Macy Proveaux
Lake City,FL
Summary
Licensed Practical Nurse with almost 5 years of experience in clinical and administrative roles across home health Care. Proven track record handling referral intake, payer authorizations, and Medicare PCR submissions accurately and efficiently. Known for strong attention to detail, fast turnaround times, and clear communication with patients, providers, and insurance reps.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Clinical Manager and Intake Coordinator
Suwannee Home Care
11.2020 - 05.2025
- Managed daily intake of referrals from hospitals, physicians, and SNFs; ensured documentation was complete in its entirety per CMS guidelines for fast processing and efficient billing.
- Submitted and followed up on prior authorizations for home health services, working directly with payers to minimize delays.
- Entered and tracked Medicare PCRs accurately; collaborated with clinical and billing teams to meet compliance timelines.
- Reviewed orders and plan of care against payer requirements and agency protocols.
- Trained two new staff members on intake procedures and use of EMR systems.
- Worked with insurance portals to check coverage, submit documentation, and resolve denials.
- Maintained log of PCRs submitted, pending, and approved to support billing cycle and reduce claim rejections.
- Collaborated with RN case managers to align services with medical necessity and patient eligibility.
Home Health Field Nurse (LPN)
Suwannee Home Care
11.2019 - 11.2020
- Provide in-home skilled nursing care to an average of 6 patients per day following individualized care plans.
- Perform wound assessments and complex dressing changes using advanced wound products per MD orders.
- Administer IV, IM, and subcutaneous medications, as well as insulin injections.
- Educate patients and caregivers on chronic condition management (e.g., CHF, COPD, diabetes).
- Monitor and document vitals, pain levels, and progress during skilled visits.
- Communicate changes in patient condition to supervising RNs and physicians promptly.
- Document visits in EMR (Homecare Homebase), keeping all notes timely and audit-ready.
- Participate in case conferences and contribute clinical input to multidisciplinary plans of care.
Rehab LPN
Palms Garden Health and Rehabilitation
09.2018 - 05.2019
Education
Licensed Practical Nurse - LPN
River oak technical Collage
Live Oak, FL07.2017
Skills
- Referral Intake & Processing
- Prior Authorization Management
- Medicare PCR Submission & Tracking
- Axxess EMR system
- Insurance Verification (Medicare, Commercial, and Workers Comp)
- HIPAA Compliance
- Care Coordination
- Physician and Patient Communication
- Medical Terminology
Certification
- Current LPN License
- CPR/BLS Certified
Timeline
Clinical Manager and Intake Coordinator
Suwannee Home Care
11.2020 - 05.2025
Home Health Field Nurse (LPN)
Suwannee Home Care
11.2019 - 11.2020
Rehab LPN
Palms Garden Health and Rehabilitation
09.2018 - 05.2019
Licensed Practical Nurse - LPN
River oak technical Collage
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