Antoinette Young
Buffalo
Summary
Ambitious Certified Nursing Assistant with extensive experience in patient care and hospital administrative functions. Strong patient care skills combined with excellent patient evaluation and advocacy. Proven history of cultivating strong patient rapport to provide exceptional care and patient education.
Experienced with managing complex authorization processes, ensuring compliance and efficiency. Utilizes strong problem-solving abilities to streamline workflows and enhance patient satisfaction. Knowledge of industry standards and team collaboration drives successful authorization management.
Overview
19
19
years of professional experience
Work History
Authorization Specialist 2
Centene
04.2022 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
- Spoke with providers to determine authorizations and denials.
Nursing Assistant
Buffalo VA Medical Center
01.2022 - 04.2022
- Helped patients effectively manage routine bathing, grooming, and other hygiene needs.
- Improved patient satisfaction by providing compassionate assistance with daily activities, such as bathing, dressing, and feeding.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Increased patient engagement by providing emotional support, companionship, and encouragement during challenging times.
- Promoted a safe and clean environment by maintaining strict adherence to infection control protocols and sanitation standards.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Assisted nurses with wound care and collecting supplies to ensure proper care.
- Enhanced patient care by effectively monitoring vital signs and accurately documenting medical information.
- Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
- Proactively identified changes in patient condition or behavior, alerting appropriate healthcare personnel for prompt intervention when necessary.
Teaching Assistant
Brierwood Childcare
02.2010 - 02.2017
- Assisted teachers with classroom management and document coordination to maintain positive learning environment.
- Set up visual aids, equipment and classroom displays to support teacher's lesson delivery.
- Promoted physical, mental and social development using classroom games and activities.
- Distributed learning materials such as worksheets, textbooks and supplemental activities.
- Monitored students on field trips, handling roll call and group movement to keep youths safe in public settings.
- Delivered personalized educational, behavioral and emotional support to individual students to enable positive learning outcomes.
- Partnered with teacher to plan and implement lessons following school's curriculum, goals and objectives.
- Kept abreast of latest information on specific subjects and learning strategies.
- Organized classroom library and art areas each day to keep classroom well-maintained.
- Completed daily reports, meal count sheets and attendance logs.
- Used behavior modeling and specialized teaching techniques to share and reinforce social skills.
- Oversaw groups of students at school and off-site locations, maintaining optimal safety and security.
- Oversaw students in classroom and common areas to monitor, enforce rules and support lead teacher.
- Participated in lesson planning and curriculum implementation to promote quicker rollout and delivery.
- Collated classroom materials to help teachers prepare for daily instruction and activities.
- Optimized learning plans and quantified student progress through test administration.
- Assisted students with various needs from putting on coats to go outside to reviewing homework assignments.
- Implemented practice exercises and used repetition, enabling students to grasp new concepts quickly.
Certified Nursing Assistant
Elderwood At Williamsville
08.2006 - 04.2008
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Obtained client medical history, including medication information, symptoms and allergies.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
- Checked patient vitals such as temperature, blood pressure and blood sugar levels.
- Obtained biological specimens for ordered tests and prepared for laboratory transport.
- Oversaw and maintained patients' rooms, group living areas and nurse stations.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Cared for residents in assisted living facility and delivered high-quality support to meet all needs.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Transported patients between rooms and appointments or testing locations.
- Facilitated personal hygiene management, feeding and ambulation.
- Complied with all company-specific guidelines and performed hands-on nursing care to patients under RN supervision.
Education
No Degree - General Studies
ECC North Campus
Completed Course - Cosmetology Education
Erie 1 BOCES
Buffalo, NY06.2005
High School Diploma -
Kenmore West Senior High School
Buffalo, NY06.2004
Skills
- Special education
- Student assessments
- Individual and group instruction
- Differentiated Instruction
- Student Safety
- Classroom Preparation and Maintenance
- Student Supervision
- Classroom management
- Multitasking abilities
- Patient-focused care
- Transporting patients
- Responding to emergencies
- Supporting Personal Needs
- Recording Vital Signs
- Preparing Meals
- Measuring Bodily Fluids
- Documenting Behaviors
- Conducting Intakes
- Companionship and Emotional Support
- Patient Care
- Bathing
- Trustworthy companion
- Direct Patient Care
- Compassionate caregiver
- Efficient and reliable team player
Timeline
Authorization Specialist 2
Centene
04.2022 - Current
Nursing Assistant
Buffalo VA Medical Center
01.2022 - 04.2022
Teaching Assistant
Brierwood Childcare
02.2010 - 02.2017
Certified Nursing Assistant
Elderwood At Williamsville
08.2006 - 04.2008
Completed Course - Cosmetology Education
Erie 1 BOCES
High School Diploma -
Kenmore West Senior High School
No Degree - General Studies
ECC North Campus
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