Kayla DeTrolio (Simone)
Laurence Harbor
Summary
Experienced healthcare professional with over 13 years of experience in various healthcare aspect. including comprehensive expertise in utilization management, clinical operations, quality improvement, and educational initiatives.
Overview
12
12
years of professional experience
1
1
Certification
Work History
UM Reviewer
AmeriHealth Caritas
04.2023 - 08.2025
- Utilized professional judgment and clinical expertise to evaluate and authorize necessary medical services
- Adhered to clinical policies and medical management guidelines to ensure quality patient care
- Exercised discretion in denying services that were not medically necessary, maintaining ethical standards
- Collaborated with healthcare teams to review patient cases and make informed decisions
- Maintained comprehensive documentation to support service authorization and denial decisions
- Contributed to cost management by ensuring appropriate utilization of medical resources
Face-to-Face Liaison, Practice Facilitator, Outreach Coordinator
Hackensack Meridian Health
12.2017 - 04.2023
- Educated patients and providers on medical interventions to enhance patient outcomes through quality improvement measures.
- Conducted patient outreach calls to discuss hospital visits and promote the importance of annual wellness checks.
- Facilitated communication between patients and healthcare providers to ensure a coordinated approach to patient care.
- Supported the implementation of healthcare strategies aimed at improving patient engagement and satisfaction.
- Assisted in the development of educational materials and resources to increase patient and provider understanding of medical interventions.
- Maintained accurate records of patient interactions and follow-ups to ensure continuity of care and adherence to healthcare protocols.
Licensed Practical Nurse
Certified Dermatology
09.2016 - 12.2017
- Updated patient medical histories to ensure accuracy for clinical procedures
- Assisted with in-office procedures, enhancing patient care and support
- Conducted patient screenings to facilitate early detection and treatment planning
- Maintained strict confidentiality in handling patient information according to HIPAA regulations
- Collaborated with healthcare team to optimize patient outcomes and clinic efficiency
- Provided patient education on treatment plans and post-procedure care instructions
- Administered dermatological treatments and procedures as prescribed by the supervising dermatologist.
- Assisted with patient skin assessments and documented findings in medical records.
- Performed wound care management, including dressing changes and suture removal.
- Conducted patient education on skincare routines, treatment plans, and medication usage.
Licensed Practical Nurse, Home Care
Maxim Healthcare
07.2014 - 09.2016
- Provided comprehensive in-home nursing care to pediatric and adult patients in accordance with physician orders.
- Facilitated effective communication between doctors and family members to ensure alignment with current health goals.
- Monitored patient health status and reported changes to healthcare professionals promptly.
- Administered medications and treatments as prescribed by physicians.
- Educated patients and families on health maintenance and disease prevention.
- Maintained detailed records of patient care, condition, progress, and concerns.
- Demonstrated compassion and support to patients and families during in-home visits.
- Collaborated with multidisciplinary teams to provide coordinated care.
- Ensured adherence to all safety and privacy regulations within the home care setting.
Licensed Practical Nurse, Behavioral Unit
Atlantic Coast Rehabilitation
09.2013 - 07.2014
- Provided comprehensive rehabilitation care to residents, focusing on both physical recovery and behavioral health support
- Administered medications and treatments as prescribed, ensuring adherence to healthcare plans
- Conducted thorough charting to document resident progress and care activities
- Communicated effectively with healthcare providers and family members to update on patient status and care plans
- Maintained a safe and supportive environment for residents within the behavioral unit
Skills
- Licensed Practical Nurse, 26NP06514200
- Microsoft applications
- Google applications
- ELTSS
- EPIC
- JIVA
Certification
Licensed Practical Nurse, 26NP06514200
Timeline
UM Reviewer
AmeriHealth Caritas
04.2023 - 08.2025
Face-to-Face Liaison, Practice Facilitator, Outreach Coordinator
Hackensack Meridian Health
12.2017 - 04.2023
Licensed Practical Nurse
Certified Dermatology
09.2016 - 12.2017
Licensed Practical Nurse, Home Care
Maxim Healthcare
07.2014 - 09.2016
Licensed Practical Nurse, Behavioral Unit
Atlantic Coast Rehabilitation
09.2013 - 07.2014