Stacie Gray

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• Enhanced efficiency of the utilization review process by collaborating with interdisciplinary teams and streamlining communication channels.
• Collaborated with physicians to develop appropriate care plans based on utilization review findings that were both medically necessary and cost effective.
• Served as a liaison between healthcare providers, insurance companies, and patients for efficient resolution of coverage issues or denials following a utilization review assessment.
• Assisted in maintaining regulatory compliance by staying up-to-date on Medicare, Medicaid, and commercial insurance requirements for utilization review activities.
• Collaborated with financial counselors to ensure accurate billing practices based on clinical documentation from utilization reviews.
• Strengthened quality improvement initiatives through regular audits of utilization review processes, identifying areas for improvement, and implementing corrective actions.

• Demonstrated excellent time management skills by prioritizing tasks and efficiently delegating responsibilities, ensuring all patients received timely care.
• Delivered high-quality patient care consistently, adhering to unit protocols and hospital policies while maintaining a professional demeanor under pressure.
• Maintained accurate documentation of patient progress, enabling informed decision-making among healthcare providers.
• Enhanced patient satisfaction through compassionate and empathetic communication with children and families.
• Utilized critical thinking skills to quickly respond to emergency situations, stabilizing patients until further medical assistance arrived.

• Utilized critical thinking skills to quickly respond to emergency situations, stabilizing patients until further medical assistance arrived.
• Developed strong rapport with patients and families, fostering trust and confidence in the nursing team''s abilities.
• Implemented evidence-based nursing practices to optimize patient care quality and effectiveness.
• Collaborated with interdisciplinary teams for comprehensive patient care, resulting in improved overall health outcomes.
• Improved patient outcomes by developing individualized care plans tailored to the needs of pediatric patients.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.