Stephanie Thompson
Las Vegas,NV
Summary
Reliable worker with 25+years of Nursing experience, excellent communication, time management, and computer skills. A driven and detail-oriented individual with a desire to use analytical and problem-solving skills to meet goals.
Offering solid background in healthcare concepts and demonstrated ability to quickly learn and apply medical review standards. Contributes analytical mindset and proficiency in data management to ensure efficient utilization review processes. Ready to use and develop analytical skills and attention to detail in Utilization Review role.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Utilization Review
Universal Health Services
Las Vegas, NV
10.2025 - Current
- Enhanced the efficiency of the utilization review process by collaborating with interdisciplinary teams and streamlining communication channels.
- Worked within care access and monitoring team to offer clerical and data entry support for members requiring hospitalization and utilization review for healthcare services.
- Conducted utilization review to verify medically necessary care is received in correct setting.
- Maintained professional competence by staying current on industry trends, best practices, and regulatory requirements specific to utilization review nursing.
Medical Adjudication
United Health Group, Optum
Las Vegas, NV
01.2025 - 09.2025
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
CASE MANAGEMENT RN/ UTILIZATION REVIEW
Southern Hills Hospital
Las Vegas, NV
02.2015 - 12.2024
- Executed assessment planning and implementation of individualized discharge plans for patients.
- Communicates with Physicians, clinical staff, and other Case Managers to coordinate care
- Collaborated with physicians and other members of the healthcare team to facilitate quality outcomes while optimizing cost containment strategies.
- Coordinated appeals process between providers, members, payers and third party administrators regarding denied requests for services.
RN CASE MANAGER
Nathan Adelson Hospice
Las Vegas, NV
11.2014 - 02.2015
- Home Care Conduct patient care and assessment
- Assess patient's needs, medication, and equipment
- Organization and implementation of patient care
- Maintain patient chart and documentation of care
- Perform patient education and home safety.
- Utilized critical thinking skills to assess changes in patient conditions, recognize complications and intervene appropriately.
- Attended interdisciplinary meetings to discuss complex cases and provide input regarding appropriate course of action.
REGISTERED NURSE PICU NICU AND PEDS
University Medical Center
Las Vegas, NV
08.2001 - 11.2014
- Conduct patient care and assessment
- Organization and implementation of patient care
- Maintain patient chart and documentation of care
- Perform patient education.
- Actively participated in interdisciplinary rounds to discuss current plan of care for all assigned patients.
- Administered blood and blood products, monitoring patients for signs and symptoms related to transfusion reactions.
- Directed nursing care prioritization for critically ill patients, utilizing assessment data and identified needs.
Education
Associate of Applied Science - Pre Pharmacy
Lincoln Land Community College
Springfield07-1997
Associate of Science - Nursing
Lincoln Land Community College
Springfield, IL12-2000
Skills
- InterQual Criteria
- Physician Consultations
- Obtaining Authorizations
- Patient Transfers and Transitions
Certification
CPR/Basic Life support American Heart Association
Timeline
Utilization Review
Universal Health Services
10.2025 - Current
Medical Adjudication
United Health Group, Optum
01.2025 - 09.2025
CASE MANAGEMENT RN/ UTILIZATION REVIEW
Southern Hills Hospital
02.2015 - 12.2024
RN CASE MANAGER
Nathan Adelson Hospice
11.2014 - 02.2015
REGISTERED NURSE PICU NICU AND PEDS
University Medical Center
08.2001 - 11.2014
Associate of Applied Science - Pre Pharmacy
Lincoln Land Community College
Associate of Science - Nursing
Lincoln Land Community College