Stephenie Casner
Hammond,LA
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth. Organized and dependable successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
23
23
years of professional experience
Work History
Appeals and Denials Coordinator
Optum Home and Community Care
06.2022 - Current
- Processed and finalized appeals within agreed-upon turnaround time.
- Remained knowledgeable regarding company policies and procedures and current developments within operational departments.
- Submitted written notification to members, providers, and the QIO.
- Demonstrated high-level attention to detail when reviewing medical records, provider contracts, and other relevant documents during case assessments.
- Contributed to organizational goals by consistently meeting or exceeding established performance metrics related to appeals and denials management.
- Served as a key resource for colleagues seeking guidance on case-specific issues, fostering a cooperative team environment.
Learning and Development Specialist II
Optum Home and Community Care
12.2019 - 06.2022
- Aligned training programs with organizational goals, ensuring that learning initiatives directly supported overarching business objectives.
- Streamlined training process for new hires, accelerating time to productivity.
- Enhanced employee performance by designing and implementing comprehensive learning programs.
- Worked on transition to virtual training environments, enabling continuous learning amidst remote working conditions.
- Developed and implemented successful onboarding program.
- Trained and mentored new personnel hired to fulfill various roles.
SICC, Team Lead
navihealth
07.2014 - 12.2019
- Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Facilitated communication between patients and healthcare teams, ensuring clarity and understanding of treatment options.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience.
- Provided compassionate support for families during difficult healthcare decisions, acting as a liaison between them and their loved ones medical team.
- Trained new staff on patient care coordination best practices, enhancing team effectiveness and patient support.
- Collaborated with interdisciplinary teams to develop comprehensive care plans tailored to individual patient needs.
- Developed team members skills through targeted coaching sessions, resulting in improved individual performance.
- Mentored new staff members, helping them develop their leadership potential and advance in their careers.
- Led by example, demonstrating commitment and professionalism that inspired team members to excel.
RNAC/ADON
Penn Med inc/Reliant Senior Care
01.2002 - 07.2014
- Managed staffing needs effectively, ensuring appropriate nurse-to-patient ratios during all shifts.
- Mentored new nursing staff, fostering professional growth and development while maintaining high standards of patient care.
- Collaborated with interdisciplinary teams to develop individualized care plans for patients, ensuring optimal health outcomes.
- Facilitated open communication among team members, promoting a positive work environment conducive to collaboration and problem solving.
- Assisted in the recruitment, hiring, and retention of top nursing talent by conducting interviews, and providing mentorship to new hires.
- Participated in regulatory surveys conducted by external agencies, demonstrating compliance with established standards of practice and delivering high-quality patient care services consistently across all aspects of operations.
- Enhanced staff competency through regular training sessions and performance evaluations.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Performed rounds to observe care and interview staff, residents, and families.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
Education
MSN - Informatics
Capella University
10.2024
BSN - Nursing
Louisiana State University Alexandria
Alexandria, LA05.2024
ADN -
Broome Community College
12.1997
Skills
- Utilization review
- Adaptability and flexibility
- Task prioritization
- Coaching and mentoring
- Appeals processing
- Teamwork and collaboration
- Problem-solving
- Team leadership
- Time management
- Multitasking
- Critical thinking
- Attention to detail
Timeline
Appeals and Denials Coordinator
Optum Home and Community Care
06.2022 - Current
Learning and Development Specialist II
Optum Home and Community Care
12.2019 - 06.2022
SICC, Team Lead
navihealth
07.2014 - 12.2019
RNAC/ADON
Penn Med inc/Reliant Senior Care
01.2002 - 07.2014
ADN -
Broome Community College
MSN - Informatics
Capella University
BSN - Nursing
Louisiana State University Alexandria
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