Kelly Steltenkamp

During this time, I took a sabbatical to focus on personal and professional development, as well as to provide essential care for my aging parents. This period allowed me to:

• Recharge and Refocus: Prioritized self-care and gained renewed energy for future endeavors.
• Enhanced professional development by earning Peer Support Specialist certification.
• Family Care: Provided essential support to both my parents during a challenging time.

I return to the workforce with increased motivation, expanded skillset, and a renewed commitment to my career.

• Implemented cost-saving initiatives by reducing waste and optimizing equipment usage.
• Collaborated with 5 vendors to negotiate favorable contracts for laundry supplies and equipment purchases.
• Led team meetings to discuss goals, challenges, and strategies for improvement in the laundry department.
• Streamlined laundry processes for faster turnaround times, resulting in increased customer satisfaction.
• Resolved customer complaints quickly and professionally, maintaining positive relationships with clients.
• Improved laundry facility efficiency by implementing effective scheduling and staff training programs.
• Completed schedules, shift reports, and other business documentation.
• Followed environmental regulations when handling hazardous materials for laundromat safety.

• Managed multi-line phone system and pleasantly greeted over 30 patients per day.
• Checked patient insurance and demographics to keep information current.
• Adhered to strict HIPAA guidelines to protect patient privacy.
• Managed office logistics by scheduling appointments, maintaining files, collecting payments, maintaining the bookkeeping system and processing the insurance claims.
• Received and routed laboratory results to correct clinical staff members.
• Participated in quality improvement initiatives, contributing valuable insights to enhance overall practice performance.
• Answered on average 50 plus phone calls and messages for four-physicians scheduling appointments and handling patient inquiries.

• Strengthened quality improvement initiatives through regular audits of utilization review processes, identifying areas for improvement, and implementing corrective actions.
• Enhanced staff expertise and skills through ongoing professional development in medical necessity evaluations.
• Ensured regulatory compliance by keeping current on Medicare, Medicaid, and insurance requirements for reviews.
• Collaborated with interdisciplinary teams to enhance the utilization review process effectively.
• Maintained strict adherence to HIPAA regulations by safeguarding patient's information throughout the review process.
• Served as a liaison between healthcare providers and our in house medical doctor for efficient resolution of coverage issues or denials following a utilization review assessment.
• Assisted in reducing hospital readmissions by referring high risk patients to Case Management.
• Accurately recorded utilization review results, ensuring an organized and accessible audit trail for future analysis.
• Reviewed on average 20 to 30 cases a day for medical necessity and appropriateness of care by applying evidence-based guidelines set forth by Milliman, InterQual, and the group.