Lara White
7565 Welkan Cv, Port Aransas,TX
Summary
Seasoned nursing professional offering proven clinical knowledge 26 years of diverse experience in direct patient care, staff supervision and department operations.
Skilled at multitasking, time management, and prioritizing patient needs and daily assignments.
Ability to work independently, remotely with full functioning home office.
Offering expertise with Pre/ Prior Authorization, Case Management and Labor/Delivery, High Risk Antepartum.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude.
Willingness to take on added responsibilities to meet team goals.
Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Preauthorization Nurse
Humana Military
11.2022 - Current
- Coordinate care for MHS beneficiaries receiving care outside the MTF. Monitor quality of care, identify, and document any potential quality issues Document appropriately in MSR.
- Review inpatient outlier cases, ensure appropriate and timely discharge planning, and refer to Tier III care management as needed.
- Perform prior authorization reviews according to established contractual requirements and guidelines to include timely data entry in MSR.
- Perform accurate and timely assessment and concurrent review of outlier admissions using InterQual criteria and document review results in MSR. Pend cases appropriately to second level review and follow up with any denial activities as indicated.
- Complete and document in MSR accurate and timely determinations of appropriateness of level of care: take appropriate actions to facilitate direction of patients to correct level of care as indicated by criteria.
- Direct discharge planning appropriately
- Identify and follow patients requiring Tier II Care Management. Coordinate cases with and refer to tier III Care Manager and Disease Management Programs as appropriate.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
RN Case Manager
Christus Spohn Shoreline Hospital
01.2017 - 11.2022
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Educated patients and caregivers on healthcare protocols and processes.
- Discharge Planning
- Utilization Management
Case Reviews: Observation, Concurrent and Initial Reviews - Collaborate with healthcare team members to facilitate care across the continuum and optimize clinical and financial outcomes.
- Evaluate options and services to meet patients' needs and care team recommendations.
- Reduce patients' length of stay by anticipating and meeting patients' needs early on.
- Provide recommendations and plans to help reduce readmission rates.
- Participate in Length of Stay meetings with Hospital Administration and Physicians
High Risk Antepartum Nurse
St. David's North Austin Medical Center, Woman's Center
01.2015 - 01.2017
Professional Nurse Legal Consultant
The Berkley Law Firm
01.2016 - 12.2016
- Reviewed legal case, depositions, Nursing Documentation and Fetal Heart Monitoring strips, summarized my professional view on labor/delivery events when lawsuit was potential
- Was available to travel and serve as professional witness
Travel Nurse, Labor/Delivery
PPR Healthcare Staffing
02.2013 - 01.2015
Registered Nurse Labor/ Delivery, LDRP
Onslow Memorial Hospital
06.2009 - 06.2012
Registered Nurse, Labor/ Delivery, LDRP, Pediatrics
Onslow Memorial Hospital
08.1999 - 06.2004
Education
Associate of Applied Science - Nursing
James Sprunt Community College
Kenansville, NC05-1999
Skills
- HIPAA compliance
- Insurance verification
- Healthcare regulations
- Policy interpretation
- Patient confidentiality
- Utilization review
- Clinical documentation
- Time Management
- Multiple EMR Systems
- Care coordination
- Documentation
- Multitasking
- Excellent communication
- Team collaboration
- Organizational skills
Proficient in;
MSR, MCG, EPIC, EPIC Stork, GE Centricity, Siemens Soarian, Essentris, Meditech, CPSI,
OB Traceview, Midas, NaviHealth, Curaspan, Milliman, ICD-10
Certification
- Licensed Registered Nurse- 1999-present
- Credentials and Licenses
• Texas State Board of Nursing- RN (2015- present )
Compact State Licensure
• NCBON-RN North Carolina Board of Nursing and All Compact States, Registered Nurse
#166075 (1999)
• BLS (Class C for Healthcare Providers)
• ACLS (Advanced Cardiovascular Life Support, AHA)
• AWHONN Advanced Fetal Monitoring
Timeline
Preauthorization Nurse
Humana Military
11.2022 - Current
RN Case Manager
Christus Spohn Shoreline Hospital
01.2017 - 11.2022
Professional Nurse Legal Consultant
The Berkley Law Firm
01.2016 - 12.2016
High Risk Antepartum Nurse
St. David's North Austin Medical Center, Woman's Center
01.2015 - 01.2017
Travel Nurse, Labor/Delivery
PPR Healthcare Staffing
02.2013 - 01.2015
Registered Nurse Labor/ Delivery, LDRP
Onslow Memorial Hospital
06.2009 - 06.2012
Registered Nurse, Labor/ Delivery, LDRP, Pediatrics
Onslow Memorial Hospital
08.1999 - 06.2004
Associate of Applied Science - Nursing
James Sprunt Community College
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