McKenzie Harrington
Overland Park,KS
Summary
I am a Utilization Review Specialist at Cottonwood Springs with expertise in HIPAA compliance. Adept at collaborating with interdisciplinary teams, I excel in critical thinking and problem-solving, ensuring timely authorizations and optimal patient outcomes while maintaining high documentation standards. I am currently in my second year of school getting my masters in counseling.
Overview
7
7
years of professional experience
Work History
Utilization Review Specialist
Cottonwood Springs
Olathe, KS
09.2023 - Current
- Evaluate medical necessity for services and procedures to ensure compliance with guidelines.
- Collaborate with healthcare providers to gather clinical information for review processes.
- Analyze patient treatment plans for adherence to established protocols and policies.
- Develop and maintain documentation standards for accurate reporting of reviews.
- Streamline review processes, enhancing turnaround times for authorization requests.
- Maintain strict confidentiality of patient information, adhering to HIPAA regulations and organizational policies regarding privacy and data security.
- Attends treatment team meetings daily to discuss complex cases and optimize patient care strategies.
- Manage a high volume of cases efficiently by prioritizing tasks and maintaining strict deadlines for completion of reviews.
- Obtain authorizations from multiple insurance carriers for various levels of care.
- Complete prior authorization review of services requiring notification.
- Submit cases for criteria failures and help facilitate resolutions and approvals.
Case Manager for Homeless Veterans
Restart
Kansas City, KS
04.2023 - 09.2023
- Monitored client progress, adjusting interventions based on individual circumstances and feedback.
- Conducted assessments to identify client strengths, challenges, and resource requirements.
- Advocated for clients' access to necessary services including housing, employment, and healthcare resources.
- Developed and maintained accurate documentation of case notes and service plans in compliance with regulatory standards.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Dealt with various clients with substance abuse issues as well as TBIs and multiple different mental health disorders.
- Worked with landlords to house veterans.
Behavioral Health Technician
KVC Behavioral Healthcare
Kansas City, KS
03.2022 - 04.2023
- Monitored patient behaviors and reported changes to clinical staff for timely interventions.
- Documented patient progress and behaviors accurately in electronic health records for compliance and continuity of care.
- Maintained a safe and clean environment, adhering to health regulations and best practices in behavioral health settings.
- Engaged patients in therapeutic activities, promoting motivation and participation in their recovery journey.
- Conducted client rounds to check on residents.
- Delivered compassionate care under challenging circumstances, consistently demonstrating resilience and adaptability when faced with unexpected obstacles or setbacks in patient progress.
- Provided crisis intervention services, successfully de-escalating situations and ensuring patient safety. Conducted safety holds when necessary.
- Implemented therapeutic activities that promoted skill-building, self-awareness, and healthy coping mechanisms.
- Experience dealing the patients who have autism.
Sales Associate
Forever 21
Kansas City, KS
01.2019 - 08.2021
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Managed returns, exchanges and refunds in accordance with store policy.
- Built relationships with customers to encourage repeat business.
Education
Masters In Counseling -
MidAmerica Nazarene University
Olathe, KSBachelors In Psychology -
Upper Iowa University
Fort Leavenworth KS05.2022
Skills
- Healthcare regulations
- Utilization review
- Documentation and reporting
- Time management
- Multitasking
- Compassionate and caring
- Reliability
- Critical thinking
- Direct patient care
- CPR certification
- Organizational skills
Timeline
Utilization Review Specialist
Cottonwood Springs
09.2023 - Current
Case Manager for Homeless Veterans
Restart
04.2023 - 09.2023
Behavioral Health Technician
KVC Behavioral Healthcare
03.2022 - 04.2023
Sales Associate
Forever 21
01.2019 - 08.2021
Masters In Counseling -
MidAmerica Nazarene University
Bachelors In Psychology -
Upper Iowa University