Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
Generic

Jovahni Justice Henry

Canal Winchester

Summary

Experienced in the role of Utilization Management Coordinator with background in healthcare settings. Equipped with strong skills in coordinating care, conducting reviews, and collaborating with diverse medical teams. Demonstrated abilities to streamline processes and ensure compliance with regulatory standards. Notably improved efficiency in previous roles while maintaining high-quality patient care.

Overview

18
18
years of professional experience

Work History

Utilization Management Coordinator 3/ Team Lead

Humana Medicare
Dublin
03.2014 - Current
  • As a UM Administration Coordinator 3, I provide non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
  • Decisions I make are typically focus on interpretation of area/department policy and methods for completing my assignments.
  • I work within defined parameters to identify work expectations and quality standards.
  • At Humana I follow standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
  • Analyzed patient care plans for compliance
  • Identified opportunities for process improvements, implementing changes when required.
  • Motivated staff through positive reinforcement techniques.
  • Educated staff on utilization management processes and best practices.

Utilization Management Administration Coordinator

Humana Medicare
Dublin
03.2014 - Current
  • I contribute to administration of utilization management.
  • I perform varied activities and moderately complex administrative/operational/customer service assignments.
  • I've worked Provider Dispute, Irf/Ltac/SNF/and also referral.
  • I typically work on semi-routine assignments.

Government Pharmacy Specialist

Bioscrip Specialty Pharmacy
Hilliard
06.2011 - 03.2014
  • Resolving government consumer issues and determining whether or not a reimbursement is required after purchase.
  • While also providing excellent customer care, and utilizing internal software to assist in accurate research and payment application.

Lead Medical Assistant/New M.A. Trainer/Patient Customer Service

Baptist Primary Care
07.2007 - 02.2011
  • Performed triage patient care such as obtaining and recording vitals, routine lab tests and analyzing samples.
  • Trained new medical assistants complete with flow of practice guidelines.
  • Primary contact for patient care and customer service.
  • Maintained inventory, ordered medical and lab supplies, minor accounts payable/receivable.

Education

Medical Assistant - Diploma

Concorde Career Institute
Jacksonville, FL

High school diploma or GED -

Skills

  • Direct support
  • Administrative experience
  • Medical Records
  • Case management
  • Supervising experience
  • Utilization review
  • Provider dispute resolution
  • Customer service excellence
  • Clinical documentation
  • Process improvement
  • Team leadership
  • Critical thinking
  • Effective communication
  • Time management
  • Team collaboration aptitude
  • Customer service
  • Policy interpretation
  • Training and development
  • Regulatory compliance
  • Quality assurance
  • Resource allocation
  • Performance evaluation
  • Policy and procedure development
  • Documentation and reporting

Personal Information

Authorized To Work: US

Timeline

Utilization Management Coordinator 3/ Team Lead

Humana Medicare
03.2014 - Current

Utilization Management Administration Coordinator

Humana Medicare
03.2014 - Current

Government Pharmacy Specialist

Bioscrip Specialty Pharmacy
06.2011 - 03.2014

Lead Medical Assistant/New M.A. Trainer/Patient Customer Service

Baptist Primary Care
07.2007 - 02.2011

Medical Assistant - Diploma

Concorde Career Institute

High school diploma or GED -

Jovahni Justice Henry