Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Charmelia Jolly

Tomball

Summary

Compassionate and detail-oriented Licensed Vocational Nurse with a proven clinical background, strong communication skills, and recent experience in utilization review with Remote Learning Services. Able to apply evidence-based guidelines, exercise high-level critical thinking, and possess a solid knowledge base. Expertise in long term care, home health, and chronic care management provides a strong foundation for utilization review. Draws upon extensive experience in both acute and chronic care settings to ensure comprehensive and effective utilization review processes.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Care Navigator

Healthsnap
01.2024 - 10.2024
  • Developed care plans and conducted assessments while ensuring adherence to medication protocols.
  • Act as advocates for patients' health.
  • Coordinated patient access to community and social support systems to maintain continuity of care.

Chronic Care Manager

Assure Health
01.2023 - 01.2024
  • Liaise with physicians and specialists on accurate diagnosis
  • Prepare, implement, and monitor treatment plan
  • Communicating results and updates to all interested parties

Care Navigator

Health Dialog
01.2021 - 01.2023
  • Facilitate access to services available in the community
  • Develop knowledge of local support services to enable the patient to access a range of services to meet their needs
  • Ensure patients are aware of support in their local community, to make best use of resources

Field Nurse

Theracare Home Health
01.2020 - 01.2022
  • Traveling to patients’ homes and managing their care plans according to physicians’ instructions
  • Inspecting wounds, changing dressings, and handling personal grooming and hygiene
  • Educating caregivers and family on the aftercare or ongoing care of the patient
  • Collaborating with doctors and other healthcare professionals to develop improved diets and healthcare plans for patients

Supplemental Healthcare
01.2016 - 01.2020
  • Company Overview: Harris Co Psychiatric Facility
  • Observe patients and report changes in patients’ condition
  • Administer prescribed medications
  • Update EMR system with current and accurate information about patient status, medications, and tests
  • Harris Co Psychiatric Facility

Education

Bachelor's of Science - Public Health

Southern New Hampshire University
10.2024

Certificate of Completion - Utilization Review-101

Remote Learning Services, LLC
04.2024

Vocational Nursing -

College of Healthcare Professions
06.2016

Skills

  • Utilization Review
  • Quality Chart Review
  • Rehabilitation/Geriatrics
  • Care Coordination
  • Admissions Reviews
  • Appeals/Denials
  • Managed Care
  • Medicare/Medicaid
  • Knowledge of Claims/Billing
  • Concurrent Reviews
  • Retroactive Reviews
  • Preauthorization
  • Attention to Detail
  • EMR/EHR-Systems
  • Time Management
  • Mentor/Leadership
  • Critical Thinking
  • Microsoft Office/Excel

Certification

Licensed Vocational Nurse License, Texas

Licensed Vocational Nurse License, California

Licensed Vocational Nurse License, New York

Licensed Vocational Nurse License, Illinois

Licensed Vocational Nurse License, Hawaii

Timeline

Care Navigator

Healthsnap
01.2024 - 10.2024

Chronic Care Manager

Assure Health
01.2023 - 01.2024

Care Navigator

Health Dialog
01.2021 - 01.2023

Field Nurse

Theracare Home Health
01.2020 - 01.2022

Supplemental Healthcare
01.2016 - 01.2020

Bachelor's of Science - Public Health

Southern New Hampshire University

Certificate of Completion - Utilization Review-101

Remote Learning Services, LLC

Vocational Nursing -

College of Healthcare Professions

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