Tracey Sibold
Las Vegas,NV
Summary
Experienced healthcare professional prepared for this role with strong emphasis on patient care and clinical skills. Proven ability to work collaboratively within multidisciplinary teams, adapting to changing situations with ease. Excels in communication, empathy, and problem-solving to achieve optimal patient outcomes. Reliable and results-driven, with focus on delivering high-quality care and maintaining positive, supportive environment.
Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Overview
11
11
years of professional experience
Work History
Authorizations and Appeals Nurse
Scion Health -Kindred
11.2014 - Current
- Collaborated with interdisciplinary teams to optimize patient outcomes and enhance care quality
- Initiated and obtained prior authorizations. Lead the full authorization process—prior, concurrent, and retrospective.
- Collaborated closely with facility teams, referral sources, and payors to ensure patients receive timely access to care.
- Combined clinical expertise with strong coordination and relationship-building skills, this role streamlined approvals, minimized delays, safeguarded revenue, and supported smooth, well-communicated patient transitions.
- Focused on denial management to ensure timely and effective monitoring of denied authorizations, coordinating MD peer to peers and filing appeals to overturn inappropriate denials.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Coordinated resolution across all stakeholders focusing on preventing denials, protecting revenue, and supporting seamless patient care.
Care management position
Kindred Integrated Market
03.2015 - 01.2021
- Responsible for transitioning of patients throughout the continuum of care. Involved with discharge planning and coordination of care for SASCO patients in all of Kindred facilities. Works with all Silver State ACO patients and participating providers. Works closely with case management, social services, doctors, families and referral sources to assure that patient has appropriate level of care. Main focus is to ensure smooth transition from one level of care to another and to prevent a return to acute care post discharge. Follows patients in person at facilities then telephonically post discharge for 90 days.
Nurse Clinical Liaison
Kindred @Home
11.2014 - 03.2015
- Responsible for initiating and maintaining ongoing professional contacts with physicians, area health facilities, community organizations, medical societies, and similar groups and institutions. Emphasis on developing business in local service areas and providing updated educational information to referral sources and the community and obtaining patient referrals to all Kindred services including home health, hospice.
Education
Accredited Certification - License Practical Nursing
Tyler Junior College
Tyler, Texas01.2000
Skills
- Marketing
- Sales
- Nursing
- Patient Care
- Critical and Acute Care
- Good Judgment
- Analytical Thinker
- Problem Solver
- Hospice Planning
- Physical Assessments
- Compassionate
- Social/New Media
- Internet/Marketing
- Strategic Planning/Retention Strategies
- Computer literate
- Punctual
- Team Player
- Patient care coordinator
- Care Transitions
- Discharge planning
- Clinical documentation
- Clinical judgment
- Healthcare ethics
- Care coordination
- Licensed by Nevada nursing board
- Discharge coordination
- Patient assessment and care
- Patient assessments
Timeline
Care management position
Kindred Integrated Market
03.2015 - 01.2021
Authorizations and Appeals Nurse
Scion Health -Kindred
11.2014 - Current
Nurse Clinical Liaison
Kindred @Home
11.2014 - 03.2015
Accredited Certification - License Practical Nursing
Tyler Junior College