Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cindy Gardner

Newberry,USA

Summary

Dynamic healthcare professional with experience in utilization review and case management with proven analytical skills and problem-solving abilities leading to improved compliance and timely authorizations. Committed to delivering exceptional customer service while navigating complex healthcare systems to enhance patient outcomes.

Overview

2026
2026
years of professional experience

Work History

Assistant Team Manager Inpatient Hospice Unit

Via Health Partners/Hospice of Laurens County
Clinton, SC
09.2021 - Current
  • Reviewed referrals and medical records to determine hospice eligibility under Medicare guidelines.
  • Audited clinical documentation for timeliness and appropriateness to secure full Medicare reimbursement.

Clinical Care Coordinator

SC House Calls
West Columbia, SC
10.2020 - 06.2021
  • Analyzed electronic medical records for verification of appropriate diagnoses and HCC codes, promoting optimal billing and recoupment

MCO Manager of Case Management

Absolute Total Care
Columbia, SC
10.2016 - 09.2019
  • Supervised case managers guiding clients through healthcare continuum.
  • Evaluated treatment plans for medical necessity and group plan compliance.
  • Collaborated with facility staff, physicians, and families to determine optimal discharge settings.
  • Identified and referred clients for disease and case management services.

Utilization Review/Case Management Team Leader

BlueCross BlueShield of SC
Columbia, SC
07.2014 - 06.2016
  • Reviewed treatment plans for compliance with national and healthcare plan guidelines.
  • Executed timely prospective, retrospective, and concurrent utilization reviews for inpatient and outpatient services.
  • Monitored pending authorizations to ensure prompt processing and communication of decisions.

Hospital Nurse

Multiple locations
  • ICU, pulmonary critical care, radiology, medical-surgical, orthopedics, obstetrics

Education

Bachelor of Science - Nursing

Arkansas Tech University
05.1996

Skills

  • Problem-solving and critical thinking
  • Analytical skills and research
  • Creative solutions and organization
  • Time management and attention to detail
  • Ability to work under pressure
  • Customer service and support
  • Written and verbal communication skills

Timeline

Assistant Team Manager Inpatient Hospice Unit

Via Health Partners/Hospice of Laurens County
09.2021 - Current

Clinical Care Coordinator

SC House Calls
10.2020 - 06.2021

MCO Manager of Case Management

Absolute Total Care
10.2016 - 09.2019

Utilization Review/Case Management Team Leader

BlueCross BlueShield of SC
07.2014 - 06.2016

Hospital Nurse

Multiple locations

Bachelor of Science - Nursing

Arkansas Tech University

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