Rebecca Colon
Chattanooga,TN
Summary
Proficient and caring nursing team member offering over 7 years of patient-facing experience. Addresses patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
28
28
years of professional experience
Work History
Utilization Management Assistant
CHI Memorial Hospital
07.2016 - Current
- Active LPN license
- Proactively involved in all aspects of utilization management includes; pre certification, concurrent review, and clinical case denials.
- Review electronic and paper charts to provide documentation for admission stay criteria.
- Confer with internal and external physicians to access the appropriateness of the level of care.
- Analyze appropriate data to identify problems relating to delays in the delivery of care and patient placement.
- Initiate timely communications with insurance companies to obtain authorizations for hospitalizations.
- Notify third party payers; includes various state Medicaid programs, via online websites.
- Respond to heath plan inquiries and request in a timely manner.
- Proficient in multiple jobs daily: including reviews, submitting authorizations, checking authorizations, faxing updates daily and calls.
- Trained and have 7 years experience on Epic, Availity, and MCG.
- I have transitioned from office to home for the last 3 years.
- Able to provide training for colleagues.
LPN
Lifecare Of Collegedale
02.2016 - 07.2016
- Helped patients complete bathing, dressing, and eating.
- Cared for wounds, provided treatments, and assisted with procedures.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Obtained patient vital signs and input/output measurements from inpatients.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Administered medications and injections to patients.
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
Manager
Lucy & Ethel’s Cleaning Service
06.2010 - 08.2014
Production Operator
McKee Foods Corporation
06.1995 - 01.2008
Education
Associate of Applied Science - LPN
Chattanooga State Community College
Chattanooga, TN12.2015
High School Diploma -
Tyler Academy
Chattanooga06.1995
Skills
- Case Management
- Time Management
- Epic Systems
- Medication Dispensing
- Charting and Recording
- Caregiver Skills
- Critical Thinking
- Microsoft Exchange
- Benefits Verifications
- Patient Medical Histories
- New Product Information
- Authorization Verification
Timeline
Utilization Management Assistant
CHI Memorial Hospital
07.2016 - Current
LPN
Lifecare Of Collegedale
02.2016 - 07.2016
Manager
Lucy & Ethel’s Cleaning Service
06.2010 - 08.2014
Production Operator
McKee Foods Corporation
06.1995 - 01.2008
Associate of Applied Science - LPN
Chattanooga State Community College
High School Diploma -
Tyler Academy
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