Laurie Latta
Arlington Heights,Illinois
Summary
Highly organized, analytical and multifaceted registered nurse, offering extensive experience in the healthcare industry; Performance-focused leader, skilled at directing and overseeing a wide array of tasks and services while ensuring compliance with operational and organizational standards. Experienced in leading cross-functional teams, optimizing utilization processes, and ensuring compliance with regulatory and quality standards. Adept at balancing cost containment with high-quality patient care outcomes.
Overview
11
11
years of professional experience
Work History
Utilization Management (UM) Manager
Humana Inc.
01.2022 - Current
- Effectively manage attendance, schedules, assignments, and compliance expectations to ensure adequate coverage during business hours, including weekends, evenings and holidays as needed.
- Provide oversight, education, support, and coaching to ensure associates’ performance meets expectations and regional operational goals/metrics.
- Develops and monitors goals for staff; provides ongoing feedback and coaching; conducts annual performance reviews; leads by example; and ensures an atmosphere of open communication, teamwork, and ownership and empowerment to make informed decisions.
- Support the daily management and operations of the department. Oversees utilization management functions which include timely authorizations related to concurrent review.
- Implements and executes policies and processes necessary to support business needs and maintain compliance with regulatory requirements.
- Functions as a clinical resource for the multi-disciplinary care team on an ongoing basis in order to maximize the quality of patient care while achieving effective medical cost.
- Analyze operational and analytical reports to monitor and track operational efficiency.
Utilization Management (UM) Supervisor
Aetna Better Health of Illinois, Chicago II
07.2020 - 01.2022
- Render hands on supervision to a total of 17 registered nurses (RN) and license practical nurses (LPN).
- Preside over training to newly hired utilization (UM) supervisor.
- Hold responsibility in allocating day-to-day responsibilities and monitoring all workload distribution.
- Take charge of organizing twice-a-week rounds with medical doctors for case review.
- Interact with Staff to interpret changes and discuss issues regarding UM policies and procedures.
- Solely execute Inter-Rater Reliability (IRR) for the entire UM department.
- Actively take part in various departmental activities, including human resource representative meetings, CMS audits, site visitations to strengthen relationships, and NCQA calls on behalf of the UM director.
Project Manager
Coventry, subsidiary of Aetna
05.2018 - 07.2020
- Helped plan, implement and evaluate training programs with a goal to help employees continually develop their skills and realize their potential, in both business and clinical settings.
- Participated in a week-long class for Project Management with Learning and Performance.
- Developed a post class research project for NT24 which was presented to upper management.
- Wrote an article for Coventry that was published company-wide, based off research project.
Utilization Management (UM) Supervisor
Aetna Better Health of Illinois, Chicago II
10.2014 - 04.2017
- Established operational framework for newly launched MMAI Illinois plan, which consisted of mass hiring, implementing processes and executing day-to-day coordination.
- Oversaw nurse team that conducted medical necessity reviews for inpatient and outpatient services using evidence-based guidelines.
- Assisted in resolving complex authorization cases and provider escalations.
- Maintained compliance with healthcare regulations and payer policies.
- Contributed to performance improvement initiatives and workflow optimization.
- Hosted twice weekly huddles with Medical directors, UM Nursing and CM Nurses.
Education
Master's in Business Admiration - Healthcare
Western Governors University
Millcreek, Utah06-2025
Associate of Science - Nursing
William Rainey Harper College
Palatine, Illinois01-2010
Bachelor of Education - undefined
Eastern Illinois University
Charleston, Illinois05-1994
Skills
- Team leadership
- Performance management
- Time management
- Decision-making
- Documentation and reporting
- Project management
- Strategic planning
Websites
Timeline
Utilization Management (UM) Manager
Humana Inc.
01.2022 - Current
Utilization Management (UM) Supervisor
Aetna Better Health of Illinois, Chicago II
07.2020 - 01.2022
Project Manager
Coventry, subsidiary of Aetna
05.2018 - 07.2020
Utilization Management (UM) Supervisor
Aetna Better Health of Illinois, Chicago II
10.2014 - 04.2017
Associate of Science - Nursing
William Rainey Harper College
Bachelor of Education - undefined
Eastern Illinois University
Master's in Business Admiration - Healthcare
Western Governors University