LaShawn Outlaw MSN, RN, CCM
Manchester,CT
Summary
Experienced nurse professional specializing in health insurance regulation, utilization, & process assessment. Broad clinical and insurance industry experience provides a wealth of resource knowledge to leverage in new opportunities.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Telemetry Registered Nurse
Middlesex Hospital
12.2024 - Current
- Decreased patient complications through diligent monitoring of vital signs, lab results, and other telemetry data.
- Enhanced patient care by accurately interpreting cardiac monitor readings and promptly reporting critical findings to healthcare team.
- Prevented life-threatening complications by quickly recognizing early warning signs of deterioration in critically ill patients under close observation.
- Administered prescribed medications safely and effectively while closely monitoring potential side effects or adverse reactions.
Nursing Supervisor
Portland Care & Rehab
05.2022 - Current
- Provided oversight and direction to LPNs, CNAs.
- Managed clinical personnel, served as a resource, and provided direct care to geriatric sub-acute population.
Program Management Advisor & New Law Business Implementation Lead
Cigna
04.2023 - 12.2024
- Supports all new and changing compliance mandates to complete impact analysis and support strategic solutions and implementation
- Assist with researching, analysis and recommending operational processes, policies, procedures to standardize and develop best practices.
- Coordination and organization across operational areas to bring together key representatives effectively creating workflows that address new laws and mandates.
- Support UM audits, Corrective Action Plans (CAP) and Quality Improvement Plans (QIP) both internal and external, and Market Conduct Exams.
Nurse Case Management Lead Analyst -TEAM LEAD
Cigna
01.2018 - 04.2023
- Spear headed initiatives to repatriate Out of Network (OON) IFP customers back to In Network facilities
- Created In Network Facility transfer document to assist movement from OON facilities to INN facilities
- Instructed, educated, and provided feedback to team members as subject matter expert.
Nurse Case Management Lead Analyst
Cigna
01.2014 - 12.2017
- Utilization review for Cigna Individual and Family Plan population for the state of Virginia.
- Served as resource and preceptor to team members, medical directors, healthcare facility, and patients.
- Collaborated with Cigna VA contracting team closely on weekly basis.
Underwriting Senior Specialist
Cigna
10.2010 - 01.2014
- Review and assessment of risk for new and renewal customers seeking Individual and Family plans
- Assessed risk through use of medical underwriting guidelines, claim history, claim review, medical history/record review, and clinical judgement
- Additional duties assumed, reviewing add/drop applications for potential rate-ups, rate changes and communication to internal/external stakeholders.
Registered Staff Nurse
Bristol Hospital
02.2006 - 06.2011
- Provided care to emergency observation, telemetry, oncology, respiratory, and pre and post general and GYN surgical patients throughout a community hospital.
Nurse Consultant
Aetna
01.2007 - 09.2010
- Telephonic nursing education, home treatment, warning signs, triage for health conditions/ disease states to insurance members and families
- Nurse Line health education and emergency claim appeal reviews also performed.
Education
Masof Nursing - Nurse Practitioner
Western Connecticut State University
Danbury, CT12.2026
Masters Nursing Leadership and Management -
Western Governors University
Salt Lake City, Utah01.2015
Associate Of Science - Registered Nursing
Capital Community College
Hartford, CT06.2004
Bachelor Family Studies -
University of Connecticut
Storrs, CT01.2000
Skills
- Microsoft Office
- Excel
- Epic
- ICD 10
- Implementation of regulatory mandates to ensure compliance
- Supervision
- Leading
- Navigating Ambiguity
- Research
- Collaboration
- Change management
- Implementation
Certification
Certified Case Manager, Commission for Case Manager Certification, (CCM)
Issued 2018. Expires 2028
Timeline
Telemetry Registered Nurse
Middlesex Hospital
12.2024 - Current
Program Management Advisor & New Law Business Implementation Lead
Cigna
04.2023 - 12.2024
Nursing Supervisor
Portland Care & Rehab
05.2022 - Current
Nurse Case Management Lead Analyst -TEAM LEAD
Cigna
01.2018 - 04.2023
Nurse Case Management Lead Analyst
Cigna
01.2014 - 12.2017
Underwriting Senior Specialist
Cigna
10.2010 - 01.2014
Nurse Consultant
Aetna
01.2007 - 09.2010
Registered Staff Nurse
Bristol Hospital
02.2006 - 06.2011
Masters Nursing Leadership and Management -
Western Governors University
Associate Of Science - Registered Nursing
Capital Community College
Bachelor Family Studies -
University of Connecticut
Masof Nursing - Nurse Practitioner
Western Connecticut State University
Similar Profiles
Michael SchultzMichael Schultz
Physician Assistant at Middlesex HospitalPhysician Assistant at Middlesex Hospital
ABRAHAM ABATIABRAHAM ABATI
Volunteer, Surgical services at Middlesex HospitalVolunteer, Surgical services at Middlesex Hospital
Sharon EllisSharon Ellis
Registered Nurse, Behavioral Health Unit at Middlesex HospitalRegistered Nurse, Behavioral Health Unit at Middlesex Hospital
Kara WilliamsKara Williams
Medical Receptionist at Sleep Medicine Services of Western MassachusettsMedical Receptionist at Sleep Medicine Services of Western Massachusetts
Zachary SaeedZachary Saeed
Project Manager at Dallas ConstructionsProject Manager at Dallas Constructions