Summary
Overview
Work History
Education
Skills
Timeline
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Serene Stevens

Memphis,NY

Summary

Proven Utilization Review Nurse from Sedgwick, adept in reducing healthcare costs by efficiently managing resources and eliminating unnecessary procedures. Excelled in ensuring regulatory compliance and enhancing quality improvement, demonstrating strong clinical judgment and effective communication. Skilled in clinical assessment and fostering teamwork, I bring a track record of results through critical thinking and adaptability.

Overview

18
18
years of professional experience

Work History

Utilization Review Nurse

Sedgwick
06.2006 - Current
  • Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.

Education

Bachelor of Science - Nursing

Baptist College of Health Sciences
Memphis, TN
05.2002

Skills

  • Clinical assessment
  • Interpersonal and written communication
  • Prior Authorization
  • HIPAA Compliance
  • Insurance Verification
  • Quality Improvement
  • Utilization Management
  • Time Management
  • Problem-Solving
  • Teamwork and Collaboration
  • Multitasking
  • Problem-solving abilities
  • Excellent Communication
  • Critical Thinking
  • Strong Clinical Judgment
  • Team Collaboration
  • Active Listening
  • Effective Communication
  • Adaptability and Flexibility

Timeline

Utilization Review Nurse

Sedgwick
06.2006 - Current

Bachelor of Science - Nursing

Baptist College of Health Sciences

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Serene Stevens