Experience

Kindred Hospitals

• Hospitals and Health Care
• 1 - 100 Employee

• Clinical Appropriateness Management Specialist

  • Aug 2018 - Present

  Combine strong relationship building skills and clinical knowledge to manage Authorization and Appeals Management processes, responsible for investigating and processing authorizations. Primary duties include; review of prospective, retrospective or concurrent medical records of denied services for medical necessity, as well as processing authorizations. Serves as a liaison with marketing, Managed Care and administration of the facilities. Coordinates the managed care… Show more Combine strong relationship building skills and clinical knowledge to manage Authorization and Appeals Management processes, responsible for investigating and processing authorizations. Primary duties include; review of prospective, retrospective or concurrent medical records of denied services for medical necessity, as well as processing authorizations. Serves as a liaison with marketing, Managed Care and administration of the facilities. Coordinates the managed care determinations and distributes information to the marketing and admissions support staff across multiple market. Identifies information needed from the referring hospital to finalize the authorization. Show less Combine strong relationship building skills and clinical knowledge to manage Authorization and Appeals Management processes, responsible for investigating and processing authorizations. Primary duties include; review of prospective, retrospective or concurrent medical records of denied services for medical necessity, as well as processing authorizations. Serves as a liaison with marketing, Managed Care and administration of the facilities. Coordinates the managed care… Show more Combine strong relationship building skills and clinical knowledge to manage Authorization and Appeals Management processes, responsible for investigating and processing authorizations. Primary duties include; review of prospective, retrospective or concurrent medical records of denied services for medical necessity, as well as processing authorizations. Serves as a liaison with marketing, Managed Care and administration of the facilities. Coordinates the managed care determinations and distributes information to the marketing and admissions support staff across multiple market. Identifies information needed from the referring hospital to finalize the authorization. Show less



Pacific Haven Subacute & Healthcare Center

• Garden Grove, California, United States

• Licensed Vocational Nurse

  • Apr 2008 - Aug 2019

  Responsible for administering medications, treating wounds, and patient care as ordered following established protocols. Experienced with ventilator and trach patients, managed airway clearance, maintained oxygen saturations within normal limits, and performed CPR in emergency situations. Documented precise, pertinent, and thorough information in accordance with state regulations and facility policies and procedures. Constructed assessment and order templates for clinical… Show more Responsible for administering medications, treating wounds, and patient care as ordered following established protocols. Experienced with ventilator and trach patients, managed airway clearance, maintained oxygen saturations within normal limits, and performed CPR in emergency situations. Documented precise, pertinent, and thorough information in accordance with state regulations and facility policies and procedures. Constructed assessment and order templates for clinical documentation, met the facility's needs during the transition to electronic charting with PointClickCare. Show less Responsible for administering medications, treating wounds, and patient care as ordered following established protocols. Experienced with ventilator and trach patients, managed airway clearance, maintained oxygen saturations within normal limits, and performed CPR in emergency situations. Documented precise, pertinent, and thorough information in accordance with state regulations and facility policies and procedures. Constructed assessment and order templates for clinical… Show more Responsible for administering medications, treating wounds, and patient care as ordered following established protocols. Experienced with ventilator and trach patients, managed airway clearance, maintained oxygen saturations within normal limits, and performed CPR in emergency situations. Documented precise, pertinent, and thorough information in accordance with state regulations and facility policies and procedures. Constructed assessment and order templates for clinical documentation, met the facility's needs during the transition to electronic charting with PointClickCare. Show less