Experience

Ambrosia Treatment Center

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• UR/LPN

  • Sep 2018 - Present

  Analyzed patient records to determine legitimacy of admission, treatment, and length of stay in health-care facility to comply with government and insurance company reimbursement policies: Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients. Compared patient medical records to established criteria and confers with medical and nursing personnel and other professional staff to determine legitimacy of treatment and length of stay at RES LOC, PHP LOC, and IOP LOC. Also handle Detox in California with levels from Detox to PHP LOC. less Utilization Review Nurse Treasure Coast Recovery - Stuart, FL August 2014 to July 2016 Analyzed patient records to determine legitimacy of admission, treatment, and length of stay in health-care facility to comply with government and insurance company reimbursement policies: Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients. Compared patient medical records to established criteria and confers with medical and nursing personnel and other professional staff to determine legitimacy of treatment and length of stay. less  Clinical Nurse Unity Recovery Group - Hobe Sound, FL October 2013 to May 2014 Worked in PHP setting with clients in addiction recovery. Responsible for overseeing self-administration of medication program,. Provided routine nursing care and oversaw the medical and psychiatric management of the patient in coordination with the attending physician. Was a member of the Treatment Team and provided input into the development of the Master Treatment Plan. Reported to the Director of Nursing and worked under the direction of Medical staff. Worked closely as a member of the treatment team with other program staff. less Show less



Treasure Coast Recovery

• Stuart, Florida

• UR LPN

  • Aug 2014 - Jul 2016

  Utilization review Utilization review