NICOLE OLOTEO

In the pre-authorization process, responsibilities encompass medical assessment, eligibility verification, policy interpretation, benefit application, cost evaluation, and coordination with external entities or third-party administrators (TPAs).

Assess the suitability and need for medical treatments using Utilization Management review techniques, aiming to enhance quality, outcome-driven medical care and deliver exceptional service to clients with accuracy and effectiveness.

I excel in delivering excellent care, ensuring patient safety, and satisfaction. I lead bedside nurses, oversee doctor's orders, and handle all concerns during my shifts.