Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
CAREER HIGHLIGHTS
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Kaylee Henderson

Tarentum,PA

Summary

Nursing student and healthcare professional with experience in infection prevention practices, quality compliance, and clinical documentation. Background includes ICU clinical rotations and utilization review supporting regulatory standards, patient safety, and accurate data reporting. Strong interest in infection prevention, quality improvement, and healthcare compliance.

Overview

8
8
years of professional experience

Work History

Utilization Review Business Support Specialist

Allegheny Health Network
03.2023 - Current
  • Ensure accurate and complete documentation and information on all transfers and admissions into AHN for appropriate order writing and level of care upon entry into the system
  • Implements and organizes downgrades compliantly and per documentation
  • Investigates concerns for improper billing/coding practices and recommends corrective action
  • Work collaboratively to understand denial/appeal management process and alerts edits/rejections
  • Ensures confidentiality of all patient accounts by following HIPPA guidelines
  • Proficient with department software (Epic), analytical tools, basic coding and billing knowledge, and revenue cycle operational policies

Case Management Coordinator

Highmark Health
02.2021 - 03.2023
  • Screen care management cases to ensure information is complete and accurate and help prioritize cases for outreach
  • Interact with providers to monitor members discharge status disposition, confirm member activity, set up appointments, and other related activities
  • Assist in report production, data collection and data entry for care plan management and perform process auditing activities to ensure compliance with NCQA standards and other compliance measures

Student Assistant

Office of Career Education and Development, SRU
09.2019 - 12.2020
  • Supported the Career Education Office with scheduling appointments, conducting phone screens, transferring survey data into an Access database, and developing informational flyers for office events as needed
  • Assisted SRU students with resumes, appointment scheduling, and redirection to faculty members as needed

Student Intern

Wexford Health Sources, Inc.
05.2020 - 08.2020
  • Contacted hospitals to obtain patient information regarding admission, discharge, and status updates
  • Input patient information into a companywide computer program to ensure that all patient information is up to date

Patient Care Attendant

UPMC Passavant—McCandless, PA
05.2018 - 05.2020
  • Provided patient care, support, and one-on-one observation to minimize the safety risk to identified high-risk patients
  • Demonstrated superior care for UPMC patients while maintaining high patient satisfaction

Sales Associate

Victoria’s Secret
11.2017 - 05.2020
  • Demonstrated superior customer service
  • Maintained high sales and customer satisfaction
  • Maintained a welcoming and clean environment for all customers

Education

Diploma Program - Registered Nurse

UPMC Shadyside School of Nursing
04.2026

B.S. - Health Science – Public Health

Slippery Rock University of Pennsylvania
Slippery Rock, PA
12.2020

Skills

  • Patient Communication and Customer Service
  • Flexibility and Adaptability in Health Care Environments
  • Analytical and Attentive to Detail
  • Leadership and Teamwork
  • Proficient Computer Skills, including Epic

Accomplishments

  • Completed 200+ hours of direct patient care in an Intensive Care setting with emphasis on infection prevention and patient safety
  • Observed and applies infection surveillance principles during high-risk patient care activities
  • Applied infection prevention protocols including hand hygiene, PPE, and isolation precautions
  • Assisted in prevention of hospital-acquired infections through proper equipment cleaning and patient care practices
  • Monitored patients for signs of infection and promptly communicated findings
  • Followed hospital policies and Joint Commission procedures to ensure patient safety
  • Maintained accurate documentation supporting quality and regulatory compliance
  • Participated in unit safety huddles and quality initiatives during clinical rotations

Timeline

Utilization Review Business Support Specialist

Allegheny Health Network
03.2023 - Current

Case Management Coordinator

Highmark Health
02.2021 - 03.2023

Student Intern

Wexford Health Sources, Inc.
05.2020 - 08.2020

Student Assistant

Office of Career Education and Development, SRU
09.2019 - 12.2020

Patient Care Attendant

UPMC Passavant—McCandless, PA
05.2018 - 05.2020

Sales Associate

Victoria’s Secret
11.2017 - 05.2020

B.S. - Health Science – Public Health

Slippery Rock University of Pennsylvania

Diploma Program - Registered Nurse

UPMC Shadyside School of Nursing

CAREER HIGHLIGHTS

  • Completed a quality improvement project on the importance of wearing personal protective equipment
  • Maintained 100% accuracy and timeliness on all accounts
  • Rated as an on-track high performer from my direct leaders and was recognized for being a dependable role model and mentor for my team members
  • Noticed by my supervisor as a valued and trustworthy team member and was selected to onboard two new hirers within my first year
  • Appointed as the lead team member for all LIFE insurance verification and authorization follow up cases
  • Assist in overseeing productivity between all team members and provide suggestions for being more productive throughout the workday
  • Tested a new software that was implemented into the team members’ workdays in late August 2022
Kaylee Henderson