Julie Gandy

• Collaborated with insurance companies to verify coverage, clarify benefits, and facilitate authorization for medical services, reducing delays in patient care delivery.
• Served as a vital liaison between patients, healthcare providers, and insurance companies, fostering effective communication and coordination among all parties involved in the care process.
• Performed prior authorization review of services requiring notification.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Obtained authorizations from multiple insurance carriers for various levels of care.

• Streamlined the referral process for smoother patient transitions into post-acute care settings through meticulous documentation and timely communication.
• Conducted thorough assessments of patients'' medical histories, diagnoses, prognoses, medications, and treatment goals to determine eligibility for specific programs or services.
• Facilitated communication between patients and various departments and staff.

Day Surgery Team- Pre-op, Post-op Care

• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Implemented medication and IV administration, catheter insertion, and airway management.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
• Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
• Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.
• Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.

• Improved patient outcomes by conducting thorough health assessments and developing personalized care plans.
• Enhanced patient recovery rates through diligent monitoring of vital signs, medication administration, and wound care.
• Collaborated with multidisciplinary healthcare teams to implement comprehensive treatment plans, ensuring continuity of care.
• Educated patients and families on disease management, medication safety, and at-home healthcare strategies to promote selfcare.
• Managed patient medical records accurately and confidentially, ensuring compliance with HIPAA regulations.

• Enhanced patient care by coordinating services and resources for optimal case management outcomes.
• Streamlined case management processes for improved efficiency and patient satisfaction.
• Collaborated with interdisciplinary teams to develop comprehensive care plans tailored to individual needs.
• Managed high caseloads, prioritizing tasks and maintaining organized records for timely follow-ups and accurate reporting.

Expanded Role, Nurse, Perinatal Case Management, Pregnancy Related Services, Child Health Exam, TB, WIC, and Immunizations

• Reduced disease transmission through administering immunizations and providing education on infection prevention.
• Provided support during emergency situations by assisting with disaster response efforts and coordinating healthcare resources.
• Promoted maternal and child health by offering prenatal education, family planning counseling, and well-child visits for families in need.
• Assessed nutritional health and provided education regarding the Food Pyramid to WIC participants.
• Supervised performance of laboratory clinical staff, identifying areas requiring immediate improvement.