Regina Gonzalez
Roseville,MI
Summary
Dynamic PPS/Admission Coordinator with proven expertise in obtaining prior authorizations and conducting comprehensive reviews for Corewell Health William Beaumont University Hospital. Possesses strong communication and interpersonal skills with demonstrated ability to manage competing priorities and meet deadlines.
Overview
24
24
years of professional experience
Work History
PPS / Admission Coordinator
Corewell Health William Beaumont University Hospital
2012.03 - Current
- Obtain prior authorizations for Inpatient Rehabilitation through Medical, Auto, and Workers Compensation plans
- Conduct concurrent reviews
- Conduct chart review to ensure medical stability, appropriate level of care, and appropriate placement within the rehabilitation unit
- Develop comprehensive reports for senior management.
- Completion of IRF-PAI through the documentation, collection, review, and entry of multi-disciplinary documentation
- Collaborate with external facilities for patient placement
Registered Nurse
William Beaumont Hospital
2000.10 - 2012.03
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
Education
Associate of Applied Science - Nursing
St. Clair County Community College
Port Huron, MI05.2000
Skills
- Proficient with multiple insurance portals including but not limited to Availity, Home and Community Care, Meridian, Priority Health, and Wellcare
- Epic proficient
- Allscripts experience
- Customer Service
- Data Entry
- Work Planning and Prioritization
- Relationship Building
- Project Support
- Phone and Email Etiquette
- Staff Training
- New Hire Orientation
Timeline
PPS / Admission Coordinator
Corewell Health William Beaumont University Hospital
2012.03 - Current
Registered Nurse
William Beaumont Hospital
2000.10 - 2012.03
Associate of Applied Science - Nursing
St. Clair County Community College
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