Mary Pegg

Mary A. Pegg

1530 S State Street #1019                                                            Telephone: 312-848-2022

Chicago, IL 60605                                                                           Email: MaryPegg55@gmail.com

REGISTERED NURSE

Professional Experience

HealthLink (Anthem / Elevance Health)                               2005 to 2022 (retired)

Nurse Manager II Utilization Review Program

• Nurse Manager in charge of Utilization Review Department Nurse Reviewers and call center staff
• Provided oversight of Quality assurance and nurse review program for Utilization Review Department
• Provided staff with training and education
• Developed policy and procedures aligned with corporate requirements in meeting standards for state review process

Western Southern Life Insurance                                          2003 to 2005

Sales

• Assisted in sales of Life Insurance products provided by the company

21st Century Healthcare                                                         2001 to 2003

Director of Operations

• Developed Managed Care training program for field nurse reviewers
• Managed department policy and procedures to ensure accurate nurse managed care review process
• Reviewed policy and procedures for the department nurse reviewers to ensure they met the standard of care as per company policy

Sedgwick James, INC                                                              1995 to 2000

Manager

• Managed Workers Compensation department of nurse and nonclinical staff
• Developed Quality Assurance and WC training program for nurse staff
• Provided file review and management of the MD review team
• Hired MD reviewers

Northwestern Medical Faculty Foundation                          1990 to 1995

Registered Nurse Urology Department Clinic

• Research nurse provided support of MDs in the clinic setting
• Provided research review of patients entering programs set up within the Urology department

Registered nurse Obstetrics and Gynecology Department Clinic

• Assisted Gyne MDs with procedures and patient care
• Set up procedure rooms
• Discussed procedure protocols with patients

Crescent Counties Foundation                                              1986 to 1990

(Peer Review Organization of Illinois)

 Nurse Reviewer / Supervisor / Manager

• Managed surgical and ambulatory care nurse reviewers
• Supervised hospital-based nurse reviewers
• Reviewed charts for quality assurance and billing details

Michael Reese Hospital                                                         1983 to 1986

Registered Nurse

• Recovery Room nurse
• Assisted in patient care of surgical cases

West Lake Hospital                                                                 1981 to 1983

Registered Nurse

• Coronary Critical Care nurse
• Assisted in patient care in the critical care setting

Loyola University Medical Center                                          1977 - 1981

Registered Nurse

• Recovery Room / PACU Department
• Neuro surgical Department

Education

St. Annes Hospital Nursing School – Registered Nurse - 1977

College of St. Francis – Bachelor of Arts – 1990

College of St. Francis – Masters in Health Administration – 1993

Certifications

National Notary Association – Notary Public training and certification 1.9.25

Secretary of State Notary certification passed 1.14.25