Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

ADRIANNA ROHANI

Health Professional

Summary

Reliable individual bringing five years of experience in healthcare environments. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude with a willingness to take on added responsibilities to meet team goals.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Utilization Management Specialist

Anthem, Inc.
12.2021 - Current
  • Performed admission reviews based for medical necessity based upon surgical/procedural specification.
  • Supervised and maintained all utilization review documentation through ACMP/Compass/Facets. Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services and obtained authorizations from multiple insurance carriers for various levels of care.
  • Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies. Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

Registered Behavior Technician

Applied Behavioral Mental Health Counseling
07.2020 - 04.2022
  • Behavior therapists utilize behavior analysis method to provide behavioral improvement for patients with mental disorders ranging from depression, alcoholism to schizophrenia, and autism/developmental challenges.
  • By observing and responding to different behaviors, behavior therapists provide guidance to patients with intention of helping to alter those behaviors in observable ways through research and science.
  • Kept accurate records by documenting progress and adhering to prescribed behavior plan. Worked as part of collaborative team to address changing needs of children and families.

Registered Behavior Technician

Butterfly Effects, LLC
08.2019 - 05.2021
  • Conducted functional behavior assessments, functional analysis, preference assessments and assessments of basic learning and language skills to identify target behaviors and purpose of behaviors.
  • Kept accurate records by documenting progress and adhering to prescribed behavior plan while working as part of collaborative team to address changing needs of children and families.
  • Took and monitored vital signs, administered medications and managed patient behavior. Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.

Server Shift Leader

Winghouse Bar & Grill
Tampa, FL
02.2018 - 08.2019
  • Recruited and trained new waitstaff personnel, providing rapid onboarding processes to integrate additional team members quickly.
  • Collaborated with kitchen staff to coordinate restaurant goals such as upselling certain items, addressing product availability issues and other communication concerns.
  • Addressed and resolved customer conflicts with managed waitstaff, verifying satisfactory outcomes for involved parties.

Lifeguard/Wellness Coordinator

YMCA
Brandon, FL
07.2015 - 10.2017

WELLNESS COACH

  • Developed wellness programs targeted on specific groups and areas of wellness.
  • Collected and tracked information about participation and outcomes of individual programs.
  • Conducted needs assessments or surveys to determine interest in or satisfaction with wellness and fitness programs, events or services.

LIFEGUARD

  • Observed weather and water conditions and alerted visitors to potential dangers, storms and rip currents.
  • Learned and maintained proficiency in first responder skills such as First Aid and CPR to offer individuals in distress optimal support.
  • Used CPR skills to assist rescued individuals until arrival of emergency services.

Cashier

Publix
Sun City Center, FL
12.2014 - 02.2018
  • Answered questions about store policies and addressed customer concerns.
  • Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
  • Worked closely with shift manager to solve problems and handle customer concerns.
  • Addressed customer needs and made product recommendations to increase sales.

Office Manager

Apollo Beach Wellness and Therapy Center
01.2014 - 10.2014
  • Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures when managing annual budget.
  • Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
  • Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel. Assessed processes and procedures, complying with OSHA and HIPAA regulations.
  • Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills. Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.

Education

Bachelor of Science - Health Science, Biological Concentration

University of South Florida
Tampa, FL

Skills

  • Clinical Research
  • Behavior Analysis
  • Data Analysis
  • Medical Terminology
  • Leadership
  • Laboratory Experience

Certification

  • Board Certified Behavior Therapist

  • CPR, AED, First Aid

Languages

Persian
Limited Working

Timeline

Utilization Management Specialist

Anthem, Inc.
12.2021 - Current

Registered Behavior Technician

Applied Behavioral Mental Health Counseling
07.2020 - 04.2022

Registered Behavior Technician

Butterfly Effects, LLC
08.2019 - 05.2021

Server Shift Leader

Winghouse Bar & Grill
02.2018 - 08.2019

Lifeguard/Wellness Coordinator

YMCA
07.2015 - 10.2017

Cashier

Publix
12.2014 - 02.2018

Office Manager

Apollo Beach Wellness and Therapy Center
01.2014 - 10.2014

Bachelor of Science - Health Science, Biological Concentration

University of South Florida
ADRIANNA ROHANIHealth Professional