Summary
Overview
Work History
Education
Skills
Affiliations
Websites
References
Timeline
Generic
Rebecca Allison

Rebecca Allison

Chandler,TX

Summary

Compassionate RN with extensive remote experience at United Health Care, specializing in patient advocacy and care coordination. Demonstrated ability to enhance patient outcomes through effective communication and relationship management. Expertise in telehealth services and case management, achieving successful resolutions for member claims and fostering collaborative healthcare solutions.

Overview

30
30
years of professional experience

Work History

Post Service Appeals RN

United Health Care
, OH
06.2024 - Current
  • Analyzed member claims of denial to identify solutions and authorize coverage where possible.
    Clarified reasons for denials to promote transparency and understanding.
    Engaged with teammates, advanced-level staff, and medical providers for collaborative problem-solving.

RN Case Manager

OPTUM/UMR
Sharonville , OH
06.2021 - 06.2024
  • Enhanced patient outcomes by effectively communicating with members over the phone.
    Emphasized disease management techniques to assist members in overcoming obstacles.
    Utilized three years of case management experience in remote care environments.
    Built supportive relationships with members, increasing their commitment to health goals.

Home Health RN Case Manager

AtHome Health
Tyler, Texas
08.2018 - 05.2021
  • Managed patient care coordination in home settings, enhancing recovery experiences post-hospitalization.
    Administered wound care and tracked therapeutic progress for necessary modifications.
    Informed patients on disease understanding and recognized compliance challenges.
    Engaged with healthcare providers to relay critical updates on patient conditions.

Registered Nurse

Christus Trinity Mother Frances Hospital
Tyler , TX
06.2011 - 08.2018
  • Delivered bedside nursing in Level 2 Trauma and Med-surg ICU environments.
  • Conducted telehealth triage for after-hours patient inquiries.
  • Performed phone triage, scheduled appointments, and communicated test results in Family Practice office.
  • Assisted 10 providers in Cardiology office with appointment scheduling and medication reconciliation.

Licensed Vocational Nurse

CHRISTUS Trinity Mother Frances Health System
Tyler, Texas
01.1996 - 05.2011
  • Served as Float Nurse-LVN in office settings during staff shortages across various specialties.
  • Managed LVN/Office Assistant float pool for two years, overseeing scheduling and hiring processes.
  • Coached staff members to enhance performance and service delivery.

Education

Associate of Applied Science - Registered Nurse

TYLER JUNIOR COLLEGE
Tyler, TX
05-2011

Certificate of Completion - Vocational Nursing

KILGORE JUNIOR COLLEGE
Kilgore, TX
08-1989

Skills

  • Microsoft Office Suite
  • Telehealth services
  • Patient advocacy and care coordination
  • Case management and clinical judgment
  • Effective communication and collaboration
  • Relationship building and patient monitoring
  • Compassionate patient care
  • Medical coding and documentation
  • Intravenous therapy and IV setup
  • Health screening and vaccine administration
  • Palliative care awareness
  • Women's health exams
  • Care coordination
  • Diabetes management
  • Oxygen saturation standards
  • Patient check-ins
  • Family advocacy
  • Deadline management
  • Supply restocking
  • Discharge coordination
  • Patient evaluation
  • EMR / EHR systems
  • Home visits

Affiliations

  • Volunteer with the Daughters of the Nile Organization; philanthropic unit that directly assist Shriner's Hospital for Children
  • Held position as Queen of our Local Temple.

References

References available upon request.

Timeline

Post Service Appeals RN

United Health Care
06.2024 - Current

RN Case Manager

OPTUM/UMR
06.2021 - 06.2024

Home Health RN Case Manager

AtHome Health
08.2018 - 05.2021

Registered Nurse

Christus Trinity Mother Frances Hospital
06.2011 - 08.2018

Licensed Vocational Nurse

CHRISTUS Trinity Mother Frances Health System
01.1996 - 05.2011

Associate of Applied Science - Registered Nurse

TYLER JUNIOR COLLEGE

Certificate of Completion - Vocational Nursing

KILGORE JUNIOR COLLEGE

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