Jeanette Goodwin
Owensboro
Summary
Dedicated and diligent registered nurse with 34 years of experience working in the various roles to include cardiac nurse with critical care open heart surgical experience, case management to include home health, acute care and rehabilitation, clinical documentation and appeals specialist. Looking to continue helping patients and the organization with ensuring accurate, effective and compliant services reflected by the medical record as provided to the patients.
Overview
2026
2026
years of professional experience
Work History
Case Management Specialist / Nurse Liaison
Owensboro Health Regional Rehabilitation Center
04.2023 - Current
- Reviewed medical records to collect clinical data for presentation to medical directors as possible candidate to admit to inpatient rehab.
- Met with patients and families to discuss inpatient rehab services and collect additional information regarding discharge plans. Provide brief overview of other levels of care available within the care system.
- Coordinated transfer of patients from the acute care hospital to inpatient rehabilitation facility.
- Ensure accurate insurance / payment coverage and obtain prior authorization. If not approved collaborated with case management, patient and physicians regarding appeals.
Appeals Specialist
Owensboro Health Regional Hospital
09.2022 - 03.2023
- Reviewed medical records for appropriate DRG validation, admission status and insurance/Medicare guidelines. Wrote appeal letters to overturn adverse findings to obtain appropriate reimbursement.
- Collaborated with other team members within the organization to ensure accurate coding, billing and processes to ensure accuracy and validity of information to support the medical record.
- Collaborated with insurance representatives, other team members and physicians to support the appeal process to prevent denials and future denials.
- Acted as mentor for new hires in training as an Appeals Specialist.
Certified Clinical Documentation Specialist
Owensboro Health Regional Hospital
02.2005 - 09.2011
- Reviewed medical records for accurate and complete diagnosis documentation.
- Collaborated with physicians regarding diagnoses to ensure most accurate and complete documentation.
- Collaborated with nursing staff and medical records staff for accuracy and completion of records with correct coding.
- Conducted second look reviews and collaborated with other team members as well as medical records coders for accuracy and education.
Case Manager
Owensboro Health Regional Hospital
09.2002 - 02.2005
- Reviewed medical records and collected data to submit to insurance providers to obtain authorization. Reviewed medical records for insurance and Medicare guidelines and collaborated with other team members and physicians if not.
- Met with patients and families to discuss discharge plans and needs. Arranged with outside agencies to provide patient services.
Home Care CNA Supervisor
Owensboro Health Regional Hospital
11.2001 - 09.2002
Home Health RN Case Manager
Owensboro Health Regional Hospital
04.1998 - 09.2001
Open Heart Surgical RN
Owensboro Health Regional Hospital
1997 - 1999
Registered Nurse, Coronary Care Unit
Owensboro Health Regional Hospital
04.1996 - 1997
Education
Bachelor of Science - Nursing
Western Kentucky University
Bowling Green, KY05.1995
Associates of Science - Nursing
Henderson Community College
Henderson, KY01.1991
Skills
- Client advocacy
- Regulatory compliance
- Data collection
- Ethical practice
- Patient communication
- Discharge coordination
- Client needs assessments
- Teamwork and collaboration
- Time management
- Reliability
- Self motivation
- Adaptability
Timeline
Case Management Specialist / Nurse Liaison
Owensboro Health Regional Rehabilitation Center
04.2023 - Current
Appeals Specialist
Owensboro Health Regional Hospital
09.2022 - 03.2023
Certified Clinical Documentation Specialist
Owensboro Health Regional Hospital
02.2005 - 09.2011
Case Manager
Owensboro Health Regional Hospital
09.2002 - 02.2005
Home Care CNA Supervisor
Owensboro Health Regional Hospital
11.2001 - 09.2002
Home Health RN Case Manager
Owensboro Health Regional Hospital
04.1998 - 09.2001
Registered Nurse, Coronary Care Unit
Owensboro Health Regional Hospital
04.1996 - 1997
Associates of Science - Nursing
Henderson Community College
Open Heart Surgical RN
Owensboro Health Regional Hospital
1997 - 1999
Bachelor of Science - Nursing
Western Kentucky University