LATWAYNA ROGERS
San Antonio,TX
Summary
Dependable Utilization Review Nurse promoting over 12 years of expertise in healthcare industry. Knowledgeable in admissions and stay reviews.
Overview
13
13
years of professional experience
Work History
LVN Service Coordinator
Community First Health Plans
12.2016 - Current
- Expedited urgent requests for prior authorization, ensuring timely access to critical medical treatments.
- Conducted thorough reviews of medical records, identifying necessary documentation to support prior authorization requests.
- Worked closely with case managers to facilitate appropriate utilization of healthcare resources through the prior authorization process.
- Enhanced patient care by assessing insurance coverage and obtaining prior authorization for medical procedures.
- Mentored new hires within the team, sharing expertise in navigating complex insurance guidelines and best practices for managing workflow efficiently.
LVN Field Supervisor
Outreach Heath Service
09.2014 - 06.2015
- Collaborated with interdisciplinary healthcare teams to develop comprehensive care plans tailored to patients'' needs.
- Managed time efficiently during busy shifts by multitasking effectively without compromising quality of care.
- Recruit, interview, hired and terminate attendants needed to provide service for clients.
- Conduct visits to each client's home for supervision and evaluation of service.
- managed caseload of 160 clients, providing education and assisted with intake coordination.
- Overseen the day to day processing of payroll, including review of timesheets and computing pay in accordance with Fair Labor Standards act (FLSA)
LVN
Christus Homecare
08.2010 - 04.2015
- Enhanced patient care by providing compassionate and individualized attention, leading to improved health outcomes.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Mentored new LVN hires through the orientation process, sharing expertise to support their integration into the team successfully.
- Monitored vital signs regularly, alerting physicians to any concerning changes or trends in patient health status.
- Changed out tracheostomies, gastrostomy buttons and catheters regularly to prevent infection or other problems.
Education
Kaplan College
San Antonio, TX04.2010
Career Quest
San Antonio, TX06.2005
Skills
- Utilization Review
- Insurance Verification
- Utilization Management
- InterQual Criteria
- Electronic Health Records
- Prior Authorization
- Time Management
- Milliman Guidelines
- HIPAA Compliance
- Medicare Knowledge
- ICD-10
- Medicaid Knowledge
- Managed Care
- Medical Coding
References
References available upon request
Timeline
LVN Service Coordinator
Community First Health Plans
12.2016 - Current
LVN Field Supervisor
Outreach Heath Service
09.2014 - 06.2015
LVN
Christus Homecare
08.2010 - 04.2015
Kaplan College
Career Quest
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