Kari Greene
Cocoa,FL
Summary
Smart Utilization Review Nurse considered critical thinker and problem-solver due to dynamic patient care planning and understanding of multiple Health plan guidelines. Known for having great rapport with providers and insurance carriers.
Overview
9
9
years of professional experience
Work History
Utilization-review-nurse
EviCore Healthcare Formerly Care Core National
2017.03 - Current
- Performed admission reviews based for medical necessity based upon guideline specification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed prior authorization review of services requiring notification.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Review of over 45 cases daily
Home Health Nurse
Carter HealthCare
2015.08 - 2017.03
- Developed strong rapport with patients and families, fostering trust and open communication during challenging times.
- Administered different therapies and medications in line with physician orders and treatment plan.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Administered medications and treatments as prescribed by physicians.
Education
Associate of Science - Registered Nursing
Keiser University
Fort Lauderdale, FL07.2015
Skills
- HIPAA Compliance
- Clinical assessment
- Medicaid knowledge
- Quality Improvement
- Great repour with healthcare representatives
- Extensive knowledge in Oncology guidelines and clinical review
Timeline
Utilization-review-nurse
EviCore Healthcare Formerly Care Core National
2017.03 - Current
Home Health Nurse
Carter HealthCare
2015.08 - 2017.03
Associate of Science - Registered Nursing
Keiser University
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