Summary
Overview
Work History
Education
Skills
Timeline
Generic

Loretta Strite

Tullahoma,TN

Summary

Knowledgeable

Compassionate Care Coordinator with background in patient advocacy and care management. Experience includes working with diverse patient populations, coordinating healthcare services, and ensuring efficient delivery of high-quality care. Strengths entail strong interpersonal skills for liaising between patients, healthcare providers, and insurance companies; and problem-solving abilities for addressing any issues or barriers to care. Previous roles involved improved patient satisfaction rates and streamlined care processes.

Overview

34
34
years of professional experience

Work History

Care Coordinator

UHC
Tullahoma, TN
05.2022 - Current
  • Supported clients during hospital admissions and discharges.
  • Provided professional navigation of health care system for clients.
  • Provided emotional support to patients dealing with difficult health issues.
  • Coordination of care for each client through healthcare needs.
  • Coordinate DME products, SDOH, referrals for member advocates.
  • Coordinated with other health professionals to develop individualized plans of care for patients.
  • Facilitated on-going assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
  • Communicated with patients with compassion while keeping medical information private.
  • Attended meetings with families and other members of the interdisciplinary team to discuss patient progress and plan for future interventions.
  • Ensured compliance with state regulations related to healthcare service provision.

Utilization Review Nurse

Evicore/Cigna
Tullahoma
09.2019 - 03.2022
  • Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Collaborated with multidisciplinary teams on developing strategies for improving care quality and controlling costs.
  • Determined medical necessity and cost-effectiveness of services through utilization review processes.
  • Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
  • Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.

Administrator

Americare
Sikeston, Missouri
03.2010 - 09.2019
  • Monitored budget expenditures and prepared financial reports for review by management.
  • Identified needs of customers promptly and efficiently.
  • Facilitated training sessions for new employees on company policies and procedures.
  • Maintained positive working relationship with fellow staff and management.
  • Processed payroll and managed employee records, ensuring compliance with legal requirements.
  • Conducted performance evaluations and recommended training programs for staff development.
  • Served as the primary point of contact for external stakeholders, including clients and partners.
  • Supervised administrative staff, delegating tasks and managing workload distribution.
  • Assisted with budget preparation and tracking of expenses.

Administrator

Grace Manor Assisted Living
Madison, TN
05.2009 - 02.2015

Sales and Marketing for New Start up of Non Profit assisted living facility

  • Monitored budget expenditures and prepared financial reports for review by management.
  • Facilitated training sessions for new employees on company policies and procedures.
  • Maintained positive working relationship with fellow staff and management.
  • Responded promptly to customer complaints in a professional manner.
  • Processed payroll and managed employee records, ensuring compliance with legal requirements.
  • Managed day-to-day office operations, ensuring efficient workflow and adherence to policies.
  • Served as the primary point of contact for external stakeholders, including clients and partners.
  • Supervised administrative staff, delegating tasks and managing workload distribution.
  • Assisted with budget preparation and tracking of expenses.
  • Collaborated closely with team members to achieve project objectives and meet deadlines.

Staffing Coordinator

Medical Center of Manchester
Manchester, TN
08.2000 - 10.2009
  • Advised management on organizing, preparing or implementing recruiting or retention programs.
  • Interpreted and explained human resources policies, procedures or regulations.
  • Sourced, qualified and conducted screening interviews with job candidates.
  • Developed and maintained a pool of qualified candidates for future staffing needs.
  • Developed and maintained relationships with hiring managers to understand staffing needs.
  • Developed or implemented recruiting strategies to meet current or anticipated staffing needs.
  • Coordinated and planned work shift schedules according to availability.
  • Utilized staffing software to track employee availability, shifts, and time-off requests.

LPN

Harton Regional Medical Center
Tullahoma, Tennessee
09.1990 - 02.1999
  • Collaborated with healthcare team to develop and implement patient care plans.
  • Worked with social workers, physical therapists and speech therapists to assess patient needs, plan and adjust plans of care and actualize nursing interventions to promote and restore patient health.
  • Collaborated with healthcare team to develop individualized care plans for patients.
  • Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
  • Monitored patient progress during treatments or procedures, reporting any abnormalities to the healthcare team immediately.
  • Provided direct physical and emotional support to patients and their families.
  • Answered patients' calls to determine how to assist.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Maintained accurate medical records of each patient's health condition.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Administered prescribed medications or started intravenous fluids, noting times and amounts on patient charts.

Education

Bachelor of Science - Health Administration

University of Phoenix
Tempe, AZ
04-2011

LPN - Nursing

Vocational Technical School
Shelbyville, TN
09-1990

Skills

  • Multidisciplinary team collaboration
  • Workflow management
  • Empathy and compassion

  • Verbal and written communication
  • Documentation proficiency
  • Healthcare
  • Patient advocacy
  • Needs assessment
  • Care planning
  • Healthcare operations
  • HIPAA compliance
  • Medical terminology understanding
  • Discharge planning
  • Team collaboration
  • Patient education
  • Medical terminology
  • Documentation
  • Case management
  • Nursing background

Timeline

Care Coordinator

UHC
05.2022 - Current

Utilization Review Nurse

Evicore/Cigna
09.2019 - 03.2022

Administrator

Americare
03.2010 - 09.2019

Administrator

Grace Manor Assisted Living
05.2009 - 02.2015

Staffing Coordinator

Medical Center of Manchester
08.2000 - 10.2009

LPN

Harton Regional Medical Center
09.1990 - 02.1999

Bachelor of Science - Health Administration

University of Phoenix

LPN - Nursing

Vocational Technical School
Loretta Strite