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.
• Upskill and Reskill: Pursued Peer Support Specialist Certification to enhance my degree as a Registered Nurse.
• 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 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.
• Trained new employees on company policies, procedures, and best practices within the laundry department.
• Improved laundry facility efficiency by implementing effective scheduling and staff training programs.
• Managed inventory and supplies, ensuring adequate stock levels for uninterrupted operations.
• Completed schedules, shift reports, and other business documentation.
• Trained and mentored all new personnel to maximize quality of service and performance.
• Increased employee performance through effective supervision and training.
• Managed laundry sorting, washing, drying, and ironing.
• Maintained safety practices at all times to protect personnel and laundry loads.
• Followed environmental regulations when handling hazardous materials for laundromat safety.
• Developed quality control measures to maintain high standards of cleanliness and presentation.

• Managed multi-line phone system and pleasantly greeted patients.
• Checked patient insurance, demographic, and health history to keep information current.
• Adhered to strict HIPAA guidelines to protect patient privacy.
• Maintained current and accurate medical records for patients.
• Coordinated patient scheduling, check-in, check-out and payments for billing.
• Assisted with medical coding and billing tasks.
• Completed administrative patient intakes with case histories, insurance information and mandated forms.
• Managed office logistics by scheduling appointments, maintaining files and collecting payments.
• Processed medical insurance claims and payments.
• Greeted visitors and initiated triage processes for clients to streamline patient flow.
• Received and routed laboratory results to correct clinical staff members.
• Managed office bookkeeping with insurance billing and patient payments.

• Supported case management efforts for better patient outcomes through diligent monitoring of patient progress and adjusting care plans as needed.
• Strengthened quality improvement initiatives through regular audits of utilization review processes, identifying areas for improvement, and implementing corrective actions.
• Established strong working relationships with insurance representatives, fostering open communication channels for efficient resolution of coverage issues or disputes related to medical necessity determinations.
• Increased staff knowledge and competency with continuous professional development opportunities related to evolving industry standards and trends in the field of medical necessity evaluations.
• Improved patient satisfaction by conducting thorough utilization reviews and ensuring appropriate care plans were in place.
• Assisted in maintaining regulatory compliance by staying up-to-date on Medicare, Medicaid, and commercial insurance requirements for utilization review activities.
• Expedited discharge planning processes through timely completion of utilization reviews that identified necessary services, supports, or referrals postdischarge.
• Ensured continuity of care across transitions by collaborating with healthcare providers, patients, and families to facilitate communication and coordination of services.
• Collaborated with financial counselors to ensure accurate billing practices based on clinical documentation from utilization reviews.
• Enhanced the efficiency of the utilization review process by collaborating with interdisciplinary teams and streamlining communication channels.
• Maintained strict adherence to HIPAA regulations, safeguarding sensitive patient information throughout all aspects of the utilization review process.
• Optimized resource allocation within the healthcare facility by accurately reviewing cases for level-of-care determinations according to established criteria sets.
• Served as a liaison between healthcare providers, insurance companies, and patients for efficient resolution of coverage issues or denials following a utilization review assessment.
• Collaborated with physicians to develop appropriate care plans based on utilization review findings that were both medically necessary and costeffective.
• Reduced hospital readmissions with proactive identification of high-risk patients and implementation of targeted interventions.
• Provided accurate documentation of all utilization review findings, ensuring a clear audit trail for future reference or analysis.
• Contributed to cost savings by applying evidence-based guidelines to determine medical necessity and appropriateness of care.
• Performed admission reviews based for medical necessity based upon Interqual, Milliman, and group/company criteria.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Recorded details regarding therapies to keep patient charts updated.
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.