Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Stacy Mathis

Byron,GA

Summary

Dedicated Licensed Practical Nurse with over 20 years experience, with the last 10 years focused on Utilization Review, Chronic Condition, Case Management and Bed Management.

Overview

19
19
years of professional experience
1
1
Certification

Work History

LPN, Bed Coordinator

Emory Hospital Warner Robins
01.2024 - Current

Managed all aspects of patient bed assignments, bed placement, and bed turnover for a 237 bed acute-care hospital.

Medical Management Supervisor

Secure Health
01.2015 - 12.2023
  • Lead Medical Management programs, including case management, utilization review, disease management and quality management.
  • Ensure consistency in clinical interventions.
  • Monitor quality, quantity, and efficiency of team workflow processes.
  • Assist in development and enforcement of new departmental processes.
  • Serve as liaison in handling complaints and grievances in the absence of the Medical Management Director.

Medical Management Lead Nurse

Secure Health
10.2022 - 02.2023
  • Assisted Medical Management Supervisor and Director filtering day to day issues.
  • Provided coordination of medical management duties.
  • Ensured medical management staff worked as a team to accomplish the goals of the department.

Disease Management Nurse

Secure Health
10.2018 - 10.2022
  • Identified, enrolled and managed program participants.
  • Performed personalized education, counseling, and coaching to enrollees with chronic health conditions.
  • Maintained accurate and complete information in the system.

Bed Coordinator

Houston Medical Center
03.2017 - 09.2020
  • Managed all aspects of patient bed assignments, bed placement, and bed turnover for a 237 bed acute-care hospital.

Case Management Nurse

Secure Health
07.2017 - 10.2018
  • Conducted utilization review for potential high dollar claims.
  • Assisted in coordination of discharge planning.
  • Developed, tracked and maintained billing for clients.

Utilization Review Nurse

Secure Health
01.2015 - 07.2017
  • Generated authorizations/precertifications.
  • Screened and identified quality of care issues.
  • Screened members for case management and disease management.

Staff Nurse

Lifeguard Pediatrics
06.2013 - 01.2015
  • Provided direct/indirect patient care and assisted physician with procedures.
  • Administered immunizations/ allergy shots, provided nurse triage, initiated patient referrals and managed vaccine inventory and ordering.

Staff Nurse

Houston Medical Center
03.2006 - 01.2015
  • Provided direct patient care, including monitoring vital signs and administering medications.
  • Assisted with activities of daily living on a medical surgical inpatient unit and postpartum unit.

Education

Licensed Practical Nursing Diploma -

Middle Georgia Technical College
Warner Robins, GA
09.2002

Skills

  • Utilization Review
  • Disease Management
  • Case Management
  • Medical Surgical Nursing
  • Postpartum Nursing
  • Pediatric Nursing

Certification

  • Georgia State Licensure # LPN064918, exp 3/31/2025
  • Certified Managed Care Nurse (CMCN) exp 12/31/2023

Accomplishments

  • Secure Health Employee of the 4th Quarter and Year 2018
  • Secure Health Employee of the 2nd Quarter 2020
  • Secure Health Employee of the 3rd Quarter 2023

Timeline

LPN, Bed Coordinator

Emory Hospital Warner Robins
01.2024 - Current

Medical Management Lead Nurse

Secure Health
10.2022 - 02.2023

Disease Management Nurse

Secure Health
10.2018 - 10.2022

Case Management Nurse

Secure Health
07.2017 - 10.2018

Bed Coordinator

Houston Medical Center
03.2017 - 09.2020

Medical Management Supervisor

Secure Health
01.2015 - 12.2023

Utilization Review Nurse

Secure Health
01.2015 - 07.2017

Staff Nurse

Lifeguard Pediatrics
06.2013 - 01.2015

Staff Nurse

Houston Medical Center
03.2006 - 01.2015

Licensed Practical Nursing Diploma -

Middle Georgia Technical College