Julie Couch
Schulenburg,TX
Summary
Dynamic individual with hands-on experience in Healthcare/Nursing and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
31
31
years of professional experience
Work History
Customer Service Supervisor
Aetna
10.2018 - Current
- Leadership for team of 18-28 Care Management Associates
- Ensure member/provider satisfaction by addressing and resolving escalated issues promptly and professionally.
- Collaborated with other departments to address recurring member and provider concerns, improving overall service quality.
- Promoted a positive work environment through open communication channels, fostering team collaboration and high morale.
- Collaborated with cross-functional teams to develop best practices for seamless coordination of work efforts.
- Organized training to new employees on workflow processes and software tools, boosting their performance levels quickly.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Learned and adapted quickly to new technology and software applications.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Utilization Management Nurse Associate
Aetna
01.2008 - 10.2018
- Contributed to team success by consistently meeting productivity goals while maintaining high-quality standards in job performance.
- Streamlined utilization review processes by collaborating with interdisciplinary teams to develop streamlined workflows.
- Conducted thorough reviews of medical records, identifying necessary documentation to support prior authorization requests.
- Reviewed medical documentation to ensure criteria was met for approval.
- Collaboration with Medical Directors on complex cases for review.
Disease Management Nurse
Aetna
12.2007 - 01.2008
- Completed member enrollment in program.
- Interviewed members to obtain medical history, current medical concerns.
- Scheduled appointments with RN
Nurse - LPN
Various
01.1994 - 11.2007
- Inpatient Hospital Setting
- Hospice
- Home Health
- MD office - Internal Medicine and Gastroenterology
- Prior Authorization
Education
No Degree - LVN/LPN
San Jacinto College
Houston, TXNo Degree - English
University of Tennessee
KnoxvilleSkills
- Leadership, Change Management, Team Building
- Business SME for workflow automation, contributor and final sign off
- Communication and inter-department collaboration
- QuickBase User and Basic Quickbase Builder - very basic, self-taught, eager to expand skills and knowledge
- Workflow Creation
- Cross-Functional Collaboration
- Relationship Building
- Basic Project Management
- Regulatory Compliance
- Performance Improvement
Timeline
Customer Service Supervisor
Aetna
10.2018 - Current
Utilization Management Nurse Associate
Aetna
01.2008 - 10.2018
Disease Management Nurse
Aetna
12.2007 - 01.2008
Nurse - LPN
Various
01.1994 - 11.2007
No Degree - LVN/LPN
San Jacinto College
No Degree - English
University of Tennessee