Summary
Overview
Work History
Skills
Timeline
Generic
Renee Mangum

Renee Mangum

Summary

Energetic and detail -oriented healthcare professional with over 10 years of diverse experience in administrative and clinical roles, seeking to transition into Utilization Administrator position. Proven ability to communicate effectively, manage patient care plans, and coordinate services across multidisciplinary teams.

Overview

13
13
years of professional experience

Work History

PRN Tissue Recovery Technician

Eye Bank of Kentucky
07.2025 - Current

Collaborated with surgical teams to recover tissue samples while adhering to strict medical protocols and regulatory standards.

Provide compassionate support to families during sensitive times, demonstrating excellent interpersonal and communication skills.

Acting Team Lead, NMI Queue, HCPR

Humana
01.2025 - Current
  • Trained new team members by relaying information on company procedures and safety requirements.
  • Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
  • Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
  • Coached team members in techniques necessary to complete job tasks.

Grievance and Appeals Specialist, HCPR

Humana
11.2016 - Current
  • Maintained compliance with regulatory requirements by staying current on industry standards and guidelines.
  • Demonstrated exceptional problem-solving skills when faced with unique or challenging cases, resulting in successful resolutions that satisfied all parties involved.
  • Displayed excellent time management skills while managing multiple high-priority cases concurrently without compromising quality or attention to detail.
  • Optimized workflows within the department by identifying inefficiencies and making recommendations for improvement based on data-driven analysis.

Clinical Education Specialist

Signify Health
12.2022 - 07.2024
  • Designed assessment tools to measure learner progress, ensuring consistent evaluation of knowledge acquisition and skills development.
  • Collaborated with multidisciplinary teams to design comprehensive curriculum for various clinical specialties.
  • Developed targeted training materials for diverse audiences, including physicians, nurses, therapists, and support staff.
  • Reviewed current literature regularly to maintain up-to-date knowledge of best practices in clinical education methodology.
  • Provided educational lectures and facilitated discussions on weekly basis.

Phlebotomist Instructor

Kentucky School of Phlebotomy
12.2021 - 06.2023
  • Mentored students during their clinical rotations, providing constructive feedback and guidance to improve their skills.
  • Promoted a culture of professionalism among students by modeling appropriate workplace behaviors and emphasizing ethical conduct in patient care.
  • Adapted instructional approaches based on diverse student learning styles, ensuring an inclusive classroom environment that met individual needs.
  • Assisted in curriculum development efforts for the Phlebotomy program, aligning instruction with industry standards and accreditation requirements.
  • Evaluated student performance through assessments, quizzes, and practical examinations, ensuring mastery of key concepts.
  • Provided individualized support for struggling students through one-on-one tutoring sessions or additional practice time in the lab setting.
  • Maintained a safe learning environment by enforcing strict adherence to infection control protocols and safety guidelines.

Phlebotomist

St Mary's Hospital and Medical Center
10.2017 - 12.2020
  • Enhanced patient experience through compassionate care and communication during blood draw procedures.
  • Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
  • Maintained a high level of accuracy in labeling and tracking specimens, ensuring proper testing and timely results.
  • Centrifuged blood samples as outlined in clinical protocols.
  • Organized daily work based on collection priority.
  • Addressed questions and concerns to educate patients on collection process and procedures.

Case Manager Non Clinical

RxCrossroads By McKesson
02.2012 - 11.2016
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.

Skills

  • Legal research
  • Case analysis
  • Workflow management
  • Grievance handling
  • HIPAA compliance
  • Effective communication
  • Strong analytical skills
  • Remote support

Timeline

PRN Tissue Recovery Technician

Eye Bank of Kentucky
07.2025 - Current

Acting Team Lead, NMI Queue, HCPR

Humana
01.2025 - Current

Clinical Education Specialist

Signify Health
12.2022 - 07.2024

Phlebotomist Instructor

Kentucky School of Phlebotomy
12.2021 - 06.2023

Phlebotomist

St Mary's Hospital and Medical Center
10.2017 - 12.2020

Grievance and Appeals Specialist, HCPR

Humana
11.2016 - Current

Case Manager Non Clinical

RxCrossroads By McKesson
02.2012 - 11.2016
Renee Mangum