Mitsie Robinson

● Review pre-authorization request for skilled home health nursing, and rehabilitative services to determine if requests meets medical necessity for requested level of care

● Coordinate transition of patients from the community or acute setting to the next appropriate level of care

● Following established facility policies and procedures all while being accurate and efficient

● Participate in the clinical phone queue to ensure customer's service level agreements are satisfied

● Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed

• Collaborated with healthcare providers to ensure timely submission of required documentation for HEDIS review.
• Managed data abstractions, medical record review processes, identification of critical issues, and process improvements to optimize and measure results
• Reviewed and integrated medical information from electronic and paper medical records in a timely manner
• Initiated a high volume of telephonic interaction with provider offices along with following up on requested medical records with medical staff

• Conducted daily shift briefs to inform staff of changes in patient care assignments.
• Examined and treated incarcerated patients by providing health care assessments, maintaining proper safety procedures
• Conducted screening, diagnostic treatment, rehabilitative, and supportive services as the health care team leader
• Monitored patient progress and responses, providing behavioral, and emotional support
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.