Christy Griffin
Big Creek,MS
Summary
Detail-oriented RN specializing in utilization review and patient care coordination across multiple care levels. Expertise in medical coding, billing, and claims management enhances operational efficiency. Maintained authorizations for outpatient and inpatient services, ensuring timely reviews to optimize patient outcomes. Focused on improving clinical documentation and implementing effective processes.
Overview
19
19
years of professional experience
1
1
Certification
Work History
RN, Utilization Review Coordinator
Hansei Solutions
Fremont, California
05.2023 - Current
- Maintaining the full census of the 2 outpatient facilities as well as a quarter of the inpatient facility
- Coordination with the VA for veterans at both the inpatient and outpatient level of care
- Maintain authorizations for all outpatient cases and assigned inpatient cases
- Conducting initial reviews and concurrent reviews in a timely manner
- Handling any problems with authorizations as they arise
- Openly communicating with therapists to ensure documentation would be ready when reviews are due
- Participating in weekly discharge planning meetings and treatment team meetings with upper management to ensure patients have plans of action in place and that all staff members know what is going on with the patients
RN, Utilization Review Coordinator
American Addiction Centers
Oxford, MS
07.2022 - 05.2023
- Maintaining the full census of the outpatient facility around 50 patients regularly
- Coordination with the VA for veterans
- Maintain authorizations for all outpatient services
- Conducting initial reviews and concurrent reviews in a timely manner
- Handling any problems with authorizations as they arise
- Openly communicating with therapists to ensure documentation would be ready when reviews were due
- Participating in weekly discharge planning meetings and treatment team meetings with upper management to ensure patients have plans of action in place and that all staff know what is going on with the patients
LPN
Rice Family Medical
Calhoun City, MS
08.2020 - 05.2023
- Medical coding and billing and payment reconciliation
- Claims review and corrections
- Claims resubmissions
- Insurance verification and Utilization Reviews
R.N., Employee Health and Infection Control
Trace Regional Health Systems and Extended Care
, MS
07.2021 - 04.2022
- Monitoring all staff and patients
- Coordinating quarantines for outbreaks
- Conducting regular covid testing and maintaining outbreak logs per state requirements
- Trace Regional Hospital and Floy Dyer Nursing Home
LPN, Medical Records Department, PRN floor nurse
Floy Dyer Nursing Home
Houston, MS
06.2019 - 05.2020
- Fill in, and full time medical records department maintaining necessary records for all nursing home residents as per state requirements
- Physician order entry
- Daily evaluation to ensure all physician orders were implemented
- Monthly chart reviews
- Monthly medication order evaluations
- Filled in as Director of Nursing during onset of covid due to upper management being quarantined for over a month during which time I had to ensure proper staffing to make sure all patients were safely cared for
- Houston, MS
LPN, office manager
Rice Family Medical
Calhoun City, MS
04.2014 - 04.2019
- Medical scribe
- Referral coordinator
- Scheduler
- Insurance verification and precertification
- Medical coding and billing
- Claims review and correction
- Utilization Review
- Calhoun City, MS
LPN
Internal Medical Clinic of Grenada
Grenada, MS
02.2010 - 03.2014
- Nurse for Dr Joseph Messina assisting in office evaluations
- Medication refills
- Answering patient calls
- Assisting in patient procedures
- Conducting patient testing in office
LPN, Plant Nurse / Assistant Safety Coordinator
BOWATER
Grenada, MS
09.2006 - 11.2009
- EMS instructor
- Safety training coordinator
- Certified hearing test specialist
- Maintained employee health and safety records
- Maintaining department OSHA safety logs for each department
Education
RN -
Holmes Community College
Grenada, MS06.2021
ADN -
Holmes Community College
Grenada, MS05.2021
LPN -
Holmes Community College
Grenada, MS05.2006
High School -
Calhoun City High School
Calhoun City, MS05.1997
Skills
- Utilization review
- Medical coding
- Medical billing
- Patient care coordinator
- Patient assessment
- Case management
- Claims management
- Veteran coordination
- Clinical documentation
- Employee supervision
- Process development and implementation
- Data collection and reporting
Certification
• R.N., current
References
- Heather Taylor, RN, UR Supervisor AAC, 662-760-8909
- Crystal King, RN, coworker, 662-832-4884
- Jamie Reeder, RN, coworker, 662-681-5517
- Mat Douglas, Oxford Outpatient Director, 601-613-4817
- Gabby McCarty, RN, BSN, former coworker, 662-418-6925
- Michelle Rice, CFNP, Rice Family Medical, 662-628-5116
- Dr. Joseph Messina, Internal Medical Clinic of Grenada, 662-226-1646
- Jessica Naron, BSN, Floy Dyer Nursing Home, 662-542-4073
Timeline
RN, Utilization Review Coordinator
Hansei Solutions
05.2023 - Current
RN, Utilization Review Coordinator
American Addiction Centers
07.2022 - 05.2023
R.N., Employee Health and Infection Control
Trace Regional Health Systems and Extended Care
07.2021 - 04.2022
LPN
Rice Family Medical
08.2020 - 05.2023
LPN, Medical Records Department, PRN floor nurse
Floy Dyer Nursing Home
06.2019 - 05.2020
LPN, office manager
Rice Family Medical
04.2014 - 04.2019
LPN
Internal Medical Clinic of Grenada
02.2010 - 03.2014
LPN, Plant Nurse / Assistant Safety Coordinator
BOWATER
09.2006 - 11.2009
RN -
Holmes Community College
ADN -
Holmes Community College
LPN -
Holmes Community College
High School -
Calhoun City High School