Gwen Delk

• Facilitated communication between managed care organizations and clinical staff.
• Assessed factors impacting patient stays.
• Reviewed medical necessity and service quality.
• Coordinate peer review calls between facility and external organizations.
• Phone number- (615)848 1111

• Managed evaluation of pre-authorization requests for skilled nursing and rehabilitation services,
• Ensured compliance with medical necessity standards.
• Manage notifications and determinations for Health Plan and ALJ appeals as required.
• Phone number: (615) 577-1900

• Conducted analysis of medical records and systems to assess validity of claim denials in line with Medicare policies.

Phone number: (615) 244-5600

• Delivered comprehensive direct patient care including elderly and pediatric patients.
• Administered medications, managed wound care and IV therapies, demonstrating expertise in various medical procedures.
• Phone number: (615) 396-4100

• Administered medications, managed wound care and IV therapies, demonstrating expertise in various medical procedures.
• Delivered comprehensive direct patient care including elderly and pediatric patients.
• Phone Numbers-(615) 781-4000

• Delivered comprehensive patient care, ensuring safety and well-being for elderly patients.
• Phone number: (615) 834-4214

• Managed evaluation of pre-authorization requests for skilled nursing and rehabilitation services,
• Ensured compliance with medical necessity standards.
• Manage notifications and determinations for Health Plan and ALJ appeals as required.
• Phone number: (615) 577-1900