ResumeNathan Robert Jones
Application Support AnalystSanford Health PlanSep 2018 - Dec 2020
Build, update, and test contract configurations in Epic Hyperspace (Tapestry, Text, Optum PPS interface). Troubleshoot claims adjudication issues via ServiceNow tickets and CRMs. Review EDI claims issues and perform maintenance of various master files (SER, EAF, VEN, LPP, NCC, FSC, CMP/CMG, etc.) as needed. Run SQL queries using Datawarehouse and internal reporting services to identify potential configuration issues an impact analysis. Run Data Courier streams to update and move build from testing environments to production. Outside of normal job duties, I have scripted and automated various tasks using Python and Powershell, e.g. automated provider/facility lookup and data webscraping via Selenium, and output to a variety of data formats.
Case ManagerLifeScapeAug 2015 - Apr 2018
Responsible for the development of and ensuring quality of service and compliance of individual service plans for a caseload of 30-40 people at any given time. Provided oversight during organizational transition from traditional internal service coordination to conflict-free external case management program. Served as intermediary for medical, community, financial, and other services. Scheduled and facilitated annual and special ISP team meetings, conducted observations and quarterly monitoring/reporting of services and support documentation, assessed the of eligibility/funding for potential and current individuals receiving services. Managed documentation for welfare benefits. Ensured appropriateness of guardianship and rights restrictions. Public speaking at events promoting case management services. Rotational managerial on-call duties. Performed volunteer work at residential locations when understaffed.
Language Arts TeacherRTR School DistrictAug 2014 - Aug 2015
Fostered learning using a variety of pedagogic methods in the content areas concerned with Language Arts; English 10, English 12, Public Speaking 1. Engaged students with IEPs participating in the classroom as the least restrictive environment, and provided differentiated instruction to varying levels and educational abilities. Volunteered assistance in the resource room during teacher prep periods, and after school hours assistance upon request. Targeted standardized learning concepts as well as content beyond educational standards, and used a variety of media to facilitate different learning styles. Participated in multiple continuing education opportunities throughout the school year, collaborated with other instructors at the school to contextualize lesson plans.
Lead Support ProfessionalLifeScapeMar 2013 - Jul 2014
Ensured quality of care and services to people with developmental disabilities while providing training to staff. Assisted with personal hygiene and personal care, planned and facilitated time in the community as well as vacations, assisted in the delegation of medpasses, documented services provided in accordance with the individual service plan (ISP), participated in the development of the ISP, and reviewed overall documentation to ensure compliance in the residential setting.
Student TeacherSioux Falls School DistrictAug 2012 - Jan 2013
I had three separate placements in the local schools; both middle school and high school. I taught English and German under the direction of my field supervisor and the cooperating teachers.
Web Media AssistantPotter County NewsSep 2005 - Aug 2007
Performed maintenance of personal computers, updated news content on websites weekly, migrated website data from a remote host to a local server. Developed a dynamic MVC from scratch using PHP and MySQL to add search functionality, login, and content management system so that all staff could update the content. Designed an individualized front end for three separate publications. Provided assistance proofing articles and ads, and assisted with subscription mailing process.
Certifications & Credentials
- 2019 Epic AP Claims & Contracts Administration
- 2018 CompTIA A+ Certification
- 2015 PCM Professional Crisis Management
- 2014 Minnesota Teaching Certification
- 2013 South Dakota Teaching Certification
- 2013 CPI Crisis Intervention Training
The University of South DakotaVermillion, South Dakota2007 - 2012
Bachelor of Arts DegreeMajors: German, English, Secondary Education
Minor: Fine Arts
Activities: German Club, German tutor, foreign exchange student, foreign exchange ambassador.
Friedrich-Schiller UniversitätJena, Germany2009
Foreign exchange student experience. Coursework completed to achieve a B2 level of proficiency in German, according to the CEFRL.
Gettysburg High SchoolGettysburg, South Dakota2004 - 2007
High School DiplomaAccomplishments & Extracurricular Activities: Ensemble, Jazz, and Pep Band (guitar, bass guitar, percussion; lettered in 2007), Chorus (All-State Chorus 2006, Superior in solo and duet performances, lettered in 2007), Language Arts Award (2007), Foreign Language Award (2007).
St. John's Jesuit SchoolToledo, Ohio2003 - 2004
I attended here during my freshman year of high school.
Extracurricular Activities: Wrestling.
Trinity Lutheran SchoolToledo, Ohio1994 - 2003
K-8th grade education
Extracurricular Activities: Baseball, basketball, youth choir.