Microsoft Excel
Priscilla Robinson
Bastrop,La.
Overview
29
29
years of professional experience
Work History
LPN (Remote)
Freedom Behavioral of Bastrop
Bastrop, La.
10.2023 - 11.2024
- Responsible for obtaining authorizations on new admits and completion within 24 hour turnaround time with appropriate diagnosis(es) per interqual; complete concurrent reviews in a timely manner at designated time; complete discharged patients within 48 hours; insurance verification as applicable; involvement in daily patient meetings with providers; involvement in weekly treatment team meetings with patient and provider; complete daily logs for census, admissions, discharges, and outliers; other duties as assigned
Case Manager
Vantage Health Plan /Blue Cross Blue Shield of LA
Monroe, La.
09.2019 - 10.2024
- Company Overview: (Vantage transitioned to BCBS of La eff. 01/23)
- Responsible for an assigned case load of members; contact members per guidelines to educate on disease processes; complete HRAs (health risk assessments) initially and annually as required per CMS guidelines; create a care plan and review obtainable goals with members; involve PCP and other providers in member's care plan and fax assessments once completed; update and create Excel spreadsheets as needed; assist with chart audits; assist in training/onboarding of new case managers; fill in for other case managers when out of office; any additional assignments deemed necessary for the department; transferred to the HRA team solely Sept. 2020 but remained part of the Case Management department (HRA team consisted of 3 nurses picked out of 20+ Case Managers for the department); Vantage merged with BCBS in January 2023
- (Vantage transitioned to BCBS of La eff. 01/23)
Care Manager
Affinity Health Group (owned by Vantage Health Plan)
Monroe, La.
09.2018 - 09.2019
- Call patients according to their risk levels as determined by their disease process(es); educate patients on diseases/conditions; assist with goal setting to maintain a healthy lifestyle and prevent hospital admissions; monitor for progress and discharge from program once goals have been met and/or patient becomes non-compliant with program; review patient log for potential admits in to the program; contact PCP and/or other providers to schedule appointments, transportation, and request medication refills or orders for medical equipment as deemed necessary
Hyperbaric Coordinator/Supervisor
Morehouse General Hospital
Bastrop, La.
07.2015 - 08.2018
- Daily scheduling of employees and patients; obtain insurance authorizations; daily operations of EMR with scans and uploads and charting; upload and print photos for patient charts; prepare charts for visits; assess all new admits; perform wound care on all patients; order supplies as necessary including special order items; prepare QA/QI reports; create and update forms as needed; review labs and diagnostics; perform and/or assist the physician with debridements and other procedures; attend manager meetings and/or assist with recommendations to improve the clinic operations; review charts for Hyperbaric candidates; public relations as needed; ICD-10 coding on new admits; monitor staffing and productivity according to census; efficient in multiple computer programs; input of daily charges; review reports for accuracy; updating of daily, weekly, and monthly logs; monitor patients during a Hyperbaric treatment and take lead in events of an emergency; utilization review per protocol; perform TCPO2 as ordered; perform all other duties of a department head
Hyperbaric Tech
St. Francis Wound Healing Center
Monroe, La.
05.2015 - 07.2015
- Opening/closing daily of Hyperbaric chambers/unit, obtained vital signs and prepared patients for treatments, monitored patients pre, during, and post treatments, prepared and coordinated the daily schedule for patients, assisted in the wound clinic with intake of new and established patients, Safety Director for monthly meetings and topics pertaining to Hyperbarics, reviewed patients to qualify for Hyperbarics per Medicare and UHMS guidelines, worked with commercial insurances to authorize treatments; daily data entry into multiple computer systems for patient information and scheduling, ran multiple reports as necessary; upload and print photos daily; scan documents into EMR system; any other duties as deemed necessary
Intake Coordinator/LPN
United Home Care
West Monroe, La.
02.2015 - 05.2015
- Data entry for all referrals in the United Home Care area; receive emails/faxes with referral information and input all information into the filter for insurance verification; admit patient and prepare all documents for admission for the intake/admit team; review all orders and schedule patients accordingly; receive all incoming calls for the intake department; disburse documents to case managers; call physicians for information and obtain orders as necessary; coordinate schedules with the admission team and patients; send out readmission request to physicians at the end of the episode and/or insurance change; customer service
Hyperbaric Coordinator/Supervisor
Wound Care Specialists
Ruston, La.
05.2012 - 09.2014
- Performed assessment and evaluation on all new patients as well as weekly follow up and utilization reviews on established patients; conducted weekly conference calls with the wound care team and corporate case managers; assisted alongside district marketer with public relations/marketing as needed; coordinated the daily schedules with patients, transportation, and corporate office; Safety Director for the unit and conducted monthly updates/testing for Hyperbaric safety topics with all qualified staff; reviewed patient charts for qualifying factors for HBO; coordinated with corporate scheduling and team leaders for transition of care from/to HBO and the wound clinic; obtained vital signs and prepared patients for treatment; monitored treatments; trained/implemented in HBO for new staff; traveled to wound clinics to assist with care as needed; maintained daily, weekly, and monthly reports; update/email weekly reports on new/pending patients; obtained records as necessary for referrals
LPN, CHT
St. Francis Wound Healing Center
Monroe, La.
05.2010 - 01.2012
- Opening/closing daily of Hyperbaric chambers/unit, obtained vital signs and prepared patients for treatments, monitored patients pre, during, and post treatments, prepared and coordinated the daily schedule for patients, assisted in the wound clinic with intake of new and established patients, Safety Director for monthly meetings and topics pertaining to Hyperbarics, reviewed patients to qualify for Hyperbarics per Medicare and UHMS guidelines, worked with commercial insurances to authorize treatments; daily data entry into multiple computer systems for patient information and scheduling, ran multiple reports as necessary
Felony Clerk
Morehouse Parish District Attorney’s Office
Bastrop, La.
03.2008 - 05.2010
- Assisted Assistant DA (s) with arraignments, hearings, and trials; prepared and mailed dockets for court; prepared and filed bills of information, motions, writs, warrants, subpoenas, notices of intent, discovery and inspections; file posted and computer posted all notes from court; worked with other facilities and agencies to obtain information for cases and/or have officers present for court; assisted probation officers with warrants and/or probation violations and reviews
LPN
Internal Medicine of the Twin Cities
Monroe, La.
06.2007 - 01.2008
- Checked in all new and established patients; obtained vital signs and any changes in patient’s care; performed ICGs, EKGs, PFTs, hearing screenings, nerve conduction studies, PT/INR, Hgb A1C; assisted in procedures; administered meds and injections; scheduled/coordinated tests; obtained information from pharmacies and other medical facilities involving patient care; took call and made weekend rounds to collect information on inpatients prior to physician making daily rounds; assisted lab tech in obtaining labs
LPN
MGH(Morehouse Family Medicine Clinic)
Bastrop, La.
06.2006 - 06.2007
- Perform all duties of a clinic nurse such as calling patients regarding results; calling in meds to the pharmacy; obtained vital signs; assisted with all procedures and exams; administer injections and meds as needed; coordinate patient referrals and appointments; collected specimens and labs; coordinate patient care with the nurse practitioner; perform all duties of clerical such as answer phones; accounts receivable; bookkeeping; filing; data entry in computer; prepare and create new forms; weekly deposits and balancing of receipts; daily superbills and billing; prepare new patient charts; order supplies; obtain referral information on all Medicaid patients; call and/or mail patients regarding appointments; daily scheduling
LPN, CHT
Brossett Corp.
Bastrop, La.
09.2000 - 09.2005
- Certified Hyperbaric Tech and wound care nurse; evaluated and assessed new patients; obtained vital signs on all wound care and hyperbaric patients; monitored patients during hyperbaric treatments; performed daily and weekly wound care on patients with chronic wounds; wrote up daily transport and patient scheduling; performed and logged daily and monthly billing and statistics; data entry in computer; assisted with marketing; assisted supervisor on performing PI/QI as needed; obtained EKGs and TCPO2s on patients during treatments; supervised and ran unit during supervisor’s maternity leave
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Skills
- Vital signs monitoring
- Diabetes management
- Medical equipment operation
- Clinical decision making
- Compassionate care
- Nursing ethics
- Medical documentation
- Disease prevention
- Medication administration
Accomplishments
- Supervised team of 4+ staff members.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Career advancementWork-life balancePaid time offHealthcare benefitsWork from home option401k matchPaid sick leavePersonal development programsQuote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Software
Microsoft Word
PowerPoint
Electronic Medical Records
Quickbooks
Microsoft Teams
Zoom
Languages
English
Native language
Timeline
LPN (Remote)
Freedom Behavioral of Bastrop
10.2023 - 11.2024
Case Manager
Vantage Health Plan /Blue Cross Blue Shield of LA
09.2019 - 10.2024
Care Manager
Affinity Health Group (owned by Vantage Health Plan)
09.2018 - 09.2019
Hyperbaric Coordinator/Supervisor
Morehouse General Hospital
07.2015 - 08.2018
Hyperbaric Tech
St. Francis Wound Healing Center
05.2015 - 07.2015
Intake Coordinator/LPN
United Home Care
02.2015 - 05.2015
Hyperbaric Coordinator/Supervisor
Wound Care Specialists
05.2012 - 09.2014
LPN, CHT
St. Francis Wound Healing Center
05.2010 - 01.2012
Felony Clerk
Morehouse Parish District Attorney’s Office
03.2008 - 05.2010
LPN
Internal Medicine of the Twin Cities
06.2007 - 01.2008
LPN
MGH(Morehouse Family Medicine Clinic)
06.2006 - 06.2007
LPN, CHT
Brossett Corp.
09.2000 - 09.2005
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