolving inquiries.
- Maintain departmental goals.
- Perform projects, review and handle reports as assigned.
- Load complete organization determination/notification for services designed by internal policy.
- Clearly document and key data into the appropriate system using departmental guidelines.
- Interact with membership, hospital and provider staff, advising of UM decision, status organization determinations, requesting additional or clarifying information and giving direction as necessary.
- Search for and key appropriate diagnosis and /or procedure code as part of the notification /prior authorization process.
- Out of Network
- Clinical Update
- Web Nurse que
- EPA
- EOC
- Appeals and grievances.
Clinic Nurse/Health Navigation
Cigna/Evernorth Direct Health/COH-Healthy Life Care Center
07.2008 - 01.2022
- Duties include, but not limited to: Checking all patients in and out, performing all in-house and send-out tests, patient vitals, EKG's, phlebotomy, injections, administering vaccinations and immunizations, Covid shot and testing, Quick Strep tests, Mono tests, IV Therapy, solely maintaining a CLIA waive laboratory, doing all lab controls on a daily basis and logging appropriately, working out of 4 computer systems on an electronic medical record system, taking all patient phone calls, scheduling all patients, ordering all supplies, calling in prescriptions and other various duties.
- Also received Behavioral Care Coaching certification.
- Coaching patients regarding decision making primarily concerning exercise and weight loss.
- Identifying gaps in care and planning for current and future resolutions.
Fitness/Aerobics Instructor
Self-Employed
05.1996 - 12.2018
- Teach overall fitness for clients with emphasis on safety, instruct clients on daily fitness plans, evaluate members progress, personal training, and created routines and choreography for all classes.
- Contracted through: YMCA (downtown Chattanooga), Hamilton County Wellness Center, Ladies Fitness Center, Memorial Hospital, First Baptist Church (downtown location), and St. Jude Catholic Church.
Certified Medical Assistant/Nurse to the Doctor
Sentef Medical Center
09.2002 - 01.2014
- Working weekends with the Doctor, 2 Nurse Practitioners and a Physician's Assistant in a family medicine facility where the patients vary in ages, including adults and children.
- Duties include, but not limited to: Patient vitals, EKG's, D.O.T. physicals and drug screening, phlebotomy, injections, minor in-office surgeries, administering vaccinations, Quick Flu tests, Quick Strep tests, Mono tests, IV Therapy, calling in prescriptions and other various duties.
- Walk-in/Urgent Care facility
Branch Manager/Staffing Supervisor/Human Resources Supervisor
Medical Solutions (divisions of EmployBridge, Inc.)
05.1999 - 07.2008
- Duties included, but not limited to: HR Specialist, managing all field employees, interviewing, reference checking, testing and marketing qualified candidates for various medical positions, follow-up on field employees and with clients, selling our service, attending local networking events, hosting job fairs, processing payroll on field employees, making crucial human resource decisions involving the branch and all employees, responsible for creating and distributing monthly newsletter, maintaining specific gross profit margins, being on-call to all field employees, 24-hours a day, and reporting the branch activity, including weekly progress, hours etc.
- Going to various medical facilities to fill in if there were no available staff.
- Also responsible for daily maintenance and follow-up with field employees and clients as well as termination of employment Practice and abide by all employment and regularly attending NATTS related workshops.
Floater for PRN work with various physician's offices
Medical Personnel Services
03.1995 - 05.1999
- Responsible for all clinical duties within each office, including all patient care and follow-up.
- Duties included, but not limited to: vitals, EKG's, phlebotomy, injections, performing various in-house blood and urine tests, and assisting the physician with various procedures.
- Formerly known as Hamilton Co. Medical Society
CMA/Nurse to the doctor
Dr. Terrel Michel, M.D.-Parkridge Hospital
03.1995 - 08.1995
- Performed various GYN procedures including Leep, colposcopy, injections, phlebotomy, endometrial biopsy, complete lab procedures and testing, supply inventory and ordering, patient education including medications, calling in prescriptions by order of the physician, and scheduling of outpatient procedures for patients.
- Worked for this physician until he relocated out of town.
CMA
Chattanooga Heart Institute
11.1994 - 03.1995
- I was the assistant to 3 Cardiologists.
- I performed complete patient assessment, EKG's, Holter monitor applications, King of Heart monitor applications, complete lab procedures, working in nuclear medicine, supply inventory and ordering, performing phlebotomy and Prothrombin times.
CMA-Nurse to Dr. Howard Brown
Galen OB/GYN, Drs. Brown, Rohrer and White
06.1994 - 11.1994
- Performed various OB/GYN procedures including Leep procedures, Colposcopy, phlebotomy, injections, endometrial biopsy, complete lab procedures, administering medication, supply inventory and ordering, patient education including medications and calling in prescriptions by order of the physician.
Education
Medical Assistant -
Chattanooga State Technical Community College
Chattanooga, TN01.1994
Diploma -
Hixson High School
Chattanooga, TN01.1985
Skills
- Care Advance
- Agent Workspace
- Facets
- EPIC EHR
- Windows Vista
- Cadence
- Resolute
- Touchworks EMR
- Allscripts
- Windows ME 2000
- Windows 95-98
- Microsoft Word
- Excel
- Alpha and Numeric Data Entry
- Conductor
- BridgeIT
- Matchmaker
References
Available Upon Request
Special Accomplishments Memberships
- BPOE Elks Lodge #91 held an officer position, 2018-2023
- Certified Mental Health First Aid, 2019
- Ordained Minister of Marriage/TN, 2019
- Board of Advisors at Chattanooga State College, Miller-Motte College, and Virginia College for the Health care divisions, 2008-2017
- AED Certified, 1997
- CPR Certified, annually
- Nationally recognized in 'Who's Who Among American Business Women'
- Active Member of the Walden Club of Chattanooga
- Active Member of CMGMA
- Active Member of CASHHRA and TSHHRA
- Active Member of NDEITA fitness association
- Active Member of the Chattanooga Chamber of Commerce and Small Business Council
- Active Member of the AAMA
- Class Secretary for the Medical Assistant Program at Chattanooga State Technical Community College
- Excellent Administrative and Communication skills
Affiliations
avid singer, painter and creator
Timeline
BCP UM/ DSNP-CA
Blue Cross Blue Shield of Tennessee
01.2023 - Current
Clinic Nurse/Health Navigation
Cigna/Evernorth Direct Health/COH-Healthy Life Care Center
07.2008 - 01.2022
Certified Medical Assistant/Nurse to the Doctor
Sentef Medical Center
09.2002 - 01.2014
Branch Manager/Staffing Supervisor/Human Resources Supervisor
Medical Solutions (divisions of EmployBridge, Inc.)
05.1999 - 07.2008
Fitness/Aerobics Instructor
Self-Employed
05.1996 - 12.2018
Floater for PRN work with various physician's offices
Medical Personnel Services
03.1995 - 05.1999
CMA/Nurse to the doctor
Dr. Terrel Michel, M.D.-Parkridge Hospital
03.1995 - 08.1995
CMA
Chattanooga Heart Institute
11.1994 - 03.1995
CMA-Nurse to Dr. Howard Brown
Galen OB/GYN, Drs. Brown, Rohrer and White
06.1994 - 11.1994
Medical Assistant -
Chattanooga State Technical Community College
Diploma -
Hixson High School