Summary
Overview
Work History
Education
Skills
City
State
Zip
Street
Timeline
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Lois DeMoss

Port Saint Lucie,FL

Summary

I am a qualified and professional registered nurse with over five years of experience in utilization review. Strong communication skills and attention to detail with the ability to excel with minimal supervision. Licensed in the state of Florida and also hold a compact license.

Overview

9
9
years of professional experience

Work History

UTILIZATION REVIEW ANALYST

Cigna/EviCore
09.2017 - Current
  • Review verbal/written clinical for Radiology Oncology imaging requests for healthcare providers
  • Train new hires within the Oncology department and conduct case observations
  • SuperUser for Internal Pathways; train colleagues to Internal pathways
  • Mentor/coach 1:1 seasoned nurses to improve productivity
  • Assist team with current processes/guideline related questions
  • Maintain compliance with Medicare/Medicaid and all other health plans.

CARE TRANSITIONAL COORDINATOR, RN

Visiting Nurse Association of Florida
01.2015 - 08.2017
  • Develop relationships with referral sources and clinically coordinate patient care through transition from inpatient to home care setting
  • Serve as a liaison between this agency and physicians, hospitals, nursing homes, and other facilities.

Education

RN -

HELENE FULD COLLEGE OF NURSING
NEW YORK, NY
11.2013

LPN -

INDIAN RIVER STATE COLLEGE
FT PIERCE, FL
12.2010

Skills

  • Image One/CDP Platform
  • ISAAC Platform
  • SharePoint
  • Outlook
  • PowerPoint/Excel/Word
  • Flexibility / Adaptability
  • Self-motivating

City

Port Saint Lucie

State

FL

Zip

34953

Street

3133 SW Esperanto St.

Timeline

UTILIZATION REVIEW ANALYST

Cigna/EviCore
09.2017 - Current

CARE TRANSITIONAL COORDINATOR, RN

Visiting Nurse Association of Florida
01.2015 - 08.2017

RN -

HELENE FULD COLLEGE OF NURSING

LPN -

INDIAN RIVER STATE COLLEGE

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Lois DeMoss