La’Tara Vereen RN BSN CCM
Spring,TX
Summary
Accomplished and versatile medical professional with over 20 years of extensive clinical experience and a proven track record in medical operations, healthcare administration, and patient care. Strong management skills essential for directing and sustaining a high-performing work environment. Expertise in motivating teams and fostering collaboration while implementing procedures that drive continuous improvement across all operations. Committed to enhancing patient outcomes and operational efficiency through innovative strategies and effective leadership.
Overview
22
22
years of professional experience
Work History
HCBS Clinical Care Coordinator
UnitedHealth Group
06.2023 - Current
- Coordinated patient care plans to optimize health outcomes and streamline service delivery.
- Collaborated with healthcare teams to ensure compliance with treatment protocols and regulatory standards.
- Educated patients on disease management, enhancing their understanding of treatment options and self-care strategies.
- Streamlined communication between providers and patients, improving information flow and reducing appointment delays.
- Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
Director of Case Management and Utilization Review
Nexus Healthcare Systems
09.2020 - 08.2023
- Assessed community needs and identified resources for social and community service programs.
- Analyzed trends and data to inform decision-making and program development.
- Leveraged case management tools and conflict management techniques to help interdisciplinary teams achieve optimal outcomes.
- Developed and implemented training programs for staff.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
Director of Case Management
CHI ST. LUKE'S HEALTH THE VINTAGE
07.2017 - 09.2020
- Mange the overall supervision of the department's daily operation to achieve fiscal productivity, patient satisfaction and goals and objectives established by hospital Leadership
- Direct the operations and activities of the Case Management and Utilization Review functions, including discharge planning, utilization review, and denial management
- Responsible for staff performance and the accomplishment of departmental responsibilities in accordance with corporate, hospital and government policies and procedures to meet both regulatory and company requirements
- Assess, plan, implement and evaluate the case management program to ensure the patient needs are met.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
Director of Case Management
KINDRED HEALTHCARE
10.2013 - 07.2017
- Streamlined discharge planning to create efficient, patient-oriented care strategies
- Interpreted government regulations and policies to establish compliance with operational requirements
- Advocated for placement of patients into community-based treatment settings
- Identified and hired talented individuals bringing valuable skills and great experience to team
- Ensured each member of staff received development opportunities by implementing workshops, seminars and regular training
- Coordinated referrals to community services by advocating for individual needs and addressing roadblocks
- Collaborated with team members to identify and accomplish agency objectives.
Clinical RN Case Manager
KINDRED HOSPITAL NORTH HOUSTON
11.2012 - 10.2013
- Performed utilization review using InterQual evidenced based guidelines to determine patient admission and concurrent review criteria
- Worked closely with payers to insure proper reimbursement for services, worked as part of a interdisciplinary team member to ensure patient's receive appropriate care and hospital's resources are used appropriately.
Registered Nurse/ Charge
TOMBALL REGIONAL MEDICAL CENTER
04.2010 - 10.2012
- Functioned as a charge nurse on an Oncology unit
- Administered chemotherapy, pain medications and other medicines based on physician orders and patient requirements.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
Travel Registered Nurse
CROSS COUNTRY TRAVEL CORP
01.2004 - 04.2010
- Functioned as a travel/ contact nurse in multiple facilities around the United States
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Education
Master of Science - Intergrated Healthcare Management, Healthcare Management
Western Governors University
Salt Lake City, UT, USA07-2028
Bachelor of Science - Nursing
Fairleigh Dickinson University
Teaneck, NJ, USA1996
Bachelor of Science - Psychology
Fairleigh Dickinson University
Teaneck, NJ, USA1996
Skills
- Effective team leadership
- Proficient in computer applications
- Operational efficiency enhancement
- Fluency in compliance & regulatory standards
- Policy development governing health plans and patient care
- Client/ Vendor relations
- Analytical & critical thinking
- Staff development
Timeline
HCBS Clinical Care Coordinator
UnitedHealth Group
06.2023 - Current
Director of Case Management and Utilization Review
Nexus Healthcare Systems
09.2020 - 08.2023
Director of Case Management
CHI ST. LUKE'S HEALTH THE VINTAGE
07.2017 - 09.2020
Director of Case Management
KINDRED HEALTHCARE
10.2013 - 07.2017
Clinical RN Case Manager
KINDRED HOSPITAL NORTH HOUSTON
11.2012 - 10.2013
Registered Nurse/ Charge
TOMBALL REGIONAL MEDICAL CENTER
04.2010 - 10.2012
Travel Registered Nurse
CROSS COUNTRY TRAVEL CORP
01.2004 - 04.2010
Bachelor of Science - Nursing
Fairleigh Dickinson University
Bachelor of Science - Psychology
Fairleigh Dickinson University
Master of Science - Intergrated Healthcare Management, Healthcare Management
Western Governors University