STACY ACOSTA
LVN
Spring
Summary
Accomplished Licensed Vocational Nurse leverages critical thinking, analysis and medical knowledge to deliver superior care in high-pressure environments. Collaborates with physicians and multidisciplinary team members, restoring patients' health through nursing and health education processes. Maintains positive attitude in urgent, stressful situations.
Overview
25
25
years of professional experience
2
2
Certification
Work History
MSA- LVN
CSL Plasma
Houston
10.2020 - Current
- Evaluated donor suitability through interviews and medical history reviews.
- Administered approved immunizations to donors and staff as required.
- Assessed test results to confirm donor eligibility and ensure safety.
- Counseled donors on reactive test results to provide necessary information.
- Delivered routine medical care following standard operating procedures.
- Escalated critical situations promptly to Center Physician for further action.
- Conducted comprehensive assessments to maintain high donor safety standards.
- Collaborated with team to enhance operational efficiency in donor care.
Quality Clinical Coordinator
Cigna
Houston
11.2016 - 03.2019
- Ensuring the quality and effectiveness of care provided to members.
- Work with various clinical teams, including care coordinators, nurses, and physicians, to identify areas for improvement in care delivery, and to promote adherence to clinical practice guidelines.
- This involves tasks such as reviewing medical records, conducting audits, and supporting survey readiness to ensure compliance with regulatory standards.
Office Assistant
AJB & Associates Medical Office Answering Service
Houston
02.2014 - 06.2016
- Managed incoming calls for physician offices during staff absences, ensuring timely responses.
- Prioritized urgency of messages for efficient relay to physician assistants and front office staff.
Precertification Nurse
IMO-Injury Management Organization
Houston
09.2012 - 02.2014
- Reviewed and assessed requests for pre-authorization of medical treatments and procedures.
- Ensured compliance with clinical criteria, regulatory requirements, and contractual obligations.
- Utilized CPT and ICD9 codes to verify medical necessity of requests daily.
- Employed Microsoft Office, Excel, CAT system, and ODG Official Disability Guidelines for documentation.
Precertification Nurse
USFHP/CHRISTUS HEALTH
Houston
10.2012 - 09.2013
- Reviewed requests for authorization of medical services to confirm medical necessity and coverage compliance.
- Assessed patient information and medical records to determine service approval or denial.
- Analyzed clinical data from providers to evaluate appropriateness and efficiency of medical services.
- Conducted clinical reviews of all requested services based on established criteria.
- Performed member calls post-hospital discharge to address ongoing medical equipment needs and follow-up care.
- Utilized CPT and ICD9 codes alongside Microsoft Word, Excel, and Interqual systems daily.
Case Manager
Universal American (Texan Plus)
Houston
04.2012 - 07.2012
- Coordinated access to healthcare services for clients in need.
- Conducted needs assessments to identify client requirements and service gaps.
- Developed tailored service plans based on individual client circumstances.
Clinical Nurse Review Supervisor
HealthHelp
Houston
11.2006 - 11.2011
- Conducted telephonic utilization management reviews for diagnostic, cardiology, and radiation oncology outpatient procedures.
- Evaluated requests against clinical protocols to authorize services or refer for expert review.
- Ensured compliance with policies, state regulations, and URAQ & NCQA standards.
- Supported Medical Director in executing quality improvement projects.
- Utilized CPT and ICD-9 codes daily alongside Microsoft Office and Excel.
- Applied evidence-based guidelines to enhance decision-making in service authorization.
LVN-Back Office Nurse
South Austin Family Practice
01.2005 - 01.2006
- Performed CG, visual acuity, all irrigations, suture and staple removal, medication administration (IM, PO, SQ, ID, topical, vaginal) as well as inhalation therapy.
- Use of rightfax, Microsoft office, Excel and electronic medical records.
Clinical Review Nurse
CareCore National
01.2004 - 01.2005
- Performed telephonic utilization management review of Diagnostic, Cardiology and Radiation Oncology non-emergent outpatient procedures.
- Evaluated request against established clinical protocol and authorizing services or referred request for expert physician review as appropriate.
- Complied with all policies, procedures, State regulations and URAQ & NCQA standards for utilization management.
- Daily use of CPT and ICD9 codes as well as use of multiple systems for data entry, Milliman and Interqual.
Education
LPN Diploma - Licensed Practical Nurse
Tennessee Technology Center
Clarksville, Tennessee01-1999
Some College (No Degree) - Nursing
Cy-Fair Community College
Houston, TexasSkills
- Patient assessment and clinical documentation
- Immunization administration and medication management
- CPT coding and electronic medical records
- Regulatory compliance and quality improvement
- Data analysis and critical thinking
- Effective communication and collaboration skills
- Emergency response and care coordination
- Health education and customer service
- Problem solving and case management
- Healthcare software proficiency
- Effective communication
- Diabetes management and Education
Certification
- Texas-176000, 11/30/25
- BCLS-AHA, 12/31/25
Timeline
MSA- LVN
CSL Plasma
10.2020 - Current
Quality Clinical Coordinator
Cigna
11.2016 - 03.2019
Office Assistant
AJB & Associates Medical Office Answering Service
02.2014 - 06.2016
Precertification Nurse
USFHP/CHRISTUS HEALTH
10.2012 - 09.2013
Precertification Nurse
IMO-Injury Management Organization
09.2012 - 02.2014
Case Manager
Universal American (Texan Plus)
04.2012 - 07.2012
Clinical Nurse Review Supervisor
HealthHelp
11.2006 - 11.2011
LVN-Back Office Nurse
South Austin Family Practice
01.2005 - 01.2006
Clinical Review Nurse
CareCore National
01.2004 - 01.2005
LPN Diploma - Licensed Practical Nurse
Tennessee Technology Center
Some College (No Degree) - Nursing
Cy-Fair Community College
Similar Profiles
ANTON MCDOWELLANTON MCDOWELL
Donor Floor Support Trainer, •Reception Tech, •Rika Services Technician, •Safety Inspector at CSL Plasma, Plasma ProcessingDonor Floor Support Trainer, •Reception Tech, •Rika Services Technician, •Safety Inspector at CSL Plasma, Plasma Processing
Jada OakleyJada Oakley
Medical Receptionist at CSL Plasma CenterMedical Receptionist at CSL Plasma Center
Jalyn BurgessJalyn Burgess
Phlebotomist Technician at CSL PlasmaPhlebotomist Technician at CSL Plasma
Victoria CarterVictoria Carter
Medical Screener / Reception Technician at CSL PlasmaMedical Screener / Reception Technician at CSL Plasma
SYED HASAN TALHA SHAMSISYED HASAN TALHA SHAMSI
Sales Associate at The Home DepotSales Associate at The Home Depot