Allison Lussier
Huntington Beach,CA
Summary
Dedicated Registered Nurse with expertise in concurrent utilization reviews and discharge planning. Skilled in assessing medical necessity and facilitating care transitions in diverse healthcare environments. Experienced in case management, advocating for patients and collaborating with multidisciplinary teams to enhance care delivery and improve healthcare efficiency.
Overview
1
1
Certification
5
5
years of professional experience
Work History
RN Case Manager – Utilization Review
College Hospital
Costa Mesa, CA
02.2025 - Current
- Conducted concurrent utilization reviews for inpatient cases, ensuring adherence to care standards.
- Coordinated with physicians, patients, and insurers to deliver high-quality, cost-effective care solutions.
- Assessed medical necessity and efficiency of various healthcare services and procedures.
- Partnered with payers to obtain necessary approvals for continued stays.
- Streamlined discharge planning by collaborating with social services for efficient transitions.
Registered Nurse – Medical Surgical, Telemetry, Neuro-Tele
Hoag Hospital
Irvine, CA
11.2021 - 08.2024
- - Implemented targeted nursing interventions to manage pain, improving patient satisfaction and outcomes.
- - Employed nursing process to deliver quality bedside patient care, enhancing patient comfort and recovery.
- - Performed physical assessments and applied critical thinking skills.
- - Administered medications and collected specimens.
- - Facilitated effective communication within multidisciplinary teams, ensuring coordinated and comprehensive patient care.
Education
Associates of Science - Nursing
Stanbridge University
Irvine, CA09-2021
Skills
- Utilization review
- Interdisciplinary collaboration
- Healthcare compliance
- Critical thinking
- Time management
- Attention to detail
- Medical necessity evaluation
- Prior authorization
- Discharge planning
- EMR documentation
- Care coordination
- Patient care planning
- Patient Advocacy
- Team collaboration
Certification
- - Registered Nurse, California State Licensing Board #95265217 - American Heart Association ACLS/BLS - American Heart Association NIHSS Stroke Assessment
Timeline
RN Case Manager – Utilization Review
College Hospital
02.2025 - Current
Registered Nurse – Medical Surgical, Telemetry, Neuro-Tele
Hoag Hospital
11.2021 - 08.2024
Associates of Science - Nursing
Stanbridge University