PREET KAUR
USA
Summary
Licensed Vocational Nurse with 5+ years of clinical experience and 4+ years in high-volume remote case management within managed care environments. Proven ability to manage 50+ cases concurrently while meeting strict productivity and quality benchmarks. Experienced in utilization management support, prior authorization workflows, clinical documentation review, and interdisciplinary care coordination. Adept at working with providers, payers, and members to optimize outcomes and ensure compliance with evidence-based guidelines.
Overview
7
7
years of professional experience
1
1
Certification
Work History
LVN - Nurse Case Manager
Personify Health
, Remote
06.2022 - Current
- Coordinated care for assigned patient populations across multiple settings with providers, members, and interdisciplinary teams to enhance patient outcomes.
- Manage a caseload of 50+ members daily, coordinating care across acute, post-acute, and outpatient settings to ensure continuity and cost-effective outcomes.
- Support utilization management workflows including prior authorization review, clinical documentation validation, and eligibility verification to facilitate timely approvals and reduce delays in care.
- Apply health plan policies and evidence-based clinical guidelines to support care coordination and utilization management processes.
- Monitored cases to ensure compliance with turnaround time requirements and quality standards, contributing to overall service delivery efficiency.
- Consistently meet productivity and quality benchmarks in a remote managed care environment.
- Maintain accurate, timely documentation within client-based case management and UM platforms.
- Review clinical information for completeness and accuracy prior to submission for authorization or next-level review.
- Obtained additional clinical documentation from providers to support UM workflows.
- Identify and escalate quality, access, or care coordination concerns per organizational procedures.
- Worked at HealthComp
LVN - Charge Nurse
Curative Medical
Sacramento, CA
02.2021 - 04.2022
- Developed and modified patient care plans in collaboration with physicians and interdisciplinary teams.
- Conducted patient assessments and monitored responses to treatments and medications.
- Supervised nursing operations and coordinated patient care activities to enhance unit efficiency and patient outcomes.
- Trained and mentored nursing staff on clinical protocols and safety standards to improve adherence and documentation accuracy.
- Ensured compliance with HIPAA and infection control measures to maintain patient confidentiality and safety standards.
Licensed Vocational Nurse
Kaiser Permanente
Manteca, CA
09.2020 - 11.2020
- Coordinated patient care with providers to ensure effective clinical procedures.
- Monitored vital signs to maintain continuity of care for patients.
- Documented patient assessments and clinical data in electronic medical records to ensure accurate information flow.
Licensed Vocational Nurse
United Allergy Services
Austin, TX
04.2019 - 01.2020
- Monitored patients for adverse or anaphylactic reactions to ensure prompt intervention.
- Educated patients on treatment plans and chronic condition management to enhance understanding and adherence.
- Provided allergy testing and immunotherapy services to support patient allergy management.
Education
Diploma - Vocational Nursing
Lincoln Technical Institute
Edison, NJSkills
- Nurse Case Management
- Utilization Management Support
- Prior Authorization Assistance
- Eligibility & Benefit Verification
- Care Plan Development & Monitoring
- Clinical Documentation Review
- Managed Care Workflows
- Provider & Member Communication
- Turnaround Time (TAT) Compliance
- NCQA / Regulatory Awareness
- EMR & UM Platforms
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Certification
Licensed Vocational Nurse (LVN), California, Active
Languages
- Punjabi, Native/Bilingual
- Hindi, Native/Bilingual
- Urdu, Professional Working Proficiency
Timeline
LVN - Nurse Case Manager
Personify Health
06.2022 - Current
LVN - Charge Nurse
Curative Medical
02.2021 - 04.2022
Licensed Vocational Nurse
Kaiser Permanente
09.2020 - 11.2020
Licensed Vocational Nurse
United Allergy Services
04.2019 - 01.2020
Diploma - Vocational Nursing
Lincoln Technical Institute