Heather Lawson
Centene Corporation
Holiday,FL
10
years of professional experience
Results-driven nurse with experience in prior authorization review, utilization management, and patient care coordination. Known for accurate clinical assessment, clear communication, and sound decision-making. Adept at evaluating medical necessity, guiding teams, and supporting timely, compliant authorization decisions.
Work History
Weekend Nursing Supervisor
3 Years 9 Months- Supervised weekend nursing operations, ensuring safe patient care and timely staff coverage.
- Monitored patient conditions, identified changes promptly, and initiated appropriate clinical response.
- Coordinated shift assignments, balanced workloads, and escalated staffing gaps to maintain service continuity.
- Reviewed nursing documentation for accuracy, completeness, and compliance with care standards.
Senior Prior Authorization Nurse
8 Years- Reviewed prior authorization requests for medical necessity and benefit eligibility using utilization management guidelines.
- Analyzed clinical documentation to determine approval, denial, or escalation for specialty services and procedures.
- Coordinated with physicians, members, and care teams to gather missing information and resolve authorization delays.
- Interpreted evidence-based criteria to support consistent, compliant prior authorization decisions.
Night Shift Nursing Supervisor
9 Years 11 Months- Coordinated daily assignments based on patient acuity and staffing needs.
- Supervised nursing staff to ensure consistent resident care and workflow coordination.
- Guided licensed and unlicensed staff on infection control and safety procedures.
- Monitored clinical documentation for accuracy, completeness, and regulatory compliance.
Education
Licensed Practical Nurse - Nursing
Skills
Clinical leadership
Patient-centered care
Quality improvement
Quality assurance
Compassionate care
Teamwork
Patient advocacy
Customer service
Timeline
Weekend Nursing Supervisor
Peninsula Health Center
02.2023 - CurrentRead More
Senior Prior Authorization Nurse
Centene Corporation
11.2018 - CurrentRead More
Night Shift Nursing Supervisor
East Bay Rehabilitation Center
12.2016 - 2018Read More
Northwest Technical Institute
Licensed Practical Nurse from Nursing
Read More