MONIQUE C. ALLEN
Rochester,USA
Summary
Licensed Practical Nurse with 26 years of diverse healthcare experience. Proven ability to maintain positive relationships with healthcare professionals and deliver exceptional patient care. Demonstrates composure and professionalism in high-stress situations. Skilled in health education and patient understanding, contributing to improved patient outcomes.
Overview
37
37
years of professional experience
1
1
Certification
Work History
Family Care Coordinator LPN
Family Care Coordinator LPN
07.2018 - 08.2021
- Directs resident care and initiates changes in resident care routines and communicates these changes to staff and families.
- Oversees care and support plans in conjunction with the social worker.
- Coordinates resident assessments with social worker, the admission department, and the administrative staff to provide follow through with admissions paperwork and to ensure that all necessary admissions documentation were completed.
- Oversight of Nurses with admissions process
Preauthorization Nurse Coordinator
AppleOne agency
Rochester, USA
01.2015 - 01.2017
- Performs clinical reviews of medical records and/or other documentation to determine benefit coverage.
- Completes medical review form, accurately documenting findings, and provides policy/regulatory support for determination.
- Reviewing cases and analyzing clinical information to determine the appropriateness of coordination of care.
- Review medical claim forms from providers for accurate ICD 10 coding and billing.
Insurance Underwriter LTC
Excellus/Med America
New York, USA
01.2011 - 01.2014
- Performed telephonic medical history screenings (PHI) for long term care insurance products.
- Perform risk assessments to determine client's insurability for long term care insurance.
- Obtaining medical records for accurate assessments of medical history of applicant.
- Interact with physicians and medical records departments to obtain accurate/current medical.
- Adhere to all regulatory health insurance laws governing fair insurance practices.
- Notification of decisions to agents and clients of denial and/or acceptance of applicants for insurance products.
Licensed Practical Nurse (LPN)/Team Leader
Unity Health
Rochester, USA
01.2001 - 01.2008
- Provided prescribed medical treatment and personal care services to patients on rehabilitation, dementia, and respiratory/ventilation units.
- Performed neurological, musculoskeletal, skin, and general medical assessments.
- Documented patients' daily activities and progress in medical charts.
- Administered and accounted for medications.
- Assisted in determination and coordination of discharge needs.
- As Team Leader, provided supervision to Certified Nursing Assistants.
- Chosen by Public Relations to represent the hospital's UNI Campaign, which illustrates exceptional customer service to patients, families, and providers.
Licensed Practical Nurse (LPN)
Adecco Health
Rochester, USA
01.1991 - 01.2001
- Provided medical treatment and personal care services to elderly patients in various nursing homes, hospital staffing and private physician offices.
- Assisted patients with activities of daily living, grooming, and recreation.
- Maintained documentation in patient's medical records regarding status, objective, assessment.
Disability Claim Examiner
Unger Disability Insurance Agency
Rochester, USA
01.1985 - 01.1990
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Education
Registered Health Information Technology -
Monroe Community College
Rochester, New York01.2018
Associate of Science - Health Related
Monroe Community College
Rochester, New York01.2012
Skills
- Client records organization
- Authorization of medical services
- Medical-surgical expertise
- Chronic and geriatric care
- Medical documentation skills
- Call answering and support
- Client care coordination
- Clinical assessment proficiency
- Medication management strategies
- Patient advocacy initiatives
- Regulatory compliance knowledge
- Benefits determination expertise
Certification
License Practical Nursing, LPN, Educational opportunity center, Rochester, NY, 1996
Timeline
Family Care Coordinator LPN
Family Care Coordinator LPN
07.2018 - 08.2021
Preauthorization Nurse Coordinator
AppleOne agency
01.2015 - 01.2017
Insurance Underwriter LTC
Excellus/Med America
01.2011 - 01.2014
Licensed Practical Nurse (LPN)/Team Leader
Unity Health
01.2001 - 01.2008
Licensed Practical Nurse (LPN)
Adecco Health
01.1991 - 01.2001
Disability Claim Examiner
Unger Disability Insurance Agency
01.1985 - 01.1990
Registered Health Information Technology -
Monroe Community College
Associate of Science - Health Related
Monroe Community College
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