Natasha Resume pharma resume
Published on: Mar 3, 2016
Transcripts - Natasha Resume pharma resume
Natasha Ruffin-Peterkin RN BSN
154 Valleywood Circle Smithfield NC 27577
• Managed 75-100 employees with varying skillsets from administration to licensed practical nurses for
large private home health agency.
• Launched new AbbVie DAA and patient support program for Hepatitis C (HCV) patients to align with
FDA approval within a national footprint.
• Expert in team, case and territory management
• Managed a 2-state territory supporting 7 HCV and HIV sales reps to promote a patient-centric program
to GIs, IDs, and support staff.
• Supported 2 HCV sales reps outside of territory to promote a patient-centric program to GIs, IDs and
support staff in white space.
• Supported HCV patients through the care continuum, retaining 94% of all enrolled customers.
• Exceeded S1 2015 performance metrics by 14-20% (capped at 20%) and on target to exceed S2
• Received 1 Yay You Customer Service Award in 2015 – Quintiles – helping build the future of the
company through excellence in Customer Service
• Extensive experience with adverse event reporting, geriatrics, medical chart review, education, and
• Expertise in drug safety and adverse event reporting guidelines.
Parsippany, NJ (International contract research company with $4.2B in sales and 32,000 employees worldwide
providing services for biotech and pharmaceutical clients.)
Clinical Nurse Educator, /Quintiles/ AbbVie- Southeast Region: NC, SC June 2015 – Current-contract ending in
• Launch, market and manage an AbbVie (Viekira Pak) pilot patient support program benefiting HCV
customers, promoting the resource to HCPs and Specialty Pharmacies.
• Coordinate and facilitate linkage of care for patients across the care continuum, leveraging approved
collateral and resources.
• Provide DSA classes educating and training patients to ensure compliance and adherence with a goal of
duplicating clinical trial results in the real.
• Provide patient-focused education to promote behavioral change for the empowerment of patients and to
improve specific treatment compliance.
• Collaborate with multiple HIV and HCV sales partners to introduce the program to HCPs and develop
patient referral protocols.
• Present program benefits and value to department heads and directors at HCIs/HCO’s including
numerous Veterans Administration Hospitals and Specialty Pharmacies.
Philadelphia, PA (Regional contract company that partners with world’s leading biopharma and life science
Associate Operations Specialist / Quintiles December 2014 – June 2015
• Review, assess and process Lifecycle Safety data and information, across all service lines, received from
various sources and distribute reports/data onwards to both internal and external third parties following
applicable regulations SOPs and internal guidelines under guidance and support of senior operation team
• Perform data entry for tracking and safety database, coding relevant medical terminology, writing
descript narratives, generating queries pertinent to the case, performing quality control, assisting with
reconciliation, driving case closure, coordinating translations and ensuring reports are sent to the
customer within assigned deadlines
• Assess Lifecycle Safety data for report ability to relevant authorities, track reportable cases and report to
regulatory authorities, ethics committees, institutional review boards, and investigators, oversight groups
per legislation, within timelines and in a format compatible to requirement.
• Contribute under guidance of senior staff to individual deliverables in the field of Safety Publishing,
Risk Management, Safety Surveillance and Medical Information, or other service lines as appropriate.
• Liaise with different functional team members, e.g. project management, clinical, data management;
health care professionals e.g. investigators, medical monitors, site coordinators and designees to address
project related issues.
Greensboro, NC (Largest single health insurance carrier with 136B in sales and 182,000 employees in US and
Onsite Review Nurse/Duke University April 2014-December 2014
• Function as utilization management nurse by conducting clinical reviews to determine if patients are in
the correct hospital setting.
• Assist hospital staff with discharge planning, and work with patients to identify any barriers to
• Evaluate medical guidelines, Review the clinical need, and access benefit determination to authorize
patient’s alternate level of care, to include skilled nursing facilities, Long term acute care, and acute
• Collaborate with physicians and hospital medical staff to coordinate care, and ensure the assignment of
the appropriate patient status and level of care during hospital stay.
• Apply Milliman Care Guidelines and CMS guidelines to determine medical necessity. Follow patients
through the continuum of care.
• Work with minimal guidance; use critical thinking and problem solving for complex tasks. Provide
explanations and information to others on difficult issues, Act as a resource for others on my team with
Cary, NC (Insurance carrier with over 41B in sales and 52,000 employees in US and Worldwide)
Utilization Review Management August 2012- April 2014
• Performs concurrent and retrospective medical necessity reviews on all inpatient, facility and appropriate
pre authorization services per Milliman 17th
• Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient
precertification, prior authorization, and post service requests for Humana members per Milliman 17th
• Responsible for the proactive management of acutely and chronically ill patients with the objective of
improving quality outcomes and decreasing costs.
• Presents facility-patient status updates and addresses barriers to discharge/transition during concurrent
review process and actively participates in the discussion and notification processes that result from the
clinical utilization reviews with the facilities.
• Administer administrative denials to par facilities per utilization review process.
• Addresses care issues with Director of Care Management and Chief Medical Officer/Medical Director as
appropriate, and identifies and recommends opportunities for cost savings and improving the quality of
care across the continuum.
• Prepares CMS-compliant notification letters of NON-certified and negotiated days within the established
time frames. Reviews all NON-certification files for correct documentation.
• Assists in the identification and reporting of Potential Quality of Care concerns. Responsible for assuring
these issues are reported to the Quality Improvement Department.
Blue Cross Blue Shield North Carolina
Chapel Hill, NC (A fully taxed non-profit insurance agency with 50M in sales and 4000 local employees.)
FEP Health Outreach/Case Manager/Utilization Review/ April 2009-April 2012
• Present information to federal government agencies across NC and 8-10 week class series for
Nutrition, Stress Management, Smoking Cessation Classes and Diabetic Education.
• Travels to federal government outreach locations within state to meet with clients/families, coordinate
services, and attend regular staff and management meetings.
• Decreased ER visits, hospital admissions and high claims by 40% percent by executing plans of care and
disease management programs for patients with (Diabetes, Asthma, COPD, CHF, and Morbid Obesity.)
• Medical necessity review against Interqual and Milliman 15/16 ed guidelines, along with corporate
policies, and determining whether services can be approved or if they would need to be sent to a
• Evaluate and documents all client encounters to include denials/appeals, progress of individual
therapeutic programs and contracts made on behalf of clients/families; writes social and/or nursing
summaries to include any modifications.
• Performs a range of associated administrative functions, as appropriate, such as monitoring budgets,
preparing administrative and programmatic reports and correspondence, and submitting billing
documentation, as required per Medicare, Medicaid, and BCBS guidelines.
Maxim Health Care
Durham NC, (Private healthcare company that provides homecare and staffing services with over 150B in sales
and 60,000 employees.)
Clinical Nurse Supervisor May 2007-August 2008
• Specialized in developing key relationships with healthcare providers by marketing our products with 90
mile radius to include hospitals, physician groups and individual medical facilities.
• Set weekly financial goals of agency sales for 150k for the skilled and unskilled division.
• Supported to develop marketing strategies, plans and programs for the home health care program within
• Supervised 25 RN’s, 25 LPN’s and 75 C N A’s in the home care setting on a monthly basis.
• Recruitment of nurses and management staff, hiring, directing, supervising and terminating staff.
• Demonstrated mastery of State regulations and Medicaid standards to ensure clinical compliance.
• Competencies in the home on Tracheotomy Tube, Ventilators, Gastric Tubes, IV Infusion Therapy
Comfort Care and Venipuncture, and Medication Administration.
• Plans, develops, facilitates and evaluates the implementation of multidisciplinary service that consists of skilled
nursing, Physical Therapy, Occupational Therapy, SLP, Medical Social Work and Home Health Aide in patient’s
PPD (Product Pharmaceutical Development)
Morrisville NC, (International contract research company with $50M in sales and 15,000 employees worldwide
providing services for biotech and pharmaceutical clients.)
Drug Safety Nurse February 2005-May 2008
• Collected documents, and processed adverse event (AE) reports from multiple client adhering to Standard Operating
Procedures within Argus database.
• Prepared clinical narrative summaries from ‘Adverse Event and serious adverse events.
• Proficient in data entry and drug safety database, as it related to regulatory submissions.
• Assessed and Educated clients over the phone per FDA regulations.
University of Chapel Hill Hospitals
Chapel Hill, NC (Non -profit state hospital with 494B in sales and 40,000 employees across NC.)
Cardio telemetry Nurse/ Weekend Option August 2004-January 2005
• Interpretation of EKG’s and telemetry monitoring.
• Post cardiac catheter care and treatment.
• Administered medications, monitor lab work and vital signs per MD order and report as appropriate.
• Educated patients and their families about medications and procedure.
EDUCATION: North Carolina Central University June 2004
Bachelor of Science in Nursing
• North Carolina Central Alumni Vice President ( 2011-2013)
• Smithfield Women’s Outreach Ministry, President(2014 – Present)
• St. Peter Church Scholarship Club ( 2012-Present)
TECHNICAL: Microsoft Word, PowerPoint, Excel and Outlook; Argus and Inform, Concur, Axiom, and
• Patient Outreach and Yay You Award AbbVie/Quintiles (2015)