Laura Morris-Burns

• Collaborated with healthcare professionals to ensure accurate documentation and adherence to regulatory guidelines.
• Played a key role in reducing claim denials due to incorrect documentation or billing practices through proactive identification of potential issues during the review process.
• Contributed to better patient outcomes by ensuring proper utilization of resources through accurate medical necessity evaluations.
• Reduced errors in medical records through diligent review, improving overall patient data integrity.

• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.

• Developed strong relationships with community partners, facilitating referrals for additional services as needed.
• Reviewed medical records diligently for accuracy and completeness while maintaining strict confidentiality standards at all times.
• Reduced hospital readmissions by developing comprehensive discharge plans and ensuring proper follow-up care.
• Increased patient satisfaction by addressing concerns and providing empathetic support throughout their treatment journey.

Promoted to perform front-end review of specialist and acute care offices using Medicare guidelines to determine appropriate level of care in partnership with Medical Director. Engaged providers and specialists to obtain additional medical records to perform review of care. Applied excellent communication skills to prepare letters to patients, physicians, and specialist offices to document coverage determinations in line with Medicare guidelines. Interfaced with Utilization review departments and hospital administrators to discuss pre-authorizations or denials as appropriate for the specific cases.

• Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.

• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.

• Counseled patients via telephone according to established guidelines and protocols, advising on provider-established plans of care.
• Managed high-stress situations calmly, providing reassurance to distressed callers while gathering necessary information for accurate decisionmaking.
• Obtained case history and gathered triage information to determine appropriate avenue for care.
• Increased efficiency in triage call handling through effective communication and active listening skills.