Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Karen Graham

Dedham

Summary

Detail-oriented professional with expertise in data analysis and medical coding. Proven ability to manage patient transitions and enhance program evaluation, contributing to improved patient outcomes and operational efficiency.

Overview

1
1
Certification
25
25
years of professional experience

Work History

Medical Case Manager assistant

Blue Shield
Quncy
03.2000 - 03.2009

Programming for Federal Government

Designed project specifications for improved outcomes.

a RN regarding in patients being transitioning from hospital to home

Handling audi for Federal Government every two years

Worked on several programming designs for members who had special diagnoses

Research for pharmaceuticals, diagnoses

Case manager Intake Coordinator

Harvard Pilgrim Health Care
Quncy
05.1998 - 03.2000

Specializing in case management. Assisting physicians,nurses and physical therapists with diverse populations that deals from routine to critical emergency conditions

Consulted with providers to identify medical necessity and to obtain approvals for benefits and exceptions and authorization for patients, researched patient benefit criteria.

Headed up the Multiple Sclerosis Program- research for members having been diagnosed

Identified facilities to care for patients worldwide traveling to and from area of care.

Assisted patients with air transportation.

Responsible for organ transplant setup Coordinated the Early Intervention program (children with developmental delays):

EKG Tech

Quincy Hospital
Quincy
07.1993 - 07.1997
  • preformed full range of technical skills and recording electroncardiograms
  • working in emergency room
  • assistance in surgery
  • procedures
  • Exerciseb Tolarence testing

International Research Curriculum Researchers

MIT
Cambridge
07.1984 - 06.1989
  • Research assistant for science and medical to be shipped to different countries.

Education

Associate of Science -

Eastern Nazarene College
Quincy, MA
09-2005

Associate of Applied Science - Computer And Information Systems

Baystate College
Boston, MA
10-1994

Medical Assistance - Bryman Medical Assistant National Education Center

Bryman National Education Center
Brookline, MA
02-1994

Associate of Applied Science - Medical Technology

Massasoit Community Colleges
Brockton, MA
09-1990

High School Diploma -

Plymouth High School
Plymouth, MA
06-1982

Skills

  • Data analysis
  • Medical coding
  • Research methodology
  • Statistical software
  • Program evaluation
  • Patient advocacy

Certification

  • National Education Center

Timeline

Medical Case Manager assistant

Blue Shield
03.2000 - 03.2009

Case manager Intake Coordinator

Harvard Pilgrim Health Care
05.1998 - 03.2000

EKG Tech

Quincy Hospital
07.1993 - 07.1997

International Research Curriculum Researchers

MIT
07.1984 - 06.1989

Associate of Science -

Eastern Nazarene College

Associate of Applied Science - Computer And Information Systems

Baystate College

Medical Assistance - Bryman Medical Assistant National Education Center

Bryman National Education Center

Associate of Applied Science - Medical Technology

Massasoit Community Colleges

High School Diploma -

Plymouth High School
Karen Graham