Linda Allen
Health Care
Green Ridge,MO
Summary
Reliable individual bringing 25 years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
Overview
19
19
years of professional experience
Work History
Utilization Review Tech
Royal Oaks Hospital/Pathways
Windsor, MO
11.2011 - 01.2022
- Evaluated medical guidelines and insurance benefit coverage to determine appropriateness of inpatient admission
- Attended treatment team meetings with medical personnel to find effective solutions to mental health and financial issues
- Served as resource, providing information related to Insurance situations.
- Maintained all utilization review documentation through Microsoft software.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed admission reviews based for medical necessity based upon Medicare & Medicaid guidelines.
- Performed prior authorization review of services requiring notification.
Secretary, Rehab Tech, Admitting Intake St, & Oper
University Of Toldeo Medical Center
Toledo, OH
02.2003 - 07.2010
- Responded to emails and other correspondence to facilitate communication and enhance RN/BSN school processes.
- Produced accurate office files, updated spreadsheets and crafted presentations to support Director of RN/BSN program and boost team productivity.
- Helped develop care plans for patients with complex needs and assisted patients with using rehabilitation equipment and ADL's
- Communicated back to nurses and therapists regarding patient performance and condition.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
Nursing Aide
Anne Grady Corporation
Holland, OH
01.2002 - 04.2003
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Education
Bachelor of Arts - Health Administration
University of Toledo
Toledo, OH05.2011
Associate of Arts - Health Information Technology
Owens Community College
Perrysburg, OH05.2007
Skills
- Documentation and reporting
- Physician consultations
- Interpersonal and written communication
- Planning and Coordination
- Data Entry
- First Aid/CPR
- Organization and Time Management
- PPE Compliance
- ICD 9 & ICD 10 coding systems
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Believe those who are seeking the truth. Doubt those who find it.
André Gide
Timeline
Utilization Review Tech
Royal Oaks Hospital/Pathways
11.2011 - 01.2022
Secretary, Rehab Tech, Admitting Intake St, & Oper
University Of Toldeo Medical Center
02.2003 - 07.2010
Nursing Aide
Anne Grady Corporation
01.2002 - 04.2003
Bachelor of Arts - Health Administration
University of Toledo
Associate of Arts - Health Information Technology
Owens Community College
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