Laura French
Montgomery,TX
Summary
Results-driven with solid background in coordinating and managing service operations. Possessing proven track record in effective utilization management, quality assurance and case management. Highly organized, team-oriented professional with exceptional communication skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
8
8
years of professional experience
Work History
LTSS Service Coordinator
Elevance Health
06.2017 - Current
- Chart Review, Assessments, Authorization Processing
- Resolved customer complaints and issues to drive satisfaction and loyalty.
- Coordinated and monitored service activities to confirm all requirements are met.
- Maintained accurate records and full compliance with government regulations and agency guidelines.
- Participated in meetings and discussions with internal and external stakeholders to discuss strategies for successful completion of service projects.
- Assessed customer needs and developed solutions to meet needs.
- Communicated with clients and service providers to provide updates on work progress.
- Coordinated and monitored service activities to confirm work met all requirements.
- Updated tracking spreadsheets for process monitoring and reporting.
Utilization Management Nurse
Health Help
05.2015 - 06.2017
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Released authorization or denials for requested medical testing
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
Education
Science
Lamar University
Beaumont, TXNursing LVN
Lamar State Collage
Port Arthur, TX08.1995
Skills
- Accurate and Precise
- Analytical and Critical Thinking
- Resolve Grievances
- Adaptability and Flexibility
- Dependable and Consistent
- Document Verification
- Proficiency in Office Programs
- Records Preparation
References
Provided upon request
Timeline
LTSS Service Coordinator
Elevance Health
06.2017 - Current
Utilization Management Nurse
Health Help
05.2015 - 06.2017
Science
Lamar University
Nursing LVN
Lamar State Collage
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